Potential Non-Clinical Urgent
 
 

Modifiers May Be Incorrectly Applied to Ophthalmology Procedures in the Same Encounter

Issue ID: 53787

Versions Affected

 NextGen® KBM v.8.3.6 to v.8.3.8

The Issue

NextGen Healthcare has identified an issue on the Finalize - OPH template where a 26 modifier may incorrectly be applied to all procedures documented in the same encounter with a completed A-scan.

Example

In this example, the user creates a new patient or opens an existing patient and creates a new encounter. The user navigates to the *Home Page template and selects Ophthalmology as the specialty and a visit type. The user clicks the Templates icon and launches the OCT Interpretation – OPH template. The user selects the Bill OCT check box, documents information, and clicks Save and Close. The user navigates back to the Intake – OPH template, selects the Finalize tab, and scrolls to the Procedure Billing panel. The user sees the documented information is correctly displayed on the grid.

From the left navigation bar, the user selects Other Tests from the list and launches the Testing – OPH template. The user selects the Ascan check box, documents information for the Ascan Ultra OD, and clicks OK. The user documents information into the A-scan billing eye field, selects the Use 26 modifier check box, and clicks Save and Close. The user navigates back to the Finalize – OPH template and clicks Load Procedures below the Billing Procedures panel. The user sees the 26 Modifier is incorrectly displayed for both procedures on the grid.

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Actions Required

Until this issue is fixed, users should double-click on the row from the Procedure Billing grid that incorrectly displays the 26 Modifier to launch the Test and Procedure Update – OPH template. The user should clear the 26 value from the Mod2 field and save the template.

Users may also modify the ngkbm_oph_getprocedures stored procedure via the SQL Server Management Studio.

Below are the steps to modify the stored procedure:
  1. In stored procedure ngkbm_oph_getprocedures, search for the “@mod2 = ‘26’.” String.
  2. For the second place this occurs, immediately after the record that executes stored procedure ngkbm_oph_insert_procedures, add the following record:
    SELECT @mod2 = ‘’  (Two single quotation marks) 
  3. Once complete, execute the stored procedure.
Status

This issue will be hotfixed for clients on NextGen KBM v.8.3.8.

Clients who are experiencing this issue can link their practice and be kept up to date on the status of the issue via the Client Support Center website (http://csc.nextgen.com). Just navigate to the Known/Fixed Issues tab, select the affected product from the navigation bar and filter by the Issue ID.

All NewsFlashes can be found in the NewsFlash Archive section under the Known/Fixed Issues tab on the Client Support Center website (http://csc.nextgen.com).

Clients who become aware of any potential critical issues should report them by following the process found here.

Thank you for your continued support.
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