Set up General Case Information

Help Guide for NextGen® Enterprise PM 8

Add Payers and Guarantors to a Case on the Financial Tab

To set up payers and guarantors for a case, access the Financial tab. Access the desired case. Select the Financial tab. Select the patient's Employer. Select whether condition for this Case is related to the patient's employment. Enter any Employer Notes. Select the Guarantor for the Case. If needed, perform a search for a person or an employer. Select the Payers for this Case. Select the open menu icon. The Case Insurance Selection window opens. Select the pertinent Payers. Select OK. CAUTION: All of the Encounters attached to the Case must contain the same Payer as the selected Case. Once you have set up Case Payer, you are able to select Available Encounters and set up Synchronizing Encounters to a Case. If necessary, set up the payer authorization information. If necessary, set up the primary payer authorization number. If necessary, set up the primary payer reference number. If necessary, enter the Primary Payer Property/Casualty Number. If necessary, enter worker's compensation,

Help Guide for NextGen® Enterprise PM 8

Processes and Procedures for Case Management

The Case Management functionality enables users of the NextGen® Enterprise EHR and NextGen® Enterprise PM applications to group patient encounters based on common data into cases. Cases may include encounter details such as, workers' compensation, occupational health (non-injury), ambulatory care, group health PT. This enables users to submit only the medical-record data of each patient that is required to meet insurance and legal obligations. The following sections discuss the functions and procedures for using Case Management: Creating a Case Set up General Case Information Add Payers and Guarantors to a Case on the Financial Tab Associating a Case with an Encounter Add Worker's Compensation Information to a Case Creating a Case Set up General Case Information Add Payers and Guarantors to a Case on the Financial Tab Associating a Case with an Encounter Add Worker's Compensation Information to a Case Parent topic: Case Management

Help Guide for NextGen® Enterprise PM 8

Create a New Case in NextGen Enterprise PM

This procedure provides instructions for creating a case. On the General tab of the patient chart, you can enter related cases, diagnosis and procedures codes, case contacts, and select encounters to include in the case. Each new Case is automatically assigned a numeric Case Number. All Case Numbers are sequential. To access a patient's chart, select the chart icon and search for the applicable patient. Open the patient's chart and then select Case Management. The Cases window opens. To access the Case Management window, select the open menu icon and select New. In the Available Encounters list, select the encounters that you want to add to the case. The Case Management window displays the name of the selected patient and the Case #. Enter the reason for creating the case, in the Case Description field. Enter the date the condition first occurred, in the Onset Date field. Enter all available additional information on the General tab. Select the Financial tab and enter all pertinent Pay

NextGen® Enterprise EHR Help

Create an Encounter

Before you begin Ensure that you have configured the encounter inheritance settings for Encounters on the Practice Preferences window in File Maintenance. When you have a patient chart open, you can create an encounter for the patient. Each new encounter may inherit information such as Encounter Details and Insurance from the previous encounter in the patient chart. You can add templates, documents, images, and other patient items to the new encounter. You can also assign insurance, enter remarks, and associate a program to an encounter. Open NextGen® Enterprise EHR, and select a patient from Patient Lookup window. To create an encounter, do one of the following: On the Patient Information Card (PIC), select New Encounter. On the PIC, select Profile Options, and then select New Encounter. On the Encounters tab, select New. From the File menu, select New > Encounter. NextGen® Enterprise EHR creates an encounter with the current date on the Encounters tab. On the PIC, the Selected Encoun

NextGen® Enterprise EHR Help

Create an Encounter

Before you begin Ensure that you have configured the encounter inheritance settings for Encounters on the Practice Preferences window in File Maintenance. When you have a patient chart open, you can create an encounter for the patient. Each new encounter may inherit information such as Encounter Details and Insurance from the previous encounter in the patient chart. You can add templates, documents, images, and other patient items to the new encounter. You can also assign insurance, enter remarks, and associate a program to an encounter. Open NextGen® Enterprise EHR, and select a patient from Patient Lookup window. To create an encounter, do one of the following: On the Patient Information Card (PIC), select New Encounter. On the PIC, select Profile Options, and then select New Encounter. On the Encounter History tab, select New Encounter. From the File menu, select New > Encounter. NextGen® Enterprise EHR creates an encounter with the current date on the Encounter History tab. On the

NextGen® Enterprise EHR Help

Create a Case

Before you begin Ensure that the View Case Management checkbox is selected in the user-level settings to turn on the case management on the Encounters tab. Any changes made to the Patient's Encounter preferences occur only after you reload the Encounters tab. Open NextGen® Enterprise PM. To create a case, do one of the following: On the Encounters tab, select an encounter, and select the Encounter Options icon and then select Case. From the File menu, select New > Case. The Case Management window opens. Select an appropriate option in the required fields highlighted in red and the non-required fields as needed for the case. Select OK.The case created appears on the Encounters tab. Note: When you select a Case on the Encounters tab, the following are disabled on Patient Information Card (PIC). Patient Tracking Links to open the Medical Records templates Medical records templates with data presence indicators such as, Patient Providers, HIPAA However, you can open and modify the Demograp

Set up General Case Information

Recommendations

Add Payers and Guarantors to a Case on the Financial Tab

Processes and Procedures for Case Management

Create a New Case in NextGen Enterprise PM

Create an Encounter

Create an Encounter

Create a Case

Set up General Case Information

Add Payers and Guarantors to a Case on the Financial Tab

Processes and Procedures for Case Management

Create a New Case in NextGen Enterprise PM

Create an Encounter

Create an Encounter

Create a Case