Update the Mapped Custom SIM Codes

NextGen® Enterprise EHR Help

Select Custom SIM Codes to Map

You can select custom (or alternate) SIM codes for mapping. In File Maintenance, select System > Vaccine Billing. The Vaccine Billing List window opens. Select the Open Menu button, and then select New. The Add Vaccine Billing Item window opens. Note: Only active CPT Codes display for the current practice. If you are mapping SIM Groups, select SIM Group Only and then select the Open Record button. The Vaccine SIM Code Search window opens. Note: If you are searching for a SIM Group, the SIM Groups dialog box displays. Search for a SIM code or SIM groups to map, if necessary. To select a SIM code or SIM Group to map, select the right arrow. The SIM Code moves to the Included section. Continue selecting SIM codes to map, if necessary, and then select OK. The selected SIM codes display in the Add Vaccine Billing Item window. To select the default VFC SIM code, highlight the appropriate code in the Linked Items section and select the VFC Default check box. For other custom SIM codes in the

NextGen® Enterprise EHR Help

Mapping Unique SIM Codes and Selecting VFC SIM Code Defaults

As part of your vaccine inventory set up, you have the option to override the SIM code defaults for vaccine items by mapping your practice's customized SIM codes to CPT codes. If your practice has created custom (or alternate) SIM codes or SIM groups, you can map these codes to CPT codes for system billing purposes. For example, if you are using a custom SIM code for influenza, when you are administrating this vaccine for a VFC patient, you would need the system to reference this code to ensure proper billing. CAUTION: To ensure that the appropriate SIM codes are available when setting up your vaccine inventory, map your SIM codes and/or SIM Groups before you begin to set up your vaccine inventory. If you have created custom VFC SIM codes in the SIM Library, you must select a VFC SIM code as the VFC default and other custom SIM codes (non-VFC) as the non-VFC default. This ensures that the correct SIM code is available for selection from the Billing Code picklist and for billing process

NextGen® Enterprise EHR Help

Setting Up and Mapping Custom SIM Codes for Immunizations Billing

If your practice administers immunizations for VFC-eligible patients, for billing purposes, you can set up custom VFC SIM codes for these patients. Using the Vaccine Billing option in File Maintenance, you can indicate that a VFC custom SIM code is a default billing code. The default indicates that an immunization is being administered for a VFC-eligible patient. When administering Immunizations using the Orders' Immunization function, the default VFC Vaccine Billing code automatically displays in the Vaccine Billing code field on the Create New/Update Immunizations Order for patient name window. After the immunization is Completed or Partially Administrated, the Vaccine Billing codes are then passed to NextGen® Enterprise PM for charge processing. Recommended Workflow for Configuring and Processing Custom VFC SIM Codes Mapping Unique SIM Codes and Selecting VFC SIM Code Defaults Parent topic: Setting up Immunizations Tasks to Streamline Vaccine Billing

NextGen® Enterprise EHR Help

Add Custom VFC SIM Codes to a Service Item Library

If your practice administers immunizations to VFC eligible patients, you can create custom VFC SIM codes for billing purposes. The steps to add Custom VFC SIM codes to the SIM Library is similar to adding a new SIM code. Note: After adding the custom VFC SIM codes, be sure to verify that the NDC ID Number exists in the NDC Library. Select File Maintenance > Libraries > Service Items. From the Service Items List window, select the library to update. The Service Item Library Maintenance window opens. Select open menu and select New. The three service item fields turn red. Do one of the following: In the CPT4 Code, enter a CPT4® code from your list of service items, and select Enter. Select the CPT4® code in the search results. The details for the selected CPT4® code appears. In the Service Item #, enter VFC as a suffix to the CPT4® Code. For example, 90657VFC. In the General tab, do the following: In Eff Date, enter the effective date of the custom VFC SIM code. In Exp. Date, enter the e

NextGen® Enterprise EHR Help

Access Vaccine Billing While Administering Immunizations

When administering immunizations, you can access the Vaccine Billing option from the Create New/Update Immunizations Order <patient name> window. This enables you to: Map custom VFC SIM codes and other unique Immunization codes. Indicate which VFC SIM code is the VFC default. Note: Once the Immunizations administration is complete, the appropriate billing codes are then sent to NextGen® Enterprise PM for charge processing. Open Immunizations tab from the NextGen® Enterprise EHR Orders module and create a immunizations order. On the Select Vaccines tab, select a vaccine or vaccines. To access Vaccine Billing, from the Create New/Update Immunizations Order <patient name> window, select the button at the top right of the window. A list displays Vaccine Inventory and Vaccine Billing. Select Vaccine Billing. The Vaccine Billing List window opens. To map customized VFC SIM codes or non-VFC codes for billing purposes, select New from the Open Menu button. To update a CPT code, select a CPT co

NextGen® Enterprise EHR Help

Administer Immunizations for VFC-Eligible Patients

If your practice treats VFC-eligible patients, you can administer immunizations to them. Note: Before administering Immunizations, ensure that you have completed the recommended set up and mapping steps for custom VFC SIM codes. After selecting the vaccines on the Select Vaccines tab, select the Vaccine Details tab. The Create New/Update Immunizations Order for patient name window displays (on the Vaccine Details tab). On the Vaccine Details tab, select the vaccine, and provide the Vaccine and Immunizations Detail. For a VFC-eligible patient immunization, select the VFC Reason check box and select a VFC Reason from the list. In the Vaccines grid list, for the selected vaccine, Is VFC is selected and the VFC Reason displays. Select the Lot Number, if it does not display, enter it manually. Vaccine Inventory data populates. Enter additional information for the selected Immunization order, for example, Vaccine date, Brand Name, or Route, patient received counseling (Counseled); or if the

Update the Mapped Custom SIM Codes

Recommendations

Select Custom SIM Codes to Map

Mapping Unique SIM Codes and Selecting VFC SIM Code Defaults

Setting Up and Mapping Custom SIM Codes for Immunizations Billing

Add Custom VFC SIM Codes to a Service Item Library

Access Vaccine Billing While Administering Immunizations

Administer Immunizations for VFC-Eligible Patients

Select Custom SIM Codes to Map

Mapping Unique SIM Codes and Selecting VFC SIM Code Defaults

Setting Up and Mapping Custom SIM Codes for Immunizations Billing

Add Custom VFC SIM Codes to a Service Item Library

Access Vaccine Billing While Administering Immunizations

Administer Immunizations for VFC-Eligible Patients