NextGen Knowledge Center

Document SBIRT Screening

You can document SBIRT screening information to analyze a patient's need for intervention or for referral to treatment.

  1. Open NextGen® Enterprise EHR.
  2. In the navigation bar, select Screening Tools.
    The Screening Tools template opens.
  3. In the Screening Tools Available section, select Screening, Brief Intervention, and Referral to Treatment (SBIRT).
    The SBIRT Screening template opens.
    SBIRT Screening Template

  4. Select a performed date.
  5. Document the following details in the respective panels:
    • Pre-Screening Questions
    • Practice Defined Pre-Screening Questions
    • Screening
    • Brief Intervention
    • Referral to Treatment
    • SBIRT Billing
  6. Select Save & Close.
    The documented details appear in the Screening Tools Performed grid on the Screening Tools template with the corresponding templates.
  • 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.
  • Document Practice Defined Pre-Screening Questions You can document pre-screening questions configured for your practice in the Practice Defined Pre-Screening Questions panel on the SBIRT Screening template.
  • Document Patient Screening You can document patient screening in the Screening panel of the SBIRT Screening template.
  • 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.
  • 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.
  • 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.
Related tasks
Document Pre-Screening Questions
Document Patient Screening
Document Intervention
Manage Referrals
Submit Charges for SBIRT Billing