Mohs Surgery

NextGen® Adaptive Content Engine Help Enterprise 8

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

NextGen® Adaptive Content Engine Help Enterprise 8

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

NextGen® Adaptive Content Engine Help Enterprise 8

Record the Intake for Mohs Surgery

Open an encounter for the patient. 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. 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

Dermatology

You can use the templates for dermatology to document information related to patient encounters specific to dermatology. Documenting Patient Encounters for Dermatology Visits A brief information on dermatology patient encounter workflow. Graphical Exam Tool (GET) You can streamline your workflow and eliminate the need to use the SOAP template using the Graphical Exam Tool (GET). Predominant Procedures for Provider Various dermatological encounters, visit types and important functionality are explained. General Dermatology Workflow You can use the NextGen® Adaptive Content Engine dermatology specialty framework templates to document the encounter details for different visit types of a dermatology patient. Mohs Surgery You can document Mohs surgery performed for skin cancer treatment of a patient. Related concepts Documenting Patient Encounters for Dermatology Visits Graphical Exam Tool (GET) Predominant Procedures for Provider General Dermatology Workflow Mohs Surgery

NextGen® Adaptive Content Engine Help Enterprise 8

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 ve

NextGen® Adaptive Content Engine Help Enterprise 8

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

Mohs Surgery

Recommendations

General Workflow for Mohs Surgery

Access and Document Mohs Surgery Procedure

Record the Intake for Mohs Surgery

Dermatology

Finalize the Mohs Visit

Document Mohs Site Details

General Workflow for Mohs Surgery

Access and Document Mohs Surgery Procedure

Record the Intake for Mohs Surgery

Dermatology

Finalize the Mohs Visit

Document Mohs Site Details