Alerts Configuration

NextGen® Orthopedic Suite Help 80.2.14.0

MIPS Quality Measures

You can set up eligible financial classes for MIPS Quality Measures and the codes for the measures on the MIPS Quality Measures panel of the Billing Configuration practice template. You can also set certain payers as exceptions to general financial class rules. MIPS Quality Measures panel on the Billing Configuration template Note: By default, submitting charges on the Finalize Visit template sends the codes configured for MIPS Quality Measures. If your practice does not report on these measures, select the This Practice does not require MIPS Quality Measures check box to disable this feature. Enable a Financial Class for MIPS Quality Measures Disable a Financial Class MIPS Quality Measures Exclude Payers from MIPS Quality Measures Eligibility Add a CPT Code or Visit Code to the Group Type Remove a Code from the Applicable CPT Codes Grid Configure the CPT Code and ICD Code for a Type Within a Group Parent topic: Billing Configuration

NextGen® Orthopedic Suite Help 80.2.14.0

Add an Alert

You can add alerts for preregistration templates based on the chief complaints and financial class of the encounter-level insurance. The alerts added on the Billing Configuration practice template appear on the following preregistration templates, based on the configuration. Pre Reg Clinical Approval Billing Approval Clinical 1 Clinical 2 On the Billing Configuration practice template, expand the Alerts panel. Alerts panel on the Billing Configuration template Note: The Workflow/Template field displays Pre-Reg, by default. Click the blank field below the Complaint column, and select a complaint from the list. Note: If an alert is applicable for all payers in the financial class and all complaints, select the asterisk (*) from the list. After you select the complaint, the windows for selecting the financial class name and payer open. Select the financial class name and payer. Note: If an alert is applicable for all payers in the financial class and all complaints, select the asterisk (*

NextGen® Orthopedic Suite Help 80.2.14.0

Update an Alert

You can edit or delete an existing alert. On the Billing Configuration practice template, expand the Alerts panel. Select an alert from the grid. The details of selected alert appear in the corresponding fields below the grid. To edit the alert, make changes to the text in the fields as needed, and then click Update. To delete the alert, click Delete. Note: The alert appears based on the primary insurance listed on the encounter. If there is an alert configured for all payers within a financial class (*), this overrides what the individual payer has configured for that chief complaint. Parent topic: Alerts Configuration

NextGen® Orthopedic Suite Help 80.2.14.0

Billing Configuration

You can configure the following billing related settings on the Billing Configuration practice template. Set billing exclusions based on financial class and payers Set ICD and CPT Codes to automatically bill with non-billable procedures Set up MIPS Quality Measure reporting information Configure alerts on the Pre-Registration workflow templates The Billing Configuration practice template has the following panels: Exclusions Non-billable MIPS Quality Measures Alerts Billing Configuration template Exclusions Configuring Preferences for Non-Billable Procedures You can update the procedure information and configure financial classes and payers for various non-billable procedures. MIPS Quality Measures Alerts Configuration Parent topic: Configuring NextGen Orthopedic Suite

NextGen® Orthopedic Suite Help 80.2.14.0

Preregistration Workflow

You can only initiate the preregistration workflow to document the details of the patient before their visit to the office. The preregistration workflow is to be performed before a patient visit the office. For example, a phone nurse contacts the patient to perform preregistration before the appointment. You can open the preregistration workflow templates using the Pre Reg link on the Home template. The following table describes the templates used in this workflow. Template Description Pre Reg To document the chief complaints, appointment details, patient demographics, and insurance details. You can also generate letters for preregistration of patients. Clinical Approval To document the clinical approval requirements. Billing Approval To document the billing approval requirements. Clinical 1 To document the details of providers, shared care facilities, and patient histories. Clinical 2 To document patient's family history, social history, and review of systems. Pre-Reg Worklog To track

NextGen® Orthopedic Suite Help 80.2.14.0

Billing Approval Template

The Billing Approval template documents any billing approval requirements. If a pre-authorization is required, or specific information regarding a work comp claim or auto liability claim, this authorization information can be tracked on this template. This template consists of three panels: Demographic- This panel contains the patient’s contact information and best times to reach the patient. This information carries forward from the Pre Reg template but can be edited here if needed. The patient status will pull over from NextGen® Enterprise PM and is read-only. Insurance-The Insurance panel pulls insurance information from the encounter. This information is read-only and cannot be updated from this panel. There are places for users to record pre-authorization information and details regarding that information for work comp, auto/liability, self-pay, care source, and Misc. Authorization- Enables users to document if the patient is approved or denied from a billing stand point. Authoriz

Alerts Configuration

Recommendations

MIPS Quality Measures

Add an Alert

Update an Alert

Billing Configuration

Preregistration Workflow

Billing Approval Template

MIPS Quality Measures

Add an Alert

Update an Alert

Billing Configuration

Preregistration Workflow

Billing Approval Template