Manage ABN Link

NextGen® Orthopedic Suite Help 80.2.14.0

Complete the Medicare ABN Form

To open the Medicare ABN template, do one of the following: Click the ABN button below the Office Procedures grid on the Billable Visit template Click the Medicare ABN button on the Cash Supplies template Click the Forms link and select Medicare ABN Medicare ABN template Click the Service Types field and select the service type from the picklist that opens. (Optional) Enter the Identification Number. Click the Items or Services field and type in any items or services provided to the patient. Enter the Injection. Click the Reason Medicare May Not Pay field and select an ABN reason. Enter the Estimated Cost if that information did not pull into the field automatically. Select one of the three options for service payment. Select Done. This enters your name in the field with a date and time stamp. Click the ABN Form document icon to generate the form. Parent topic: Physical Exam Panel

NextGen® Orthopedic Suite Help 80.2.14.0

Record the Medicare ABN Information

Use the Medicare ABN template to enter basic information on the Medicare ABN form. Medicare ABN template Click the Forms link, and double-click Medicare ABN from the list. Click the Service Types field to select the service and items, which may not be covered by Medicare. Enter the Identification Number for the patient. Click the Items or Services field to type in items or services. If the patient received an injection, click the Injections field to select it. Click the Reason Medicare May Not Pay field to select a reason. Click the Estimated Cost field and type in the estimated cost of the items and services. Select the check box for Option 1, Option 2, or Option 3 based on the patient’s response. You can also leave this blank for the patient to select it once printed. Select the Done check box. This enters the name of the logged-in user, with a date and timestamp. Click the ABN Form document button to generate the document. Parent topic: Forms

NextGen® Enterprise EHR Help

Obtain the ABN Report and Verify Cost Coverage When a NextGen® Medical Necessity Check Fail

When you run the medical necessity check for a patient with Medicare or another insurance (which follows Medicare guidelines), if the test fails, a notice displays. A red X is returned when you select Check Medical Necessity for an order. Note: If you receive a Cannot Confirm message, Medicare coverage for the selected tests cannot be determined. This message is not the same as a failure. Run the NextGen® Medical Necessity Check again to confirm coverage. If the NextGen® Medical Necessity Check fails, do the following: In the Select Medical Necessity Failure Reason window, select the reason for the failure. To print an Advanced Beneficiary Notice (ABN) to give to the patient, select Print ABN. The ABN includes the reason for the failure. To preview the ABN before you print it, select Preview ABN. Contact the patient to determine how the patient would like to pay for the services. Document the patient's payment option in the ABN Options section on the Assign Diagnosis to Select Tests pa

NextGen® Adaptive Content Engine Help Enterprise 8

Configure Abortion History Codes

You can configure additional SNOMED codes associated with abortion, as needed, and set rules to each code as to whether the findings must be submitted to the Past Medical/Surgical history grid. On the Data Sets Setup template, click the Data Set field, select AB History Codes, and then click OK. Data Sets Setup template Do one of the following: Click Add to add a new code. Select an item that you want to update and then click Update. The Focused MedSurg Setup window appears. Under Type, select an abortion type. Focused MedSurg Setup window To define a rule for a finding, click the Code Value top arrow for positive finding or bottom arrow for negative finding. The SNOMED code search window opens. Search for and then select a SNOMED code. The SNOMED code appears in the Code Value field. In addition, the SNOMED Description and Display Description fields have been filled. Select a code system. Do one of the following: To automatically add the abortion history to the Past Medical/Surgical g

NextGen® Adaptive Content Engine Help Enterprise 8

Activate the Care Guideline You Want to Follow for the Patient

Open the Care Guidelines template. In the Care Guidelines panel, click Add/Update. The Activate Care Guidelines template opens. In the Active Guidelines panel, click the Condition field. A list of all pre-configured Care Guidelines appears. Select the pre-configured condition in the list and click OK. If applicable, click the Diagnosis field to select a diagnosis in the diagnosis search window. The Diagnosis field is used to associate a diagnosis with an ICD code (used for billing) to the guideline. The selected diagnosis populates in the Diagnosis field and the associated code appears in the Code field. Click Add. The guideline activates and items that are associated with it appear in the grid on the Active Guidelines panel. Select the Due within check box and then select the number of days, weeks, or months from the Show only items due within window to display only the items due within a specific time period. Select the Display only selected guideline check box, and click the Conditi

NextGen® Enterprise EHR Help

Select ABN Option for Failed Medical Necessity Check

Before you begin Ensure that you have the required license for Medical Necessity check. Ensure that you have configured medical necessity check in File Maintenance. Ensure that you have selected the insurance information for the patient in the All tab. Note: Computerized Physician Order Entry (CPOE) derives the insurance settings from the Practice Preferences configurations. For more information on Practice Preferences in File Maintenance, go to NextGen Healthcare Success Community and download the latest File Maintenance Preferences Guide for NextGen® Enterprise. For a test that does not meet the medical necessity criteria for insurance reimbursement, the patient can consent to financial responsibility by signing the Advance Beneficiary Notice (ABN). You can print the ABN for the patient to read and sign and record the patient's ABN status. Open CPOE. Select an order item. Assign a diagnosis to the selected order item. Select the Laboratory or Diagnostic tab and check if the order ite

Manage ABN Link

Recommendations

Complete the Medicare ABN Form

Record the Medicare ABN Information

Obtain the ABN Report and Verify Cost Coverage When a NextGen® Medical Necessity Check Fail

Configure Abortion History Codes

Activate the Care Guideline You Want to Follow for the Patient

Select ABN Option for Failed Medical Necessity Check

Manage ABN Link

Complete the Medicare ABN Form

Record the Medicare ABN Information

Obtain the ABN Report and Verify Cost Coverage When a NextGen® Medical Necessity Check Fail

Configure Abortion History Codes

Activate the Care Guideline You Want to Follow for the Patient

Select ABN Option for Failed Medical Necessity Check