Complete the General Panel of the BH Psychiatric Evaluation

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Enter Program Information for a Psychiatric Evaluation

Navigate to the General panel and click the Program name field. Program names can be added and/or edited by the practice on the Custom Picklists Setup, system template. Select the appropriate name from the list. Click the clock button to enter the current time in the Start field. The Start and End buttons are available here and at the bottom of the Psychiatric Eval tab in the Behavioral health billing section. The values documented in either place are immediately reflected in the same fields in the other section. Entered times can be modified by clicking in the field. It is important to follow the established format: 0:00 AM or PM. Parent topic: BH - Psychiatric Evaluation

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Complete Behavioral Health Billing

The Start and End buttons are available here and on the General Info panel on the Psychiatry Eval tab. The values documented in either place are immediately reflected in the same fields on the other section. Entered times can be modified by clicking in the field. If desired, you can document the time values at a later date. It is important to follow the established format: 00:00 AM or PM. To finalize billing, navigate to the Behavioral health billing section. For the End time field, do one of the following: Click the clock button to enter the current time. Click the field to type the time that marked the end of the exam. Note: The read-only Duration field fills after the entry of the End time. If appropriate, select the option for Service performed by. Note: A stored procedure that works with the Service Code Mapping system template calculates a service code based on selected practice, payer, visit type, licensure, and the time-based calculation. The stored procedure launches an alert

NextGen® Adaptive Content Engine Help Enterprise 8

Visit Types for Psychiatry Evaluations

The Psychiatry Eval tab is available from the following Visit Types: Chart Abstraction Chart Update Hospital Consult Intake No Medical Services Intake with Medical Services Medication Management with Psychotherapy Medication Management with Psychotherapy & Translator Onsite Consult Psychiatric Diagnostic Evaluation Psychiatric Evaluation with Medical Services Parent topic: BH - Psychiatric Evaluation

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Enter Psychiatric Evaluation Presenting Concerns

The Presenting Concerns panel enables you to document the symptoms and presenting issues, in the client's own words, which prompted a visit to the office in the Reason for referral field. In the Presenting Concerns panel select No or Yes to answer the question: Comprehensive Assessment has been completed. If Yes, enter the date of the most recent assessment into the field. In the Reason for referral and chief complaint field, click to enter or dictate notable symptoms, presenting problems, behavioral and functional needs, etc. Enter Family/guardian description of problem. For History of present psychiatric illness, do one of the following actions: Select None reported. Enter or dictate history details. Parent topic: BH - Psychiatric Evaluation

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Enter Assessment and Diagnosis Details

Expand the Assessment/Diagnosis panel. If enabled, click the DSM IV link in the upper, right corner to launch the BH – DSM IV template. Note: The display of the link is set up on the Behavioral Health section of the Practice Configuration system template. In the Behavioral Health Diagnoses section, select any of the available links. In the Diagnostic description required field, click to launch the diagnosis search window. Selecting a description value automatically populates the ICD Code field or vice versa. Add Status, Severity, Differential DX, and Impression. The out-of-the-box Severity picklist does not include Extreme or Persistent. These values can be added to the list in File Maintenance. Enter any required Specifiers by doing one of the following actions: Click the field to type a value. Click the My Phrases link to create a new sentence or part of a sentence. For more information about My Phrases, go to NextGen Healthcare Success Community and download the latest Getting Start

NextGen® Adaptive Content Engine Help Enterprise 8

BH - Psychiatric Evaluation

The Psychiatry Eval tab is designed to be a stand-alone template for a psychiatrist, nurse practitioner (NPP), or other Behavioral Health professional who is qualified to conduct and document an initial psychiatric assessment of the client. The information on the Psychiatry Eval tab overlaps with the data recorded on the Comp Assess tab. Of the 17 panels on the tab, only two (Physical Health History and Issues for Children/Adolescents) are not identical to the corresponding panels on the Comprehensive Assessment. If a Comprehensive Assessment was completed for this client prior to the Psychiatric Evaluation, much of the information is filled. It is important to note that medications can be prescribed during the psychiatric evaluation. The Behavioral health billing section is available at the bottom of the Psychiatry Eval and Progress Note tabs to submit billing codes. Some providers may want to use the SOAP tab to document additional elements of the physical exam. For more information

Complete the General Panel of the BH Psychiatric Evaluation

Recommendations

Enter Program Information for a Psychiatric Evaluation

Complete Behavioral Health Billing

Visit Types for Psychiatry Evaluations

Enter Psychiatric Evaluation Presenting Concerns

Enter Assessment and Diagnosis Details

BH - Psychiatric Evaluation

Enter Program Information for a Psychiatric Evaluation

Complete Behavioral Health Billing

Visit Types for Psychiatry Evaluations

Enter Psychiatric Evaluation Presenting Concerns

Enter Assessment and Diagnosis Details

BH - Psychiatric Evaluation