Enter Further Evaluations Needed

NextGen Behavioral Health Suite Help 5.5

Treatment Planning Updates

In the Treatment Recommendations/Assessed Needs panel, select Yes or No for Change in ISP required. Parent topic: Enter Treatment Recommendations and Assessed Needs

NextGen Behavioral Health Suite Help 5.5

Enter Treatment Recommendations and Assessed Needs

In the Treatment Recommendations/Assessed Needs panel, select the priority by selecting Priority. Enter the Assessed need. Select Status to select from the list. Enter date Identified. Enter the Rationale. Select Add. The information is added to the grid. Treatment Recommendations/Assessed Needs panel Enter Further Evaluations Needed Treatment Planning Updates Parent topic: Document the Assessment and Billing Information

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Treatment Recommendations

The Treatment Recommendations/Assessed Needs panel enables the delineation of assessed needs, their priority, their status, the date identified, the rationale for not addressing a particular need, and the date resolved. The priority, assessed need and status are required fields if this section is used. If no recommendations are indicated, select No additional recommendations clinically indicated. To enter an assessed need, click the Priority field to type a number. Free text an explanation in the Assessed Need field. In the Status field, select a value from the Need status list. Enter a date in the Identified field. If the need has been declined, deferred, or referred out, enter a Rationale. If the assessed need is resolved, enter the Resolved date. Enter other assessed needs if required. To manage existing assessments, highlight a row in the grid and click Update or Remove. To delete data from the related fields before it is saved to the grid, click Clear. Select any Further evaluatio

NextGen® Adaptive Content Engine Help Enterprise 8

Document Treatment Recommendations/Assessed Needs

On the Treatment Recommendations/Assessed Needs panel, if appropriate, select No additional recommendations clinically indicated. To create a new entry, click the Priority field to enter a number. Type an Assessed Need. In the Status field, click to select a value from the Need status list. Enter a date in the Identified field. If applicable, enter Rationale(s) and/or a Resolved date. Click Add. Repeat steps 1 - 6 as needed. In the Further Evaluations Needed section, do one of the following: Select None indicated. Place a check mark next to any of the applicable options. Enter details in the Level of care/indicated service recommendations field. Type a summary in the Individual served/guardian/family response to recommendations field. In the Treatment Planning Updates section, select No or Yes to Change in IAP Required. If Yes is selected, complete the IAP revision by clicking IAP Review at the top of the template. Parent topic: BH - Psychiatric Evaluation

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Service Preferences for the Client

Expand the Service Preferences panel. Type details in the Describe individual/family/guardian/significant other perception of needs and preferences for care, including environmental supports field. Parent topic: Assess/Plan Section Tab

NextGen® Adaptive Content Engine Help Enterprise 8

Document a Therapy Referral

You can select the Medications or Immunizations links at any time during the encounter to access the associated module. Open NextGen® Enterprise EHR. To select the insurance provider from the resulting list, on the Referrals tab, select the Insurance name field. In the Policy # field, enter the insurance policy number. In the To section, select Therapies/Rehabilitation, and do one of the following: Select a value from the resulting list. Select the top, blank row in the list to enter a therapy name in the field. Select the Location field and do one of the following: Select a value from the list. Select the top blank row to enter a location in the field. To indicate if authorization is required, select No or Yes: In the Diagnosis section, do the following: Select the Description field. If an assessment has not been documented for the patient encounter, select Add Assessment or Add Common assessment, and then select the Diagnosis field to enter it for the referral. Continue as needed in