CCI Bundling Lab Edits

Help Guide for NextGen® Enterprise PM 8

CCI Bundling Anesthesia Edits

Principles of Medicare coding for anesthesia services involving administration of anesthesia are reported by the use of the anesthesia five-digit CPT procedure codes (00100-01860). These codes specify Anesthesia for followed by a general area of surgical intervention. When the following CPT codes are reported with an anesthesia code, it is assumed that these services are being reported as part of the anesthesia service and so will not be paid in addition to the anesthesia code. Because it is recognized that many of these procedures may occur on the same date of surgery but are not performed in the course of and as part of the anesthesia provision for the day, these codes will be separately paid only if the -59 modifier is appended to the code, indicating that the service rendered was independent of the anesthesia service. CPT codes describing services that, when performed as part of the anesthesia service, would be considered included in the anesthesia code include the following partia

NextGen® Adaptive Content Engine Help Enterprise 8

Handling Duplicate Tests

You can handle the duplicate test that are associated with a patient guidelines. Duplicate tests can result from having more than one care guideline active for a patient. When a patient has more than one care guideline active, it is likely that a test or exam is duplicated by the guidelines. For tests or exams that are duplicated in two or more active guidelines associated with a patient, only one test or exam is maintained for the patient. The test or exam that is maintained has the lowest start age, the highest stop age, and the lowest time interval. For example, the lipid panel test is part of both the health maintenance and the CAD guidelines. If a patient has CAD, a lipid panel is recommended every year with no start age specified, and a health maintenance lipid panel is recommended every 5 years starting at age 45. Since these are duplicate tests, the system automatically compares the interval and the start and stop ages. The lipid panel is included for the patient at the 1-year

NextGen® Orthopedic Suite Help 80.2.14.0

Edit Radiology Test Configuration

The Manage Radiology Tests grid on the Radiology Configuration practice template does not display any data until you select a value in the filter fields above the grid. The Category and Body Part fields use picklists from the Radiology Picklists panel. Note: Use the fields below the grid to edit the selected radiology test. The fields below the grid are referred to by the corresponding column name. Select an option for Sort Tests By: Body Part or Description. Note: This sort option also determines how the Radiology Tests grid on the Radiology Order template and the Radiology panel of the Single Order template is sorted. In the Filters section, click any field to select a value to filter the grid. Select a row from the grid. Use the fields below the grid to make the desired changes. To edit the description, click the Description field. To configure the Picklist that opens when the test is ordered, select the picklist. To add the bilateral code, click the Bilat. Code field to search, and

NextGen® Orthopedic Suite Help 80.2.14.0

Add Radiology Tests

The tests in the Manage Radiology Tests grid create a list of tests that corresponds to the Standard option above the Radiology Tests grid on the Radiology Order template and the Radiology panel of the Single Order template. The Manage Radiology Tests grid does not display any data until you select a value in the filter fields above the grid. The Category and Body Part fields use picklists from the Radiology Picklists panel. Note: Use the fields below the grid to add a radiology test. The fields below the grid are referred to by the corresponding column name. Click in the Category field below the grid to select a category. Select the body part from the Body Part picklist. The Select Procedure window opens. Search for the code in the Procedure field to assign to the test, and click OK. The selected code automatically fills the Code and the Description fields. To edit the description, click the Description field. To configure the picklist that opens when the test is ordered, select the p

NextGen® Adaptive Content Engine Help Enterprise 8

Panels Used in Setting Up Orderable Items

You can set up the orderable items for a patient associated with orders in the NextGen Adaptive Content Engine. The Orderable items (formerly protocols), are associated with orders in the NextGen® Adaptive Content Engine, they have CPT® billing and compendium codes. Panel Description Manage Groups and Options Enables you to provide the functionality to create to guidelines based on the reason types. Define Guideline Reasons & Auto Application Enables you to define guidelines for a condition or disease. Interventions / Orders Setup Enables you to set up lab tests, diagnostic studies, and examinations (orderable items) for a guideline. Interventions/Test Equivalent Codes/Descriptions Intervention Equivalents section Enables you to set up any test descriptions or billing codes that are equivalent synonyms for a test defined in a guideline using either a description or a test code. You do not have to enter both. Document Types/Codifications section Enables you to use the Document Types/Cod

NextGen® Orthopedic Suite Help 80.2.14.0

Create a Custom Provider Multi-Test List

You can create a multi-test group that is used on the Radiology Order template and the Radiology panel of the Single Order template. The multi-test group appears in the Radiology Tests grid without a CPT code. When you select the multi-test group, the system moves all of the configured tests to the This Order grid. On the Radiology Configuration practice template, go to the Provider Custom Multi-Test panel. Click the Provider field, and select a provider. Enter the Category. The provider and Tests grids display the tests assigned to the category. Enter the Body Part to filter the grid. Enter the description of the multi-test group in the field below the grid, and click Add. Click Add. Select the multi-test group added in step 5. Click the Body Part field above the Tests grid to filter the grid by body part. In the Tests grid, select the desired test, and click the left arrow to move the tests to the Tests in the Multi-Test grid. The Select Side or None picklist opens. Select a value fr

CCI Bundling Lab Edits

Recommendations

CCI Bundling Anesthesia Edits

Handling Duplicate Tests

Edit Radiology Test Configuration

Add Radiology Tests

Panels Used in Setting Up Orderable Items

Create a Custom Provider Multi-Test List

CCI Bundling Lab Edits

CCI Bundling Anesthesia Edits

Handling Duplicate Tests

Edit Radiology Test Configuration

Add Radiology Tests

Panels Used in Setting Up Orderable Items

Create a Custom Provider Multi-Test List