Document the Assessment and Billing Information

NextGen Behavioral Health Suite Help 5.5

Document the Initial Screening Details

Open NextGen® Enterprise EHR, and then in Patient History, select Open Templates. The Select Template window opens. On the Medical Records tab, select All. Select Screening Note (BH), and then select OK. In the Time Entry Navigation sidebar, select Billing Time Entry, and then enter the start time. Note: You can select the current time or enter the time manually. Select the program, specialty, and visit type. Note: Only programs that the patient is actively enrolled in appear in the list. You can select <No Program> to create an encounter without a program, and then add the program later. In the Individuals Present panel, document the details of the individuals present during the assessment. Enter your plan and discussion on the patient's treatment. Note: You can select Copy Forward to copy existing details from another encounter to the current encounter. Document the patient's assessment and diagnosis details. Document the applicable signatures from the tasking supervisor or staff. In

NextGen Behavioral Health Suite Help 5.5

Document the Patient's Case Management Services in the Contact Note

Open NextGen® Enterprise EHR, and then in Patient History, select Open Templates. The Select Template window opens. On the Medical Records tab, select All. Select Contact Note (BH), and then select OK. In the Time Entry Navigation sidebar, select Billing Time Entry, and then enter the start time. Note: You can select the current time or enter the time manually. Select the program, specialty, and visit type. Note: Only programs that the patient is actively enrolled in appear in the list. You can select <No Program> to create an encounter without a program, and then add the program later. In the Individuals Present panel, document the details of the individuals present during the assessment. In the Goals, Objectives, and Interventions Addressed Today panel, document the patient's goals, objectives, and interventions addressed on the current date. Enter your plan and discussion regarding the patient's treatment. Note: You can select Copy Forward to copy existing details from another encou

NextGen Behavioral Health Suite Help 5.5

Document the Patient's Strengths, Needs, and Cultural Discovery

Open NextGen® Enterprise EHR, and then in Patient History, select Open Templates. The Select Template window opens. On the Medical Records tab, select All. Select SNCD (BH), and then select OK. In the Time Entry Navigation sidebar, select Billing Time Entry, and then enter the start time. Note: You can select the current time or enter the time manually. Select the program, specialty, and visit type. Note: Only programs that the patient is actively enrolled in appear in the list. You can select <No Program> to create an encounter without a program, and then add the program later. In the Individuals Present panel, document about the individuals present during the assessment. In the Goals, Objectives, and Interventions Addressed Today panel, document the patient's goals, objectives, and interventions addressed on the current date. Enter your plan and discussion regarding the patient's treatment. Note: You can select Copy Forward to copy existing details from another encounter to the curre

NextGen Behavioral Health Suite Help 5.5

Document the Patient's Treatment Progress

Open NextGen® Enterprise EHR, and then in Patient History, select Open Templates. The Select Template window opens. On the Medical Records tab, select All. Select Progress Note (BH), and then select OK. In the Time Entry Navigation sidebar, select Billing Time Entry, and then enter the start time. Note: You can select the current time or enter the time manually. Select the program, specialty, and visit type. Note: Only programs that the patient is actively enrolled in appear in the list. You can select <No Program> to create an encounter without a program, and then add the program later. In the Individuals Present panel, document about the individuals present during the assessment. Note: The Homework data from the last session is displayed from the most recent encounter by the same provider on the Opiate Treat Progress Note (BH), IDD Summary Progress Note (BH), and Progress Note (BH) templates. The Copy Forward option copies the last session homework data to the Homework Assigned field

NextGen Behavioral Health Suite Help 5.5

Document the Patient's Psychiatric Rehabilitation Progress

You can document psychiatric rehabilitation services, and track and review the progress of the patient's treatment plan. Open NextGen® Enterprise EHR, and then in Patient History, select Open Templates. The Select Template window opens. On the Medical Records tab, select All. Select Psychiatric Rehabilitation Progress (BH), and then select OK. Note: You can open the Psychiatric Rehabilitation Progress (BH) template from your Packet Navigation, or from the Templates module. For more information on configuring Packet Navigation, go to NextGen Healthcare Success Community, and download the Configuration Guide for NextGen® Behavioral Health Suite. Select the program, specialty, and visit type. Note: Only programs that the patient is actively enrolled in appear in the list. You can select <No Program> to create an encounter without a program, and then add the program later. In the Time Entry Navigation sidebar, select Billing Time Entry, and then enter the start time. Note: You can select t

NextGen Behavioral Health Suite Help 5.5

Document Care Coordination

Open NextGen® Enterprise EHR, and then in Patient History, select Open Templates. The Select Template window opens. On the Medical Records tab, select All. Select Care Coordination (BH), and then select OK. In the Time Entry Navigation sidebar, select Billing Time Entry, and then enter the start time. Note: You can select the current time or enter the time manually. Select the program, specialty, and visit type. Note: Only programs that the patient is actively enrolled in appear in the list. You can select <No Program> to create an encounter without a program, and then add the program later. In the Care Coordination Team panel, document agency and interdisciplinary team details. In the Barriers to Care panel, document the potential barriers to care, and then record work done to resolve those barriers. In the Care Plan History panel, document the care plans for the patient such as needs, goals, outcomes, interventions and progress details. In the Care Coordination panel, document the ca

Document the Assessment and Billing Information

Recommendations

Document the Initial Screening Details

Document the Patient's Case Management Services in the Contact Note

Document the Patient's Strengths, Needs, and Cultural Discovery

Document the Patient's Treatment Progress

Document the Patient's Psychiatric Rehabilitation Progress

Document Care Coordination

Document the Initial Screening Details

Document the Patient's Case Management Services in the Contact Note

Document the Patient's Strengths, Needs, and Cultural Discovery

Document the Patient's Treatment Progress

Document the Patient's Psychiatric Rehabilitation Progress

Document Care Coordination