Document Practice Defined Pre-Screening Questions

NextGen® Adaptive Content Engine Help Enterprise 8

Document Patient Screening

You can document patient screening in the Screening panel of the SBIRT Screening template. Open NextGen® Enterprise EHR. In the navigation bar, select Screening Tools. The Screening Tools template opens. In the Screening Tools Available section, select Screening, Brief Intervention, and Referral to Treatment (SBIRT). The SBIRT Screening template opens. SBIRT Screening Template Expand the Screening panel.Screening Enter the details related to screening instrument, score, severity or interpretation, comments, and Major Depressive Disorder (MDD).Performed Date is filled automatically. Select Add.The added records appear in the Screening Tools Performed grid. To access the AUDIT, AUDIT-C, CAGE, PHQ-2, and PHQ-9 screening tools, select the corresponding links. Enter an overall SBIRT impression or risk.NextGen® Enterprise EHR automatically fills Encounter for screening, unspecified and Z13.9 in the Select Assessment and Code fields respectively in the Brief Intervention panel. To enter prede

NextGen® Adaptive Content Engine Help Enterprise 8

Document Intervention

You can document assessment, intervention, and patient education plan in the Brief Intervention panel of the SBIRT Screening template. You can also indicate if education is provided to the patient, family, or caregiver. Open NextGen® Enterprise EHR. In the navigation bar, select Screening Tools. The Screening Tools template opens. In the Screening Tools Available section, select Screening, Brief Intervention, and Referral to Treatment (SBIRT). The SBIRT Screening template opens. SBIRT Screening Template Expand the Brief Intervention panel. Brief Intervention Enter an assessment and a diagnosis status. Note: If you document details in the SBIRT Impression/Risk section in the Screening panel, NextGen® Enterprise EHR automatically fills Encounter for Screening, unspecified and Z13.9 in the Select Assessment and Code fields respectively. You can change the Select Assessment and Code values, if needed. To enter predefined intervention details, select the My Phrases link or enter details. To

NextGen® Adaptive Content Engine Help Enterprise 8

Document Pre-Screening Questions

You can document a patient's alcohol and drug use details in the Pre-Screening Questions panel on the SBIRT Screening template. Before you begin You must enable the pre-screening related questions in the SBIRT section on the Practice Configuration practice template. Open NextGen® Enterprise EHR. In the navigation bar, select Screening Tools. The Screening Tools template opens. In the Screening Tools Available section, select Screening, Brief Intervention, and Referral to Treatment (SBIRT). The SBIRT Screening template opens. SBIRT Screening Template Expand the Pre-Screening Questions panel. Pre-screening Questions Note: You can make the Alcohol or Drug Use/Abuse options available or hidden in the SBIRT section on the Practice Configuration practice template. To indicate your social history review activity, select one of the following: Detailed document Reviewed, updated Reviewed, no change The Last update/detailed doc date is updated based on your activity selection. To document alcoho

NextGen® Adaptive Content Engine Help Enterprise 8

Submit Charges for SBIRT Billing

You can enter billing information for a SBIRT screening session and submit the charges to Superbill in the SBIRT Billing panel of the SBIRT Screening template. Open NextGen® Enterprise EHR. In the navigation bar, select Screening Tools. The Screening Tools template opens. In the Screening Tools Available section, select Screening, Brief Intervention, and Referral to Treatment (SBIRT). The SBIRT Screening template opens. SBIRT Screening Template Expand the SBIRT Billing panel. Note: NextGen® Enterprise EHR automatically retrieves the assessment, code, and status details from the Brief Intervention panel. . Brief Intervention Select the duration and service item. Select Submit to Superbill.The changes are submitted for billing. Save and close the template. Parent topic: Document SBIRT Screening

NextGen® Adaptive Content Engine Help Enterprise 8

Manage Referrals

You can view and add referrals and community resources and where the patient is referred to in the Referral to Treatment panel on SBIRT Screening template. Open NextGen® Enterprise EHR. In the navigation bar, select Screening Tools. The Screening Tools template opens. In the Screening Tools Available section, select Screening, Brief Intervention, and Referral to Treatment (SBIRT). The SBIRT Screening template opens. SBIRT Screening Template Expand the Referral to Treatment panel. Referral to Treatment In Referrals Ordered, select Today's Encounter or All. To add a referral or community resource, select the corresponding links.The corresponding template opens, and the added records appear in the respective grids. Save and close the template. Parent topic: Document SBIRT Screening

NextGen® Adaptive Content Engine Help Enterprise 8

Document SBIRT Screening

You can document SBIRT screening information to analyze a patient's need for intervention or for referral to treatment. Open NextGen® Enterprise EHR. In the navigation bar, select Screening Tools. The Screening Tools template opens. In the Screening Tools Available section, select Screening, Brief Intervention, and Referral to Treatment (SBIRT). The SBIRT Screening template opens. SBIRT Screening Template Select a performed date. Document the following details in the respective panels: Pre-Screening Questions Practice Defined Pre-Screening Questions Note: Based on the configuration done in the SBIRT section on the Practice Configuration practice template, you can make the Pre-Screening Questions and Practice Defined Pre-Screening Questions panels available or hidden. Screening Brief Intervention Referral to Treatment SBIRT Billing Select Save & Close.The documented details appear in the Screening Tools Performed grid on the Screening Tools template with the corresponding templates. Doc

Document Practice Defined Pre-Screening Questions

Before you begin

Recommendations

Document Patient Screening

Document Intervention

Document Pre-Screening Questions

Submit Charges for SBIRT Billing

Manage Referrals

Document SBIRT Screening

Document Patient Screening

Document Intervention

Document Pre-Screening Questions

Submit Charges for SBIRT Billing

Manage Referrals

Document SBIRT Screening