Assign Diagnosis Toolbar

Option	Description
Check Medical Necessity	This option appears if you are licensed to use the NextGen® Medical Necessity Check. Certain government insurances (Medicare part B) require approval of a test's necessity before it can be ordered and paid for. The NextGen® Medical Necessity Check uses a defined list of tests that are linked to medical problems. The list is updated quarterly. When selected, this option runs the NextGen® Medical Necessity Check against the tests and diagnosis codes selected. File Maintenance setup is required to make the NextGen® Medical Necessity Check available.
Delete Failed Tests	This option appears if you are licensed to use the NextGen® Medical Necessity Check. When selected, this option removes tests from the order that have failed the medical necessity check.
Delete Test	Removes the selected test from this order.
Assign All Diagnosis	Selects (assigns) all diagnoses for all tests associated with an order.
Unassign All Diagnosis	Clears all diagnoses associated with this order.
Set Schedule	Enables you to set up future or recurring schedules.
Dual Coding	For scheduling future or recurring tests for lab and radiology orders, if an ICD-10 code was not retrieved, you can select this option to manually map an ICD-9 code to the ICD-10 code.

NextGen® Enterprise EHR Help

Checking Medical Necessity for a Test

To determine if Medicare or another insurance (which follows Medicare guidelines) covers the cost of a test, you can run the NextGen® Medical Necessity Check. You can set up the Medical Necessity Check in File Maintenance to run automatically when you save an order or you can run it manually. Note: To use the NextGen® Medical Necessity Check when selecting tests, you must first set it up in File Maintenance. For more information about setting up Medical Necessity, go to the NextGen Healthcare Success Community and download the Orders Module Setup Guide for NextGen® Enterprise. To run it manually, select the Check Medical Necessity in the Assign Diagnosis to Selected Tests panel. Obtain the ABN Report and Verify Cost Coverage When a NextGen Medical Necessity Check Fail Parent topic: Assign Diagnosis to Selected Tests Panel

NextGen® Enterprise EHR Help

Assign Diagnosis Toolbar

The following options are available on the Assign Diagnosis to Selected Tests panel. Option Description Check Medical Necessity This option appears if you are licensed to use the NextGen® Medical Necessity Check. Certain government insurances (Medicare part B) require approval of a test's necessity before it can be ordered and paid for. The NextGen® Medical Necessity Check uses a defined list of tests that are linked to medical problems. The list is updated quarterly. When selected, this option runs the NextGen® Medical Necessity Check against the tests and diagnosis codes selected. File Maintenance setup is required to make the NextGen® Medical Necessity Check available. Delete Failed Tests This option appears if you are licensed to use the NextGen® Medical Necessity Check. When selected, this option removes tests from the order that have failed the medical necessity check. Delete Test Removes the selected test from this order. Assign All Diagnosis Selects (assigns) all diagnoses for

NextGen® Enterprise EHR Help

Checking Medical Necessity for a Test

To determine if Medicare or another insurance (which follows Medicare guidelines) covers the cost of a test, you can run the NextGen® Medical Necessity Check. You can set up the Medical Necessity Check in File Maintenance to run automatically when you save an order or you can run it manually. Note: To use the NextGen® Medical Necessity Check when selecting tests, you must first set it up in File Maintenance. For more information about setting up Medical Necessity, go to the NextGen Healthcare Success Community and download the Orders Module Setup Guide for NextGen® Enterprise. To run it manually, select the Check Medical Necessity in the Assign Diagnosis to Selected Tests panel. Obtain the ABN Report and Verify Cost Coverage When a NextGen Medical Necessity Check Fail Parent topic: Assign Diagnosis to Selected Tests Panel

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Place an Order for a Lab or Radiology Guideline Item Using the Order Module

You can place an order for a lab or radiology guideline item on the Order module. You can order lab and radiology orderable guideline items that are due from the Order module when the Enable Order Module setting in the Orders/Plans section on the Practice Configuration practice template is selected. Home Page The information on how to configure the Care Guidelines Paged View template to enable the direct placement of orders for guideline items from the Order module is as below: Open NextGen® Enterprise EHR. On the Care Guidelines Paged View template, review orderable guideline items active for the patient. Items that are due or past due display the date in red font Items that are due in the future display a date in black font Select the checkbox to the left of the lab or radiology guideline item you want to order.The Order module opens the Lab or Rad order tab, corresponding to the type of orderable guideline item you selected. In the Select Tests section, select the checkbox correspon

NextGen® Therapy Suite Help 30.3.13.0

Assign Diagnosis Codes to a Diagnosis Group

You can assign diagnosis codes to existing diagnosis groups, which are used on medical record templates for documenting patient's assessment. The active diagnosis codes configured in the diagnosis code library of File Maintenance can be assigned to the diagnosis groups available on the Specialty Diagnosis Group Config template. For more information on configuring diagnosis code library, go to NextGen Healthcare Success Community, and download the latest File Maintenance Libraries Guide for NextGen® Enterprise. On the Specialty Diagnosis Group Config template, expand the Manage Diagnosis Groups and Codes panel. Note: By default, all active diagnosis groups are displayed in the grid of the Add Diagnosis Group section. You can filter the values in the grid by selecting the View Dx groups created/modified today option or entering the desired value in the Show field. Select the desired diagnosis group from the grid of the Add Diagnosis Group section. The results are as follows: The details

NextGen® Enterprise EHR Help

Check Medical Necessity for Laboratory and Diagnostic Order Items

Before you begin Ensure that you have the license for medical necessity check. Ensure that you have configured medical necessity check in File Maintenance. Ensure that you have selected the insurance information for the patient in the All tab. Note: Computerized Physician Order Entry (CPOE) derives the insurance settings from the Practice Preferences configuration. For more information on Practices Preferences in File Maintenance, go to NextGen Healthcare Success Community and download the latest File Maintenance Preferences Guide for NextGen® Enterprise. Medical necessity includes a defined list of tests that are linked to medical problems. Government insurances such as Medicare Part B require approval of a test's necessity before it can be ordered and paid for. CPOE automatically checks for medical necessity when you assign a diagnosis to a laboratory and diagnostic order item. You can view the medical necessity check results and print the Advance Beneficiary Notice (ABN) for order i

Assign Diagnosis Toolbar

Recommendations

Checking Medical Necessity for a Test

Assign Diagnosis Toolbar

Checking Medical Necessity for a Test

Place an Order for a Lab or Radiology Guideline Item Using the Order Module

Assign Diagnosis Codes to a Diagnosis Group

Check Medical Necessity for Laboratory and Diagnostic Order Items

Assign Diagnosis Toolbar

Checking Medical Necessity for a Test

Assign Diagnosis Toolbar

Checking Medical Necessity for a Test

Place an Order for a Lab or Radiology Guideline Item Using the Order Module

Assign Diagnosis Codes to a Diagnosis Group

Check Medical Necessity for Laboratory and Diagnostic Order Items