Mohs Surgery

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

General Workflow for Mohs Surgery

The general workflow for the Mohs surgery process includes the following tasks. An office encounter during which the lesion is identified as potentially cancerous and a biopsy is ordered. A biopsy encounter during which the biopsy is performed. A chart encounter during which pathology results are documented and added to the Skin Cancer History Log. When recording pathology results for skin cancer, you specify recommended treatment as Mohs surgery. The patient is also notified during this step. A Mohs surgery encounter during which the procedure and optionally a repair are performed and the results are recorded. A post-surgical encounter. Parent topic: Mohs Surgery See also Schedule a Biopsy Encounter on the SOAP Template Record Skin Cancer History

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Access and Document Mohs Surgery Procedure

The provider workflow for Mohs surgery consists of these general steps. On the Intake template, select the Specialty as Dermatology and Visit Type as Mohs Surgery Visit. Click the Procedure tab.The Derm Proc Mohs 1 template opens. In the Pre-Procedure panel, document the required information. In the Mohs panel, document the required information. In the Repair panel, document the required information. In the Post Procedure panel, document the required information. Submit the procedure to the Superbill. Document Mohs Pre-Procedure Details You can document the pre-procedure verification steps and identify the surgeon and assistant. Document Mohs Site Details You can review and update the details of the skin cancer record before Mohs surgery treatment. Enter Mohs Surgery Details You can document detailed information about each stage of the Mohs surgery procedure in the Mohs panel. Document the Repair Details You can document the surgical repair of the wound if you performed the repair or r

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Record the Intake for Mohs Surgery

Open NextGen® Enterprise EHR and select a patient encounter. On the Intake template, select the Specialty as Dermatology and Visit Type as Mohs Surgery Visit. In the Reason of Visit panel, select Mohs Surgery.The Derm Surgical - HPI template opens. Derm surgical HPI template Do the following: Verify the location of the finding to be treated in the Location section. If the location is incorrect or missing, enter the location information or click Add to select the location from the image. Document relevant history, associated symptoms/pertinent negatives, and other relevant patient information. Click Save & Close. On the Intake template, record all other clinical and demographic data as required by your practice. Parent topic: Mohs Surgery

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Finalize the Mohs Visit

On the Finalize - Mohs Procedure template, the provider can verify and submit all charges for the encounter. You should not submit charges until you have completely documented the encounter, ensure that the most accurate codes and units are submitted. On the Intake template, select the Specialty as Dermatology and Visit Type as Mohs Surgery Visit. Click the Finalize tab.The Finalize - Mohs Procedure template opens. In the Procedure panel, if you do not want to have any charges submitted, click the Surgery hold check box. The check box can be cleared later and then charges can be submitted. To add a modifier to a service item, double-click the item to open the Procedure Billing Ext template. Make the necessary changes. If you do not want to have an item included in the billing, click the No Charge check box. When complete, click Save, and then click Close. Once every service item is complete in the Procedures panel, click Verify Charges.The system verifies all charges and a Charges veri

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Mohs Site Details

The Site Details panel enables you to review the site relevant details for the selected finding. You can edit the details and add additional information as required. On the Intake template, select the Specialty as Dermatology and Visit Type as Mohs Surgery Visit. Click the Procedure tab.The Derm Proc Mohs 1 template opens. Go to the Site Details panel, and click the skin cancer record that you are treating using Mohs surgery.The application populates the fields on the Site Details panel with the data from the selected record. To modify any of the disabled fields (those in gray) in the panel, click Edit.The Skin Cancer History Log - Derm window opens and all the fields are available for editing. Modify the required details and click Save & Close. Select the Patient verified site check box. Enter the Mohs # and Path lab fields.The Post op size and cm fields are calculated automatically when the Mohs stage information is added. Parent topic: Access and Document Mohs Surgery Procedure

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Mohs Pre-Procedure Details

On the Intake template, select the Specialty as Dermatology and Visit Type as Mohs Surgery Visit. Click the Procedure tab.The Derm Proc Mohs 1 template opens. Expand the Pre Procedure panel. To add surgeon and assistant, select from the Surgeon and Assistant picklists or click the blank line and type the details. To enter a saved default set, click Quick: Load and Save. Select the appropriate check boxes to confirm the consent, identify the correct patient, and verify other details. To document other details, click the Other check box , and select an entry from the resulting list or click the blank line and type the details.Your practice can customize this list to include entries specific to your requirements. Parent topic: Access and Document Mohs Surgery Procedure

Mohs Surgery

Recommendations

General Workflow for Mohs Surgery

Access and Document Mohs Surgery Procedure

Record the Intake for Mohs Surgery

Finalize the Mohs Visit

Document Mohs Site Details

Document Mohs Pre-Procedure Details

Mohs Surgery

General Workflow for Mohs Surgery

Access and Document Mohs Surgery Procedure

Record the Intake for Mohs Surgery

Finalize the Mohs Visit

Document Mohs Site Details

Document Mohs Pre-Procedure Details