Procedure Billing in Ophthalmology

NextGen® Ophthalmic Suite Help 2022.2

Review Today's Assessments

Ophthalmic providers can review previously documented diagnoses/assessments that were selected for the patient for this encounter listed in the Today's Assessments grid in the Diagnosis panel on the Finalize - OPH template. CAUTION: A diagnosis added or modified on the Finalize - OPH template does not appear in the Impression/Plan Summary grid. However, it appears in the Diagnosis History and in the Chart Note. Best practices recommend that the provider add and update assessment on the Assessment/Plan - OPH template so that they are listed in the Impression/Plan grids and can be associated with plan details. impression/plan grid Parent topic: Finalize Tab for Ophthalmic Providers

NextGen® Ophthalmic Suite Help 2022.2

Link a Procedure to an Assessment from the Procedure Billing Grid

You can link a procedure to an assessment on the Finalize - OPH template. In the Diagnosis panel, select an assessment in the Today's Assessments grid. In the Procedure Billing panel, select a procedure. In the Diagnosis panel, click the Link Diagnosis to Procedure button. Note: To assign more than one diagnosis code to a test or procedure, you have to use the Tests and Procedures Update - OPH template. tests and procedure update - oph template The assessment's code appears in the DX1 field in the Procedure Billing grid. Parent topic: Procedure Billing in Ophthalmology

NextGen® Ophthalmic Suite Help 2022.2

Review Procedures and Tests for Billing

Review procedures listed in the Procedure Billing grid. If appropriate, select one of the billing check boxes in the Procedure Billing panel. No procedures this encounter Procedure only encounter Note: To bill for both the encounter and procedures, the check boxes must be cleared. If procedures are listed in the grid, perform steps to link procedures to assessments or diagnoses. Parent topic: Procedure Billing in Ophthalmology

NextGen® Ophthalmic Suite Help 2022.2

Setting a Procedure to No Charge

You can choose not to bill for a procedure. Double-click the Procedure Billing grid.The Tests and Procedure Update - Oph template opens. Clear the Submit charges check box. test and procedure update template Click Save and then click Close. Parent topic: Procedure Billing in Ophthalmology

NextGen® Ophthalmic Suite Help 2022.2

Associate Multiple Assessments to a Procedure

Tests and procedures can be linked to multiple assessments using the Tests and Procedure Update - Oph template. Double-click a row in the Procedure Billing grid. tests and procedure update - oph template The Tests and Procedure Update - Oph template opens. To link the procedure to multiple assessments, click the Dx 1 field.A window opens with a list of today's assessments. Select a diagnosis from the list. To associate other assessments, click the next Dx field, and select an assessment. Enter procedure modifiers in the Mod 1-4 fields. Parent topic: Procedure Billing in Ophthalmology

NextGen® Ophthalmic Suite Help 2022.2

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 d

Procedure Billing in Ophthalmology

Recommendations

Review Today's Assessments

Link a Procedure to an Assessment from the Procedure Billing Grid

Review Procedures and Tests for Billing

Setting a Procedure to No Charge

Associate Multiple Assessments to a Procedure

Finalize Tab for Ophthalmic Providers

Review Today's Assessments

Link a Procedure to an Assessment from the Procedure Billing Grid

Review Procedures and Tests for Billing

Setting a Procedure to No Charge

Associate Multiple Assessments to a Procedure

Finalize Tab for Ophthalmic Providers