Finalize Tab for Ophthalmic Providers

You can calculate E&M coding and submit charges to billing on the Finalize - OPH template. In Ophthalmology, providers can choose to use the '97 or the 2021 E&M Code calculation or one of the codes specific to Ophthalmology referred to as Eye Codes.

Prior to submitting codes to the Superbill, you can link procedures to an appropriate diagnosis, and select whether to bill for an encounter that was procedures only or an encounter where no procedures were performed. You can review E&M coding calculations and override, if appropriate, and bill for counseling services.

Effective January 1, 2021, the E&M code is automatically selected based on the 2021 E&M Coding Guidelines, in which Medical Decision Making (MDM) complexity level or the total time spent with patient care and documenting the encounter is used to determine the code level.

For more information about practice settings for E&M Coding on the Practice Configuration practice template, go to NextGen Healthcare Success Community and download the latest Practice Configuration Template User Guide for NextGen® Adaptive Content Engine and the E&M Coding User Guide for NextGen® Adaptive Content Engine .