Care Guideline Configuration for BH Protocols

NextGen Behavioral Health Suite Help 5.5

Define Care Guideline Reasons

Open the Care Guidelines Setup template, and then expand the Define Guideline Reasons & Auto Application panel. In the Guideline Condition/Reason field, enter a name for the guideline. Guideline Condition/Reason field To configure a guideline to be specific to a gender, age, or diagnosis group, select the Auto-apply checkbox.The Gender field displays O for all ages. Gender field To apply a guideline to a specific gender, select the appropriate gender. Alternatively, to apply the guideline to all genders, you can use the O option in the list. Optional: To apply a guideline to a specific age range, enter the Start age and Stop age. To apply a guideline to a specific diagnosis group, select the appropriate group in the list. Diagnosis group field Select Add.The guideline condition and reason details appear in the Lst CG Reason picklist in the Orderable Testing Setup (Protocols) panel. Parent topic: Care Guideline Configuration for BH Protocols

NextGen Behavioral Health Suite Help 5.5

Define Protocols for Care Guidelines

Open the Care Guidelines Setup template, and then expand the Orderable Tests Setup (Protocols) panel. Select the condition and reason from the available list. The grid displays the list for the selected condition and reason. In the Guideline/Test type field, select a type from the ActClasses picklist. For a test, select Office Procedures. Note: You must select Office Procedures when you create BH Protocols. In the Guideline/Test name field, select the SIM code from the picklist. In the Guideline/Test code field, select the applicable code. In the Apply to field, select M (for males), F (for females), or O (to apply to all). Optional: Add Interval, Start, and Stop age. Select Add. Parent topic: Care Guideline Configuration for BH Protocols

NextGen Behavioral Health Suite Help 5.5

Configure Equivalent and Alternative Protocols for Care Guidelines

On the Care Guidelines Setup template, and expand the Test Equivalents and Alternatives panel. In Test Name, select the test from the picklist. Optional: To validate the billing code, select the Enable billing code validation checkbox. To add the exact equivalent of the selected test, enter a Test description equivalent and Test code equivalent. To add an alternative code for the selected test, enter a Test description alternative and Test code alternative. Optional: To indicate the test is orderable, select the Orderable checkbox. Select Add/Update. The details appear in the grids below the respective fields. Optional: To remove a test, select the test in the grid, and then select Remove. Select Save & Close. Parent topic: Care Guideline Configuration for BH Protocols

NextGen Behavioral Health Suite Help 5.5

Complete Care Guideline by Custom Service Code Mapping

In File Maintenance, open the Service Items Library. Create a code in the Service Item Library. In the Orderable Test Setup (Protocols) panel on the Care Guidelines Setup template, add the custom service code to the protocol. Orderable Test Setup (Protocols) panel Select Add. Submit the configured charge to the Procedures module.The care guideline is updated as complete. Parent topic: Care Guideline Configuration for BH Protocols

NextGen Behavioral Health Suite Help 5.5

Completing Care Guidelines by Coded Results Mapping

Currently, a stored procedure runs at night to update any coded results mapping. Therefore, you do not see the update to Care Guidelines until the next day. The job is set to automatically run every night. Therefore, you can run a job at the encounter level from the Update Encounter Coded Data template to update the Coded Results mapping table immediately with the new values entered for the current patient encounter. Configure Coded Results Mapping for Behavioral Health Protocol You can configure coded results mapping for the BH protocols. Update Encounter Coded Data You can run a job at the encounter level on the Update Encounter Coded Data template to update the coded results mapping table immediately with the new values entered for the current patient encounter. Parent topic: Care Guideline Configuration for BH Protocols

NextGen Behavioral Health Suite Help 5.5

Configuring NextGen® Behavioral Health Suite

You can use the system or practice templates to configure the NextGen® Behavioral Health Suite templates based on your requirements. As a staff responsible for maintaining the configuration settings, you can configure various settings for NextGen® Behavioral Health Suite to document patient encounters efficiently and meet your specific practice requirements. After configuring the settings for NextGen® Behavioral Health Suite, you can update and maintain them as and when your business needs change. Configuring BH Foundation Settings You can use the BH Foundation Configuration system template to configure settings for the NextGen® Behavioral Health Suite templates. Program Configuration You can use programs to configure payers, order of billed payers, provider or payer relationships to contracts, service location, client eligibility, and enrollment dates. Care Guideline Configuration for BH Protocols You can use Care Guidelines to track health maintenance and disease management functions

Care Guideline Configuration for BH Protocols

Recommendations

Define Care Guideline Reasons

Define Protocols for Care Guidelines

Configure Equivalent and Alternative Protocols for Care Guidelines

Complete Care Guideline by Custom Service Code Mapping

Completing Care Guidelines by Coded Results Mapping

Configuring NextGen® Behavioral Health Suite

Define Care Guideline Reasons

Define Protocols for Care Guidelines

Configure Equivalent and Alternative Protocols for Care Guidelines

Complete Care Guideline by Custom Service Code Mapping

Completing Care Guidelines by Coded Results Mapping

Configuring NextGen® Behavioral Health Suite