Document General Transition of Care Information for a Patient

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Record a Discharge Diagnosis

Before you begin Ensure that you have selected the Specialty and Visit Type as Care Management. Open NextGen® Enterprise EHR. Select the Care Transitions tab.The Cm Care Transitions template opens. Cm Care Transitions On the General panel, select a blank Discharge diagnosis field.The Diagnosis Search window opens. Use the window to locate and select the appropriate diagnosis.The selected record appears in the Discharge Diagnosis field in the Discharge Diagnosis panel. Note: You can add up to four diagnoses. Select the appropriate option for the Previous hospital admission in last 30 days field. Select the appropriate option for the Complete D/C summary received field. Parent topic: Care Transitions Tab

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Transitioning into Care from the Care Management Specialty

You can document transitioning into care from the Care Management specialty. Open NextGen® Enterprise EHR. Select a patient and open an encounter. Open the Intake template. Select Specialty as Care Management and Visit Type as Care Management.The Cm Care Transitions template opens. Cm Care Transitions On the General panel, do one of the following: Select the Encounter Type field to open a list of transitional care encounter types and then select an encounter type from that list. Select the blue arrow to the right of the Encounter type field to open the interim history data list and then select a past encounter from the interim history data. Select the PCP field.If there is no PCP selected in the patient chart, the Modify Patient Information template opens, enabling you to select a PCP. The field fills with the Primary Care Practitioner established in the patient's demographics. Select the Case Manager field and select a case manager from the list. Select the Historian field and then se

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Transitioning into Care from Any Specialty

You can document transitioning into care from any specialty affected by transition into Care Management. Open NextGen® Enterprise EHR. Select a patient and open an encounter. Open the Intake template. Select a Specialty that is affected by Transitioning into Care Management and select Visit Type as Transition into Care. In the General Information panel, select the Transitioning Into Care link.The Transitioning Into Care template opens. Transitioning Into Care On the Transition into Care Management panel, select the Discharged field, and select the discharged date from the calendar. Select the Initial Communication field, and select the appropriate option from the list of communication types. Select the on field, and select the date of the initial communication from the calendar. Note: Notice that a appears to the right side of the initial communication on field, which reminds you to apply the CPT codes for Transitioning Into Care. The initial communication must take place within two bu

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document a Therapy Referral

You can select the Medications or Immunizations links at any time during the encounter to open the associated module. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. Open the Intake template, select the Family Practice specialty and Office Visit visit type, and then select My Plan.The My Plan window opens. Select the Referrals tab. The Referrals Order template opens. You can select the information icon to learn more about the Referrals Order template. On the Referrals tab, select the insurance provider. Enter the insurance policy number, and then select the referral type. In the To section, select Therapies/Rehabilitation, and do one of the following: Select a value from the resulting list. Select the upper 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 upper blank row to enter a location in the field. To indicate if authorization is required,

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Create an Obstetrics Referral

You can select the Medications or Immunizations links at any time during the encounter to open the associated module. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. Open the Intake template, select the Family Practice specialty and Office Visit visit type, and then select My Plan.The My Plan window opens. Select the Referrals tab. The Referrals Order template opens. You can select the information icon to learn more about the Referrals Order template. On the Referrals tab, select the insurance provider. Enter the insurance policy number, and then select the referral type. To learn more about documenting on the Referrals Order template, select any of the informational icons. Referrals Order In the To section, select Obstetrics. In the Provider name field, select to select a name from the Physician list. Select the Location field and do one of the following: Select a value from the list. Select the upper blank row to enter a location in the field. To in

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Patient Information Before a Visit

You can document patient information for an appointment before the actual visit. Open NextGen® Enterprise EHR. To open the Select Template window, select File > System \ Practice Template. Select the Practice tab, select All, and then select Pre Encounter Documentation from the list.The Pre Encounter Documentation template opens. Note: Appointments from NextGen® Enterprise PM with the KEPT and BOOKED statuses appear in the Pre Encounter Documentation template. Optional: Filter the appointments in the grid by location and other options. Note: To add information to completed appointments, you must open the respective patient chart and make the necessary changes. Optional: To view the records in the grid and prevent the Pre Encounter SOAP window from opening when you select a record, select Row Select Opens Chart. To open the Pre Encounter SOAP window, clear the Row Select Opens Chart checkbox, and then select the record to update from the grid. To document patient information in the Pre

Document General Transition of Care Information for a Patient

Before you begin

Recommendations

Record a Discharge Diagnosis

Document Transitioning into Care from the Care Management Specialty

Document Transitioning into Care from Any Specialty

Document a Therapy Referral

Create an Obstetrics Referral

Document Patient Information Before a Visit

Record a Discharge Diagnosis

Document Transitioning into Care from the Care Management Specialty

Document Transitioning into Care from Any Specialty

Document a Therapy Referral

Create an Obstetrics Referral

Document Patient Information Before a Visit