Billing for an Ambulatory Surgical Center

NextGen® Ophthalmic Suite Help 2022.2

Setup for Ophthalmology ASC in File Maintenance

For ASC billing, billing is separated into a facility fee and a professional fee. The facility fee is billed through the ASC, which is set up both as a practice and as a provider. The professional fee for the surgery/procedure is billed through the clinical practice of the surgeon/provider. The facility (ASC) is set up and selected as the practice and the rendering provider, while the provider performing the surgery is selected as the referring provider. Configuring the ASC as both a practice and a rendering provider is done in File Maintenance. CAUTION: It recommended that practices consult their legal advisers, and state and other regulators for setup guidance to determine whether a separate practice should be set up for the ASC or if the ASC can be included as an additional location within the provider practice. Setting up the ASC is done in File Maintenance, in the System Master Files. Three system master files must be updated for the practice: Practices - add the Ophthalmology pra

NextGen® Ophthalmic Suite Help 2022.2

Ophthalmology Ambulatory Surgical Center Setup

In this version of NextGen® Adaptive Content Engine, the Ophthalmology ASC templates remain the familiar 10-tab template set as in previous versions. Open this template set by selecting ASC Home – OPH listed in Template Launcher in the History toolbar or configured as a preferred medical records template in Preferences on the Template tab. To use the Ophthalmology ASC workflow, for billing purposes and to meet certain regulatory requirements that clinical records for an Ambulatory Surgical Center (ASC) be kept separate from a clinic, certain configuration prerequisites must be performed in File Maintenance. This includes setting up the ASC as a separate practice and configuring this Ambulatory Surgical Center as the rendering provider. When documenting an Ophthalmology ASC encounter, the ASC Center is selected as both the Practice and the Provider. Setup for Ophthalmology ASC in File Maintenance Billing for an Ambulatory Surgical Center Parent topic: Configuring NextGen Ophthalmic Suit

NextGen® Ophthalmic Suite Help 2022.2

Bill an Ophthalmology ASC Encounter

On the ASC Ophthalmology Coding template (Eyeasc_Coding), select the Bill Facility Charge check box and then click the Submit to Superbill button to submit the charges. Parent topic: Billing for an Ambulatory Surgical Center

NextGen® Ophthalmic Suite Help 2022.2

Set Up the Practice as an ASC Provider in the Provider System Master File

Set Up the Practice as an ASC Provider in the Provider System Master File Set Up the Practice as an ASC Provider in the Provider System Master File The Ophthalmology ASC practice is required to be set up as an ASC Provider in the Providers system master file. Before beginning to enter patient information for Ophthalmology ASC, you must select your ASC Center in the top toolbar as the Provider. Click Providers under Master Files - System to open the Providers List window. Click the Menu icon below the Providers List Search field and select New ... to open the Add Provider Information tabs. On the Demographics tab, enter name, address, and display name for the provider (fields in red font are required). add provider information template Select the System tab and enter the following information: UPIN Taxonomy code NPI Default Tax ID Provider Licensing system tab Select the Practice tab and do the following: Select the Rendering provider at this practice check box. Select the Signature on

NextGen® Adaptive Content Engine Help Enterprise 8

Ambulatory Surgery Center

You can use the templates sets in the Ambulatory Surgery specialty for ASC to document the details of the procedure performed on the patient. Ambulatory Surgery Home Page and Common Templates You can document the details of the procedure performed on the patient in the ASC using the framework template sets in the Ambulatory Surgery specialty. Access the Template Set Associated with the Procedure Preadmission Visit Type You can the document the pre-admission details before beginning the procedure for a patient using the Procedure Preadmission visit type. Access the Template Set Associated with Procedure Visit Type Access the Templates Associated with Procedure Post Discharge Visit Type Related concepts Ambulatory Surgery Home Page and Common Templates Related tasks Access the Template Set Associated with the Procedure Preadmission Visit Type Access the Template Set Associated with Procedure Visit Type Access the Templates Associated with Procedure Post Discharge Visit Type

NextGen® Adaptive Content Engine Help Enterprise 8

Ambulatory Surgery Home Page and Common Templates

Ambulatory Surgery Home Page and Common Templates Ambulatory Surgery Home Page and Common Templates You can document the details of the procedure performed on the patient in the ASC using the framework template sets in the Ambulatory Surgery specialty. The Ambulatory Surgery specialty content enables documentation of procedure details performed on the patient in the Ambulatory Surgery Center (ASC). The ASCs have patients referred by the primary care physicians to perform procedures related to a specific problem or an illness found through a diagnostic analysis. The Ambulatory Surgery specialty includes the following visit types: Procedure Preadmission Procedure Procedure Post Discharge Virtual Visit Telephone Virtual Visit Video Note: Virtual visits use the same template set as the Procedure Preadmission visit type. You need to select a visit type from the Udp Visit Types list to proceed with the workflow. The following are some of the common links and features found across the framewo

Billing for an Ambulatory Surgical Center

Recommendations

Setup for Ophthalmology ASC in File Maintenance

Ophthalmology Ambulatory Surgical Center Setup

Bill an Ophthalmology ASC Encounter

Set Up the Practice as an ASC Provider in the Provider System Master File

Ambulatory Surgery Center

Ambulatory Surgery Home Page and Common Templates

Setup for Ophthalmology ASC in File Maintenance

Ophthalmology Ambulatory Surgical Center Setup

Bill an Ophthalmology ASC Encounter

Set Up the Practice as an ASC Provider in the Provider System Master File

Ambulatory Surgery Center

Ambulatory Surgery Home Page and Common Templates