Configuring Preferences for Non-Billable Procedures

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

Exclusions

You can set financial classes and payers that have restrictions on Consult visits or E&M coded visits with injections on the Exclusions panel of the Billing Configuration practice template. The Consult Visit Codes grid gives you the ability to configure Consult Visit codes for financial classes that exclude them. Exclusions panel on the Billing Configuration template Add a Financial Class to an Exclusion Type Move Payers Out of the Exclusion List Remove a Financial Class From an Exclusions Type Add a Consult Visit Code Remove a Consult Visit Code Parent topic: Billing Configuration

NextGen® Orthopedic Suite Help 80.2.14.0

Manage Payers for Non-Billable Procedures

You can add or remove payers in the exclusion list for a financial class. For a financial class associated with a non-billable procedure, you can manage the exclusion list for payers that require specific International Classification of Diseases (ICD) codes to be sent for the procedure. On the Billing Configuration practice template, expand the Non-billable panel. Non-billable panel on the Billing Configuration template Select a procedure from the Procedures grid. The procedure description, Current Procedural Terminology (CPT) code, and ICD code are automatically filled in their corresponding fields, and the configured financial classes are displayed in the Financial Classes grid. Select a financial class from the Financial Classes grid. The payers associated with the financial class are displayed in their corresponding grids. To remove a payer from the exclusion list, do the following: Select a payer from the Payers in the exclusion list grid. Click the Right arrow icon icon. The sele

NextGen® Orthopedic Suite Help 80.2.14.0

Add a Financial Class that Requires Different ICD Codes

You can add a financial class that requires different ICD codes for a procedure. When you do this, all the payers in the financial class enter the Payers in the exclusion list grid. On the Billing Configuration practice template, expand the Non-billable panel. In the Procedures grid, select a procedure. The Procedure description and CPT Code for the selected procedure appear the fields below the grid and financial classes already configured to require different ICD codes for that procedure appear in the Financial Classes grid. In the field below the Financial classes grid, select the financial class. Click Add. In the ICD for these specific payers field, enter the ICD code for that financial class. In the ICD for all others field, enter the ICD code for this procedure for all other payers. Click Update. Parent topic: Configuring Preferences for Non-Billable Procedures

NextGen® Orthopedic Suite Help 80.2.14.0

Remove a Financial Class That No Longer Requires Different ICD Codes

On the Billing Configuration practice template, expand the Non-billable panel. In the Procedures grid, select a procedure. Financial classes that require different ICD codes for the procedure appear in the Financial Classes grid. In the Financial Classes grid, select the financial class. Click Delete. Parent topic: Configuring Preferences for Non-Billable Procedures

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

Configuring Preferences for Non-Billable Procedures

Recommendations

MIPS Quality Measures

Exclusions

Manage Payers for Non-Billable Procedures

Add a Financial Class that Requires Different ICD Codes

Remove a Financial Class That No Longer Requires Different ICD Codes

Billing Configuration

MIPS Quality Measures

Exclusions

Manage Payers for Non-Billable Procedures

Add a Financial Class that Requires Different ICD Codes

Remove a Financial Class That No Longer Requires Different ICD Codes

Billing Configuration