Administer Immunizations for VFC-Eligible Patients

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

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

Administer a Vaccine not in Inventory

For certain situations, you may need to administer an immunization for a vaccine that may not be in your practice's Vaccine Inventory. For example, a patient has been bitten by a rabid animal. From the Orders module, select Immunization Order from the New Order list. On the Select Vaccines tab, select Search All and search for the specific vaccine. The vaccine displays in the search results. For example, if you searched on rabies, vaccines for rabies appear. Select the appropriate vaccine and select OK, and then view and select an Allergy, if necessary. To administer the Immunization, select the Vaccine Details tab. Enter the Lot Number and NDC ID in the NDC ID field. Note: The caution indicator displays, which indicates the NDC ID for this rabies vaccine is not in the NDC Library. To verify if any NDC entries exist for this vaccine, select the ellipsis to access the NDC Lookup. No NDC ID codes appear for the CPT in the NDC lookup, indicating there is no valid record in the NDC Library

NextGen® Enterprise EHR Help

Access Vaccine Billing While Administering Immunizations

When administering immunizations, you can access the Vaccine Billing option from the Create New/Update Immunizations Order <patient name> window. This enables you to: Map custom VFC SIM codes and other unique Immunization codes. Indicate which VFC SIM code is the VFC default. Note: Once the Immunizations administration is complete, the appropriate billing codes are then sent to NextGen® Enterprise PM for charge processing. Open Immunizations tab from the NextGen® Enterprise EHR Orders module and create a immunizations order. On the Select Vaccines tab, select a vaccine or vaccines. To access Vaccine Billing, from the Create New/Update Immunizations Order <patient name> window, select the button at the top right of the window. A list displays Vaccine Inventory and Vaccine Billing. Select Vaccine Billing. The Vaccine Billing List window opens. To map customized VFC SIM codes or non-VFC codes for billing purposes, select New from the Open Menu button. To update a CPT code, select a CPT co

NextGen® Enterprise EHR Help

Set up the Vaccine Inventory for Immunizations

Before you start, run the most recent Medications Update. Set up your practice's Vaccine Inventory. Note: By default, the CPT code is mapped to the Service Item Master code. If your practice uses custom SIM codes, you can map these codes to the appropriate CPT code in File Maintenance > Systems > Vaccine Billing. Before building your vaccine inventory, it is recommended that you map your custom (or alternate) SIM codes, if necessary. Set up specific lot numbers for a component, if necessary. If your practice administers Immunizations to VFC-eligible patients and you have set up custom VFC SIM codes, you must select the VFC SIM code as the default or non-default using the Vaccine Billing option in File Maintenance. If your practice administers Flu Immunizations to patients with Medicare as the payer, you can set up the alternate Medicare Billing codes (Q codes) in the NDC Library to ensure accurate billing. Set up the Immunizations Practice Preferences: Allergy Review option Ignore pedi

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

Administer Immunizations for VFC-Eligible Patients

Recommendations

Administer Immunizations with Alternate Medicare Q Codes

Select Vaccines

Administer a Vaccine not in Inventory

Access Vaccine Billing While Administering Immunizations

Set up the Vaccine Inventory for Immunizations

Display the Vaccine Details and Provide the Immunizations Information

Administer Immunizations with Alternate Medicare Q Codes

Select Vaccines

Administer a Vaccine not in Inventory

Access Vaccine Billing While Administering Immunizations

Set up the Vaccine Inventory for Immunizations

Display the Vaccine Details and Provide the Immunizations Information