Prolonged Service Codes

NextGen® Therapy Suite Help 30.3.13.0

Select Visit Type

For chiropractic visits that require an E&M code, options appear below Visit Type. Mark the appropriate option. This is required to submit charges on certain visit types. The selected option drives the CPT code for the visit in the Charges grid. Visit Type options Parent topic: Fee Sheet - Chiropractic Visit

NextGen® Therapy Suite Help 30.3.13.0

Re-Evaluation Charge

If you select the Re-Eval Charge checkbox on the Fee Sheet template for a chiropractic visit type, it changes the visit type on the Office Note document to a Re-evaluation. This checkbox does not alter any billable charges. Parent topic: Fee Sheet - Chiropractic Visit

NextGen® Therapy Suite Help 30.3.13.0

Charges Grid

The Charges grid shows the visit code (if applicable) and any documented treatments from Chiro Single Visit, except for DME items. Note: You cannot change any charges on the Fee Sheet. You must make all documentation changes on the appropriate templates and then reopen the Fee Sheet to display the appropriate charges for that encounter. Charges grid All necessary modifiers are automatically applied to the CPT codes, based on the rules set up on the Billing Configuration system template for the payer attached to the case. Note: If the Cpt Code column for an item displays Not Billed, it could be due to the following: The code is prevented for that payer on the Billing Configuration system template. The code does not have enough time documented based on the configuration for that code. The code was marked as Concurrent on the template. Any code marked as Concurrent will not be billed. The system will not send that charge to NextGen® Enterprise PM. Time and Units Fields Parent topic: Fee S

NextGen® Therapy Suite Help 30.3.13.0

Open the Fee Sheet

Do one of the following: Select the Fee Sheet tab in the workflow bar. Select the Fee Sheet button below the panels on Chiro Single Visit. Fee Sheet button When you open the Fee Sheet template, the system uses the documentation on the encounter to determine which codes and total number of units can be billed. It takes into consideration any payer-specific billing rules configured in the Billing Configuration system template, and adjusts billing as needed based on the payer attached to the case. The Encounter Date displays the date of the scheduled visit. The Ins. (Insurance) grid displays any insurance payers attached to the case. Diagnosis Grid Parent topic: Fee Sheet - Chiropractic Visit

NextGen® Therapy Suite Help 30.3.13.0

No Charge

If you have checked in a scheduled appointment in NextGen® Enterprise PM and the patient does not actually complete treatment that day (for example: patient leaves during treatment due to illness or family emergency, and so on.), mark the No Charge checkbox. This allows for a No Charge code to be sent to NextGen® Enterprise PM and the encounter will not increase the overall SOC or deduct allowable visits from scripts or authorizations. Parent topic: Fee Sheet - Chiropractic Visit

NextGen® Therapy Suite Help 30.3.13.0

Fee Sheet - Chiropractic Visit

After you have completed all documentation for a chiropractic visit, open the Fee Sheet template. Open the Fee Sheet Select Visit Type Prolonged Service Codes Re-Evaluation Charge No Charge Charges Grid Change Applied Diagnosis Codes Submit Fee Sheet Admin Tools Parent topic: Using NextGen Therapy Suite

Prolonged Service Codes

Recommendations

Select Visit Type

Re-Evaluation Charge

Charges Grid

Open the Fee Sheet

No Charge

Fee Sheet - Chiropractic Visit

Select Visit Type

Re-Evaluation Charge

Charges Grid

Open the Fee Sheet

No Charge

Fee Sheet - Chiropractic Visit

Prolonged Service Codes