Administer a Vaccine not in Inventory

NextGen® Enterprise EHR Help

Administer Immunizations with Alternate Medicare Q Codes

If your practice administers Immunizations with Alternate Medicare codes (Q codes) to Medicare patients, you must first set up these codes in the NDC Library before placing an Immunizations order. These codes display on the Create New/Update Immunizations Order patient name window (Vaccine Details tab) in the Billing Code field. You must select these codes to ensure more accurate billing for Flu immunizations in NextGen® Enterprise PM. After you select the vaccines on the Select Vaccines tab, select the Vaccine Details tab. The Create New/Update Immunizations Order for <patient name> window opens on the Vaccine Details tab. On the Vaccine Details tab, select the vaccine, and provide the Vaccine and Immunizations details. Select a Registry from the list, if necessary. Select the Lot Number from the list or enter it manually, if necessary. The vaccine data defaults from the Vaccine Inventory, including the NDC ID if it exists. Enter additional information for the selected Immunization or

NextGen® Enterprise EHR Help

Administer Immunizations for VFC-Eligible Patients

If your practice treats VFC-eligible patients, you can administer immunizations to them. Note: Before administering Immunizations, ensure that you have completed the recommended set up and mapping steps for custom VFC SIM codes. After selecting the vaccines on the Select Vaccines tab, select the Vaccine Details tab. The Create New/Update Immunizations Order for patient name window displays (on the Vaccine Details tab). On the Vaccine Details tab, select the vaccine, and provide the Vaccine and Immunizations Detail. For a VFC-eligible patient immunization, select the VFC Reason check box and select a VFC Reason from the list. In the Vaccines grid list, for the selected vaccine, Is VFC is selected and the VFC Reason displays. Select the Lot Number, if it does not display, enter it manually. Vaccine Inventory data populates. Enter additional information for the selected Immunization order, for example, Vaccine date, Brand Name, or Route, patient received counseling (Counseled); or if the

NextGen® Enterprise EHR Help

Select Vaccines

To begin the Immunizations ordering process, select a vaccine or group of vaccines on the Select Vaccine tabs. You can select vaccines using different options, such as by favorites, pediatrics, adult, categories, or searching all vaccines. To create a new immunizations order, from the Immunizations tab, select the New Order list, and select Immunization Order. The Create New Immunization Orders for patient name window opens on the Select Vaccines tab. Select scheduled vaccines for the patient using the appropriate option, for example, Favorites or Search. If a diagnosis is associated with the vaccine, the diagnosis is displayed when you select the vaccine. Note: Any unresolved diagnoses for the vaccine display for more information and consultation, if necessary. Review any existing allergies and select, if applicable. If not, select No To All Allergies. Note: The Allergy Review window does not appear automatically if it has been disabled in the Orders Practice Preferences in File Maint

NextGen® Enterprise EHR Help

Display the Vaccine Details and Provide the Immunizations Information

After selecting the vaccines on the Select Vaccines tab, select the Vaccine Details tab. The Create New/Update Immunizations Order for <patient name> window opens (on the Vaccine Details tab). To administer the immunization, select the vaccine from the vaccine list. Select a Registry from the list, if necessary. Select the Lot Number from the list or enter it manually, if necessary. The vaccine data defaults from the Vaccine Inventory, including the NDC ID if it exists. Enter any other information for the selected Immunizations order, for example, if the patient received counseling, (Counseled) or if the Immunizations order requires Consent. If you have provided Immunizations information, the system updates the status to Administered and required fields display as Red. The system also displays the Billing Code and Admin Code for the selected vaccines. For each vaccine in the Vaccine List, select the appropriate Billing Code and Administration Code from the list, if necessary. For examp

NextGen® Enterprise EHR Help

Verifying NDC Details When Setting up Vaccines

A vaccine’s NDC ID and corresponding NDC information is essential for accurate billing. Therefore, to ensure a comprehensive Immunizations billing cycle, users can view the NDC details included in the NDC Library during vaccine set up or when administering Immunizations. To view the NDC details, users can access the NDC Lookup. On the Vaccine Inventory tab, you can access the NDC Lookup to display a vaccine’s NDC ID and corresponding details. If necessary, you can override the NDC ID in the NDC ID field and select another NDC ID from the NDC Lookup. If an NDC ID is not set up in your NDC Library or if you do not have a default NDC Library, a caution indicator displays next to the field. When administering Immunizations in the Immunizations module on the Vaccine Details tab, you also have the option to access the NDC Lookup to verify or override the NDC ID. For more information about accessing the NDC Lookup refer to Verifying the NDC Details when Administrating Immunizations. Note: To

NextGen® Enterprise EHR Help

Enter the Vaccine Information on the Vaccines Tab

On the Vaccines tab, in the Orders Details section, enter the appropriate information for the specific vaccine (for example, Vaccine Name, Available Units). Note: In the Orders Details section, these fields are automatically filled in and cannot be changed: Status, Proc, Procedure Code Description, CVX code, and CVX Vaccine Name. Enter the Vaccine Name (required) for the Vaccine Inventory item. Select the Strength of the vaccine and the Quantity. Select the Route (method) in which the vaccine is administered, such as one of the following: Intramuscular, Oral, Subcutaneous, Nasal (Intranasal), Intravenous, or Intradermal. Note: To ensure the appropriate route displays when administering vaccines, select a route from the list. Your selection can only be one of the six routes displayed. Enter the Brand Name, select the vaccine Manufacturer, and enter the Lot Number, which may be indicated on the package. To verify that this is a valid NDC ID, do any of the following: View the CDC Vaccine

Administer a Vaccine not in Inventory

Recommendations

Administer Immunizations with Alternate Medicare Q Codes

Administer Immunizations for VFC-Eligible Patients

Select Vaccines

Display the Vaccine Details and Provide the Immunizations Information

Verifying NDC Details When Setting up Vaccines

Enter the Vaccine Information on the Vaccines Tab

Administer Immunizations with Alternate Medicare Q Codes

Administer Immunizations for VFC-Eligible Patients

Select Vaccines

Display the Vaccine Details and Provide the Immunizations Information

Verifying NDC Details When Setting up Vaccines

Enter the Vaccine Information on the Vaccines Tab