The 2017 CPT® Codes are available now for purchase through your NextGen Healthcare Sales Representative or through sales@nextgen.com. The American Medical Association (AMA) requires purchase of any codes in the 2017 code set version, regardless of whether you secure them in an electronic format or even if you only want to manually enter the codes. Also, every client using the medical procedure software – IMO Procedure IT Terminology product – must update to the 2017 CPT codes since the IMO product will be mapped to the newest CPT code set – 2017.
Save now on the CPT and HCPCS codes you need
Every calendar year the AMA creates and distributes new CPT code sets. The updates include numerous new CPT codes, de-activated codes, and many other revisions where the CPT descriptions may have changed. As a result, it’s imperative to update your systems with the most recent CPT and HCPCS Codes.
You must use the updated CPT codes by 1/1/17 or you put your organization at risk for:
- Overpayment/overcharging
- Underpayment/undercharging
- Claims rejections
- Fines and penalties levied by the AMA for non-compliance for utilization of their codes
NextGen Healthcare will continue to offer CPT, HCPCS, and RVU Codes as part of the NextGen Healthcare Coding Update File. This value-add service is less costly than if you purchased the CPT and HCPCS codes from the AMA directly and enables seamless importing of pre-formatted codes into your EHR/PM system.
- Any NextGen Healthcare clients who previously purchased the 2016 CPT Code Subscription will automatically receive the updated 2017 codes by January 1, 2017 for $25 per User. If your User counts have increased since the 2016 CPT Code purchases, you may need to purchase additional licenses in addition to your renewal.
- For those clients who have NOT previously purchased CPT codes in 2016, the AMA’s expectation is that you be current (and for the correct number of users) to ensure you are not at risk of an audit by the AMA. The updated 2017 codes may be purchased for $25 per user.
Contact your NextGen Healthcare Sales Representative or go to sales@nextgen.com for your 2017 CPT codes. Enjoy the benefits of having these pre-formatted codes imported effortlessly into your system.
Stay in AMA compliance
With your purchase, please fully understand the AMA’s License Terms definition of a “User,” found at http://www.nextgen.com/cpteula. Purchases through your Sales Representative must adhere to AMA requirements. Our goal is to ensure your purchase and use the correct number of licenses to lessen the chance of a future AMA audit. AMA License Terms and definition of a “User” have been in place for many years and are not new requirements. The AMA has been auditing NextGen Healthcare and other vendor clients more frequently: It is important that you are in compliance with the AMA’s rules.
- Per the AMA, CPT data files are licensed on an individual (as opposed to concurrent) user basis.
- The AMA considers an individual to be a CPT user if he or she directly accesses CPT data in a product or, in the case where CPT is embedded in a product and not directly accessible, relies on embedded CPT data to perform his or her intended function with the product or its output.
- Every Provider, regardless of whether they’re full-time, part-time, mid-level, or Resident status, is considered and defined by the AMA as a “User.”
- While most other third-party content sold by NextGen Healthcare is aligned to Provider counts and how NextGen Healthcare sells and licenses its EHR/ PM, this is not the case for the CPT codes.
- The AMA expects that not only Providers (i.e., MDs, DOs, Dentists, PAs, RNPs, PTs, etc.) must subscribe and have a license for the CPT codes, but also any front-office (i.e., making appointments using CPT codes), back-office (i.e., coders or those processing claims using CPT codes or working with reports), nurses, or other staff defined as an AMA “User” must be included in your total user counts.
Remember, even Providers such as Residents or those working limited hours must be included in the user counts for CPT utilization.