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NextGen® Enterprise EHR Help

Modify Assigned Diagnoses on Orders

When you select a diagnosis in the Assign Diagnosis section, Computerized Physician Order Entry (CPOE) automatically adds it to all the selected order items. You can manually change the diagnosis selection for individual order items. Open CPOE. Select an order item. Assign a diagnosis to the selected order item. To modify the diagnosis for an order item, do one of the following: In the All tab, select the expand icon corresponding to the order item. Select the Laboratory, Diagnostic, or Immunization tab, and then select the expand icon corresponding to the order item. The Modify Diagnosis section appears. Select a diagnosis. Note: You can select multiple diagnoses. For more information on how to use the Search and Clear options under Modify Diagnosis, see steps 4-6 in Add Diagnoses to Order Items. CPOE adds the diagnosis to the order item. To close the Modify Diagnosis section, select the collapse icon. Parent topic: Managing Order Details Related concepts Selecting Orders Related task

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

NextGen® Enterprise EHR Help

Manage General Order Details

In the All tab, which displays a summary of all your selected order items, you can view and modify the diagnoses for each order item; and any information that is common for all the selected order items, such as ordering provider, location, and insurance details. Note: Computerized Physician Order Entry (CPOE) groups the order items by order type and performing entity. Open CPOE. Select an order item. Assign a diagnosis to the selected order item. Note: For an immunization order item, Computerized Physician Order Entry (CPOE) automatically adds the default ICD-10-CM Z23 diagnosis code. For information on how to change the diagnosis selection, see Modify the assigned diagnosis. To view the details of the order, do one of the following: In the All tab, select the order item's link under Description. Select the Laboratory, Diagnostic, or Immunization tab. Note: For information on viewing the patient's order and immunization history, see Check Order History for laboratory or diagnostic orde

NextGen® Enterprise EHR Help

Check Order History

When you select a laboratory or diagnostic order item for a patient, you can view the patient's treatment history to determine if the same order item was ordered in the past. Computerized Physician Order Entry (CPOE) checks for an identical CPT® code in the Orders module's Results section. Open CPOE. Select an order item. Assign a diagnosis to the selected order item. To check the order history of the selected order item, do one of the following: In the All tab, under Past Result, select the View link corresponding to the order item. Select the Laboratory or Diagnostic tab, and then select the View link under Past Result, corresponding to the order item. The Review Patient Results window opens. Note: For more information on how to review the patient's results, go to NextGen Healthcare Success Community and download the latest Orders Module User Guide for NextGen® Enterprise. Parent topic: Manage Laboratory Order Details Related concepts Selecting Orders Related tasks Add Diagnoses to O

NextGen® Enterprise EHR Help

Perform AUC Check

Before you begin Ensure that you have configured Appropriate Use Criteria (AUC) in File Maintenance. For more information on how to configure AUC, go to NextGen Healthcare Success Community and download the latest Radiology Appropriate Use Criteria Workflow for the Orders Module for NextGen® Enterprise EHR. Ensure that you have selected the insurance information for the patient in the All tab. Note: Computerized Physician Order Entry (CPOE) derives the insurance and diagnosis settings from the Preferences configuration in Practices in File Maintenance. For more information, go to NextGen Healthcare Success Community and download the latest File Maintenance Preferences Guide for NextGen® Enterprise. Ensure that you have completed the charge submission and payers information configurations in File Maintenance, which enables your practice to post charges for performing laboratory and diagnostic tests, and also to automatically include Healthcare Common Procedural Coding System (HCPCS) cod

NextGen® Enterprise EHR Help

Managing Order Details

When you select an order item, Computerized Physician Order Entry (CPOE) displays the order details in the following tabs based on the order type. All Laboratory Diagnostic Immunization In the All tab, CPOE displays a consolidated summary of all your selected order items, grouped by the order type and selected performing entities. In the Laboratory, Diagnostic, and Immunization tabs, CPOE displays the details of the respective order items. You can review and modify the details of your order items before placing your order. Note: CPOE saves your selected order items in the Incomplete Items list until you place the order. Manage General Order Details You can view and modify sections of the order that are common for all your selected order items. Modify Assigned Diagnoses on Orders You can assign and modify a diagnosis for individual order items. Add Comments and Schedules for Laboratory and Diagnostic Order Items You can document the reason for ordering a test and create schedules for fu

Handle AOE Questions

Before you begin

Recommendations

Modify Assigned Diagnoses on Orders

Check Medical Necessity for Laboratory and Diagnostic Order Items

Manage General Order Details

Check Order History

Perform AUC Check

Managing Order Details