Behavioral Health

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Encounters for Behavioral Health Visits

You can use the NextGen® Adaptive Content Engine to document behavioral health encounters in the following workflow groupings: Residential Service Intake Individual Therapy Group Therapy Medication Management Crisis Management Screening or Admissions Transfer or Discharge Optimize Usage of Behavioral Health Templates Parent topic: Behavioral Health

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Behavioral Health Configuration Options

Several configuration steps must be reviewed and possibly implemented to complete the Behavioral Health workflows as outlined in this user guide: On the Practice Configuration system template, the Assessment/Diagnosis panel configuration enables seamless billing between the NextGen® Enterprise and NextGen® Enterprise PM applications Learn how to use the DSM IV and Behavioral Health-based Add or Update Assessment templates as part of your practice's workflow DSM IV or DSM-5 configuration for which code set standards appear on the documents A Signature panel option ensures that the configured procedures for billing a Behavioral Health encounter are enforced, including an alert option In File Maintenance, add Severity descriptions to meet DSM-5 documentation standards Billing configurations: Service Code Mapping system template File Maintenance provider level configuration The Home Page - Behavioral Health template: Some practices may find setting this home page as the default template fo

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Screening and Admission Visit Workflow

The BH - Screening/Admission Note template is used to document information that a program or Emergency Room might need for their initial evaluation of a client. Information gathered here is the basis for a summarization of the services and possible interventions that are initially provided to the client. Generally, this is completed by the non-clinical staff at the practice and can be done separately from a Comprehensive Assessment exam. The BH - Screening/Admission Note template can be accessed at any time during an encounter by selecting Other Templates from the bottom section of the navigation bar. Document Admission Data Document Referral Source Enter Assessment and Diagnosis Details Add Additional Notes Enter Document Signatures Finalize Behavioral Health Billing Parent topic: Behavioral Health

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Transfer or Discharge Visit Workflow

Set the Visit Type to Discharge Planning on the Home Page - Behavioral Health template to access the Transfer/Discharge tab, which includes three section tabs. The BH - Transfer/Discharge template set can also be accessed at any time by clicking Discharge/Transfer on the bottom section of the left navigation bar. Navigation Bar The BH - Transfer/Discharge template set includes three section tabs: Assessment Summary Plan Enter Transfer/Discharge Data Complete the Transfer/Discharge Plan Parent topic: Behavioral Health

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Individual Visit Workflows for Behavioral Health

Individual visit workflows for Behavioral Health enable the documentation of assessment and treatment plans for the individual client and are associated with the following Visit Types: Home Visit Psychiatric Diagnostic Evaluation Psychiatric Diagnostic Evaluation with Medical Services Psychotherapy - Individual Psychotherapy - Individual with E&M Virtual Visit Telephone Virtual Visit Video You can record new issues for the client on the Individualized Action Plan (IAP) template. The Comp Assess tab can be used to access the Treatment Recommendations/Assessed Needs panel. The IAP tab is used for the initial documentation of the client's goals, objectives and interventions for the assessed needs. The BH - IAP Review/Revision template is for updating any previously entered action plan elements. The BH - Relapse Prevention Plan template (Relapse Prev tab) is available from all of the individual psychotherapy visits. BH - Contact Note Template The BH - IAP Review/Revision Template BH - Indi

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Residential Services Workflows

The templates available under the Residential Services visit type focus on documentation related to clients living in a treatment facility. Behavioral Health practices can record the admission of clients and maintain an ongoing record of a client's treatment. The following templates are available under the Residential Services visit type and focus on residential treatment documentation: BH - Residential Administration Residential Bed Board Shift Notes template set BH - Residential Administration is an encounter-based template for recording the comprehensive intake of a client staying at a treatment center. The template enables access to the most important information during an intake: client tracking, a dependent list (if applicable), medications brought in with the client, programs in which the client is enrolled, authorization for visitors or calls, and a belongings list, all in one template. Users are able to document all of the necessary information for a residential administration