Diagnosis Categories

File Maintenance Help for NextGen® Enterprise 8

Assign Access to Practices for Diagnosis Categories

Even though the system-level master files are enterprise-wide, you might not want all practices to have access to every record. You can limit who has access to a diagnosis category through Practice Access. Each diagnosis category must be assigned to at least one practice. In File Maintenance, select Master Files > System > Diagnosis Categories. The Diagnosis Categories List window opens. Right-click the applicable diagnosis category from the list, and then select Practice Access. The ICD Category Master Access by Practice window opens. If the diagnosis category is new, only the current practice is selected. Select the practices that will have access to this diagnosis category. At least one practice must be selected. Note: To prevent specific practices from accessing the provider, clear the check boxes next to the practices in the list. Select OK. Parent topic: Diagnosis Categories

File Maintenance Help for NextGen® Enterprise 8

Diagnosis Categories Search

From the Master Files - System list, select Diagnosis Categories. The Diagnosis Categories List window opens. To add a new diagnosis category, select Open Menu , then select New. To search for an existing diagnosis category to modify, follow the steps below: In the List Search field, enter what you want to search for. The matching results are listed. Note: You can enter an asterisk ( * ) to see all the records. Double-click the diagnosis category you want to view. The Add/Modify Diagnosis Category Information window opens. Enter a name for the diagnosis category in the Category field. Enter a four-digit abbreviation for the diagnosis category in the Short Description field. To add an ICD code and description select Open Folder . The ICD Codes window opens. To add a code to the category, select the code in the Available list, then select the Include . The code moves from the Available list to the Included list. If necessary, select either 09 or 10 in the Show field to display only ICD9

NextGen® Enterprise EHR Help

Diagnosis Categories

The diagnosis search window displays diagnosis categories that are associated with the provider, if available. If there are no provider categories, diagnosis categories associated with the practice appear. Categories can be associated with NextGen® Enterprise EHR or NextGen® Enterprise PM so that only relevant categories display. By default, if the ShowEPMCategories flag is set to False, the system loads practice categories that have Show in EHR set to Y. This flag is set to Y by default for categories that existed before NextGen® Enterprise EHR, 5.8. If the ShowEPMCategories flag is set to True, the system loads practice categories that have Show in EPM set to Y. Note: You cannot change the name of diagnosis categories or their display order from this window. The name and order are defined in the File Maintenance application under Master Files for Diagnosis Categories. Select the applicable category from the Categories list in the left pane of the diagnosis search window. Note: The ca

File Maintenance Help for NextGen® Enterprise 8

Programs Master File

The Programs master file enables you to create various programs that your practice participates in, and to define system-level and practice-level requirements for each program. System-level information applies to all practices participating in the program and may include SIM code, diagnosis code, provider credential and patient age limitations that must be met for services to qualify under the program. Practice-level information applies to a specific practice only and may include warning messages to alert users when an encounter or charge does not meet all program requirements, and payer-specific threshold rules that must be met before billing for services under the program. You can generate the following reports from the Programs master file : Program Listing Program with Threshold Rules For more information, go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Add or Modify a Program Hide a Program Copy a Program Assign Pra

Help Guide for NextGen® Enterprise PM 8

Programs Master File

The Programs master file enables you to create various programs that your practice participates in, and to define system-level and practice-level requirements for each program. System-level information applies to all practices participating in the program and may include SIM code, diagnosis code, provider credential and patient age limitations that must be met for services to qualify under the program. Practice-level information applies to a specific practice only and may include warning messages to alert users when an encounter or charge does not meet all program requirements, and payer-specific threshold rules that must be met before billing for services under the program. You can generate the following reports from the Programs master file : Program Listing Program with Threshold Rules For more information, go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Add or Modify a Program Hide a Program Copy a Program Assign Pra

NextGen® Adaptive Content Engine Help Enterprise 8

Setting Up Diagnosis Categories in File Maintenance

When you select a diagnosis, you can view diagnoses associated with the relevant diagnosis code. When you need to select a diagnosis while documenting a BMI plan, the diagnosis template should display only the diagnoses associated with the BMI diagnosis category. The diagnosis category in the template must match the diagnosis category in File Maintenance. If it does not match and the necessary diagnosis codes do not appear, you must update the codes or create a category in File Maintenance set up to match. For more information on diagnosis categories, go to NextGen Healthcare Success Community, and download the latest File Maintenance Master Files Guide forNextGen®Enterprise. Parent topic: Open the Template Data Sets Setup Template Parent topic: Health Promotion Plan

Diagnosis Categories

Recommendations

Assign Access to Practices for Diagnosis Categories

Diagnosis Categories Search

Diagnosis Categories

Programs Master File

Programs Master File

Setting Up Diagnosis Categories in File Maintenance

Assign Access to Practices for Diagnosis Categories

Diagnosis Categories Search

Diagnosis Categories

Programs Master File

Programs Master File

Setting Up Diagnosis Categories in File Maintenance