Concurrency Audit Operation

Subgroup	Used in	Description
Convert Partial Batch	NextGen® Enterprise PM	Enables users to allow green (passed) encounters from the Anesthesia Audit report to convert to billed when there are red (failed) encounters on the same report.
Convert Passing Batch	NextGen® Enterprise PM	Enables users to convert anesthesia encounters from a status of in progress to unbilled to be released for billing.
Manual Set Med Direction	NextGen® Enterprise PM	Enables users to over override the results of the Anesthesia Concurrency Audit report. When a user is in a group with this right set to Yes, the Anesthesia Service Information icon is enabled. When a user is in a group set to No this icon is dimmed and not available for use.
Run Concurrency Audit	NextGen® Enterprise PM	Enables users to run the Concurrency Audit report, when a user is in a group with this right set to Yes. The Anesthesia Concurrency Audit icon is enabled on the Charge Entry window and a right-click option on the Encounter Lookup window and the Patient Chart. The user can select the icon or menu item to run the report. When a user is in a group set to No this icon and the right-click option are dimmed and not available for use.

Help Guide for NextGen® Enterprise PM 8

Generate an Anesthesia Concurrency Audit Report

Access NextGen® Enterprise PM. Select the Encounter button on the main toolbar. The Encounter Lookup window opens. In the Bill Status field, select In Progress. In the Anesthesia Provider field, do one of the following: To run the report for all providers, leave the field blank. To run the report for specific providers, select check box for the desired providers. In the Date of Service From and To fields, enter the desired service date range for the audit report. Select Find. The Encounter List section of the window lists all encounters matching the search criteria entered. In the Encounter List section, select the encounters to include in the audit report. Right-click and select Anesthesia Concurrency Audit. The following prompt displays: Confirm concurrency audit report processing for the n selected encounter(s)? To continue, Select OK. The Anesthesia Concurrency Audit report displays. The best practice is to commit the report after all failed encounters are corrected and only blue o

Help Guide for NextGen® Enterprise PM 8

Anesthesia Concurrency Audit Log Report

The Anesthesia Concurrency Audit Log report displays the anesthesia charges with associated modifiers and dollar values that populate the claims for both Rendering and MDA providers. It determines and displays the concurrency values and provides a record for use in billing audits. You can use this report to identify encounters that are medically directed and personally performed. It details the encounters that have passed or failed the Anesthesia Concurrency Audit process. If one charge line on the encounter fails, the entire encounter fails the audit. The report compares all encounters that are run through the audit to all other concurrent encounters regardless of the encounter status. It runs on any encounter that has at least one anesthesia charge. To access the report in NextGen® Enterprise PM, Select the Reports menu and select General and then select Anesthesia Concurrency Audit Log. Note: You can only memorize one report for each practice. About Committing the Report The best pr

Help Guide for NextGen® Enterprise PM 8

Anesthesia Concurrency Billing

Anesthesia Concurrency Billing in NextGen® Enterprise PM can be setup and used by practices that must meet specific requirements on professional claims for anesthesia services that occur at the same time, or concurrently. Concurrency billing is typically used when the practice submits 837P/1500 claims for numerous anesthesia procedures that are administered in a hospital surgery department setting by Anesthesiologists and medically directed Certified Registered Nurse Anesthetists (CRNA). An Anesthesiologist can personally administer anesthesia to a patient. They can also oversee the administration of anesthesia by Certified Registered Nurse Anesthetists (CRNA) and Anesthesiologist Assistants (AA). When an anesthesiologist oversees up to four concurrent cases, it is considered "medical direction". In NextGen® Enterprise PM, an Anesthesia Concurrency Audit process is run prior to billing and creating claims. The audit looks at encounters with charges that were rendered by anesthesia prov

Help Guide for NextGen® Enterprise PM 8

General Reports

The General reports category includes various reports that you can use to review non-financial information for patients and guarantor accounts in your practice. The reports can help you monitor and manage a variety of internal processes and workflows in NextGen® Enterprise PM. The following reports are available from the Reports > General menu: Alerts Anesthesia Concurrency Audit Log Authorizations Encounter or Line Item Authorization Service Unit Authorization BBP Schedule Claim Requests Downtime Patient Listing by Provider Eligibility Verification Benefit Eligibility Verification Status Eligibility Referral Eligibility Referral Reconciliation EHR Manual Charge Processing - History EHR Manual Charge Processing - Pending External Charge Import External Manual Charge Processing - History External Manual Charge Processing - Pending Patient Case Patient Chart Demographics Patient Chart Demographics with Providers Patient Groups Patient Insurance Patient Recall Pending Rental Encounter Per

Help Guide for NextGen® Enterprise PM 8

Concurrency Audit Report Messages

Each charge line may have one or more messages on the report. The color coding identifies the status of the encounter after the Anesthesia Concurrency Audit process is run. The encounter statuses are: Green: Indicates the encounter passed the audit. Blue: Indicates a warning message and the encounter should be reviewed. Red: Indicates the encounter failed the audit. The following table lists the error messages, the status of the encounter, and the reason the Anesthesia Concurrency Audit process generated the message. Message Status Occurs when... Encounter successfully passed audit Pass (Green) There are no errors based on the Anesthesia Library rules. Encounter manually exempt from concurrency Warning (Blue) The Exempt from Concurrency check box was selected on the Charge Posting > Anesthesia Services Information window. May occur with an error message with a status of red. This indicates the encounter has concurrency errors, but it passed due to a manual exemption. Medical Direction

System Administrator Help

Encounters Operation

Subgroup Used in Description Add Patient Encounter NextGen® Enterprise PM & NextGen® Enterprise EHR Enables users to create encounters. Convert In Progress Batch Process NextGen® Enterprise PM Enables users to change the status of multiple encounters from "In Progress" to "Unbilled". Convert In Progress Demand Process NextGen® Enterprise PM Enables users to change the status of an encounter from "In Progress" to "Unbilled". Convert In Progress Indicator NextGen® Enterprise PM &NextGen® Enterprise EHR Enables users to modify (select or clear) the Convert In Progress check box on the Encounter Maintenance window. Delete Encounter Rate SIM and Rate NextGen® Enterprise PM Enables users to delete an encounter rate SIM and encounter rate amount from Encounter Maintenance. Delete Patient Encounter NextGen® Enterprise PM &NextGen® Enterprise EHR Enables users to delete patient encounters. Demand Bill NextGen® Enterprise PM Enables users to access the Bill toolbar button or right-click menu to

Concurrency Audit Operation

Recommendations

Generate an Anesthesia Concurrency Audit Report

Anesthesia Concurrency Audit Log Report

Anesthesia Concurrency Billing

General Reports

Concurrency Audit Report Messages

Encounters Operation

Generate an Anesthesia Concurrency Audit Report

Anesthesia Concurrency Audit Log Report

Anesthesia Concurrency Billing

General Reports

Concurrency Audit Report Messages

Encounters Operation