Document an Assessment

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Sorting Assessments

You can update the order of the assessments for a patient in the Reorder Assessments template. The first 12 line items are available for billing, providers may want to ensure that certain assessments are included in the upper 12 rows of the list. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. Open the Intake template, select the specialty as Family Practice and the visit type as Office Visit, and then select My Plan. Select the Assessments tab and then select Sort. Reorder Assessments window displaying the existing sort order and new sort order of assessments The Reorder Assessments template opens. In the Existing Sort Order grid, select the row you want to be the first in the list. That selection becomes number 1 in the New Sort Order grid. Continue to select the available assessment rows until you have them in the required order. Optional: If you select a row in error, select Undo Last. To start over, select Undo All. When the required order fills

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Documenting Assessment Details

You can add or update a patient's assessment details in the Assessments tab. You can update the ICD-10 coding and 5010 standards using the patient's assessment. You can select the assessment details in the grid and submit the first 12 diagnoses for claim processing. You can add or update an assessment in the following sections: Billing Diagnosis History Clinical Problems My Favourites The Today’s Assessments grid on the Assessments tab contains the following details: First column displays the priority, considering that you can submit only the first 12 row items for claims. Second column displays the diagnosis description, diagnosis code, and if entered, the status, side, and site details. Third column displays the differential diagnoses. Note: If an HCC column appears in the grid, the practice administrator must turn on the Hierarchical Condition Category (HCC) coding functionality in the Problems module. For more information, go to NextGen Healthcare Success Community, and download th

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Open the Assessments Tab

You can open the assessment tab using Add or Update Assessment template. Open NextGen® Enterprise EHR. Open the SOAP template, then in the Assessment/Plan section, select Add Assessments.The Add or Update Assessment template set opens. Optional: From the Intake or SOAP template, select the My Plan, and then select Assesments.The Add or Update Assessment template set opens. Sorting Assessments You can update the order of the assessments for a patient in the Reorder Assessments template. Convert ICD Codes in the Billing History Remove an Assessment from Add or Update Assessment Template You can remove an assessment from the Today's Assessment grid in theAdd or Update Assessment template. Documenting Assessment Plan Details You can document your impressions and comments, differential diagnoses, and patient or provider plan details for an assessment using the A/P Details tab. Links and Buttons on the A/P Details Tab You can document the A/P Details tab using the available links and buttons

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Enter Assessment Plan Details

Open NextGen® Enterprise EHR. On the Assessment Plan Details template, select the A/P Details tab. To add or change a diagnosis in the Today’s Assessments grid, select Add or Edit to open the Add or Update Assessment template. To change the current working assessment, in the Today's Assessments grid, select the diagnosis being addressed for this encounter. The selected diagnosis appears in the Selected Dx field. It becomes the new working assessment that carries forward to the other templates that share the assessment. Enter details manually or use My Phrases or Common Phrases for the impression, differential diagnosis, and patient and provider plans in the respective sections. To enter follow-up appointment and disposition information, select Follow Up. To document counseling educational details and factors, select the Counseling Details link. To enter post-operative details, select the Postoperative Quality Reporting link. For more information on the associated quality measure, selec

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document a Patient's Custom Plan

You can document the patient's diagnostics, insurance, lab orders, diagnostic, referrals, and follow-up details in the My Custom Plan template. Before you begin On My Custom Plan practice template, in the General Configuration panel, select the Launch My Custom Plan checkbox. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. Open the Intake template, select the specialty as Family Practice and the visit type as Office Visit, and then select My Plan.The My Custom Plan window opens. To add an assessment, do the following: Select Add/Edit Assessment.The Add or Update Assessment window opens. Add an assessment and then select Save & Close.The diagnosis appears in the grid. Highlight an assessment row in the grid. If the Diagnosis Group is not mapped, do the following: Select the Mapping Required link. Diagnosis group colored in yellow displays mapping is required Note: To allow unmapped diagnosis codes to map, select the Allow mapping of unmapped dx codes t

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Add Assessments or Plans

Open NextGen® Enterprise EHR. Open the SOAP template. Click the Assessment/Plan panel. From the left pane, click an assessment category link.The diagnosis search window displays a list of diagnoses for the category selected. Select an appropriate diagnosis and then click Select.The diagnosis has been added to and displayed in the grid with the letter “D” and lines for A and P. Assessment/Plan Panel Click the A row in the grid for a diagnosis.The Assessment And Plan template opens. Assessment And Plan Template Note: Certain diagnosis requires you to choose a category before documenting the details. This allows the appropriate assessments that match the ICD-10 code to display. To enter an assessment or plan, do one of the following: Click Type an assessment below the Status field. Click Type a Plan below the Plan Type field. Note: To use phrases, click the My Phrases link and then select an option from the list. For more information, go to NextGen Healthcare Success Community, and downlo

Document an Assessment

Recommendations

Sorting Assessments

Documenting Assessment Details

Open the Assessments Tab

Enter Assessment Plan Details

Document a Patient's Custom Plan

Add Assessments or Plans

Sorting Assessments

Documenting Assessment Details

Open the Assessments Tab

Enter Assessment Plan Details

Document a Patient's Custom Plan

Add Assessments or Plans