Mental Status Evaluation Panel

NextGen® Adaptive Content Engine Help Enterprise 8

Complete the General Panel of the BH Psychiatric Evaluation

To access the BH - Psychiatric Evaluation do one of the following: Click the Psychiatry Eval tab. Click Psychiatric Evaluation from the navigation bar. 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

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

NextGen® Adaptive Content Engine Help Enterprise 8

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

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Psychiatric Illness History Data

On the Psychiatric Illness History panel, enter information in the Describe psychiatric illness history (lifetime course) from age of onset field. Click the Add button to open the Past Medical History template. Enter the client's past medical history and click OK. Add Past Medical/Surgical History Parent topic: BH Hx Section Tab Overview

NextGen® Adaptive Content Engine Help Enterprise 8

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

NextGen® Adaptive Content Engine Help Enterprise 8

Record Mental Status Exam Information

For a more comprehensive record than is offered on the Mental Status Evaluation panel, click the Mental Status Exam link. Mental Status Evaluation The BH - Mental Status Exam template opens. Note: The determination to perform a full exam should be made by the provider. Alternatively or in addition, a mental status narrative, including the client's appearance, mood, affect, speech, thought process/content, cognition, and insight/judgment can be entered in the Written narrative field. Parent topic: BH - Brief Assessment Template

Mental Status Evaluation Panel

Recommendations

Complete the General Panel of the BH Psychiatric Evaluation

Visit Types for Psychiatry Evaluations

Enter Psychiatric Evaluation Presenting Concerns

Enter Psychiatric Illness History Data

Enter Program Information for a Psychiatric Evaluation

Record Mental Status Exam Information

Mental Status Evaluation Panel

Complete the General Panel of the BH Psychiatric Evaluation

Visit Types for Psychiatry Evaluations

Enter Psychiatric Evaluation Presenting Concerns

Enter Psychiatric Illness History Data

Enter Program Information for a Psychiatric Evaluation

Record Mental Status Exam Information