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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
Immunizations Billing Setup Best Practices
After the Immunizations have been setup, the charges are sent to NextGen® Enterprise PM for billing processing. As of January 1, 2014, to enable the government to identify vaccine brands for vaccine distribution planning, Immunization charges must have an associated NDC ID, including Basis of Measure and Drug Unit Count fields. Therefore, you must configure a NDC ID in the NDC Library. To help your practice streamline this process, you need to ensure that billing administrators and appropriate clinical staff set up your NDC ID codes and SIM codes appropriately. The following are best practices and considerations you need to consider for more accurate billing. Ensure you have downloaded the most recent CPT4 codes for the current year. Ensure you have run the most recent Medication Update. Before you set up the vaccine inventory, select your practice’s default NDC Library and set up the NDC Library. The NDC details in the NDC Lookup when you add or update the vaccine inventory; or when y
NextGen® Enterprise EHR Help
Immunization Pre-Setup Practice Considerations
Before setting up your Vaccine Inventory, the Immunizations options and preferences, refer to the following sections to help you determine the best setup process for your practice. Terms to Know before Immunizations Setup Immunizations Setup Process Overview Immunizations Setup Procedures Immunizations Workflow Considerations Immunizations Billing Setup Best Practices Immunizations Setup Best Practices for Billing VFC and Medicare Patients Terms to Know before Immunizations Setup Set up the Vaccine Inventory for Immunizations Parent topic: Managing Lab Orders and Immunizations
NextGen® Enterprise EHR Help
Administering Immunizations High-Level Workflow and Tips
To support your practice’s Immunizations administration process, determine which Immunizations workflow or task is appropriate to perform for each patient. The Immunizations functionality enables you to select the appropriate vaccines, provide vaccine details during administration, and track and complete each Immunization life cycle efficiently. There may be various scenarios a physician and clinical staff encounter when ordering and executing an immunization. For example, special patient needs, such as a VFC-eligibility, allergy sensitivities, or parental consent; billing considerations, available vaccines in the inventory, and ensuring the most appropriate vaccines are selected according to immunization schedules. The Immunizations workflows range from basic, such when you administer a flu shot, or more specific considerations, such as administering vaccines for Medicare patients, administering live vaccines, or when a vaccine is not in the inventory. You can perform other types of I
NextGen® Enterprise EHR Help
Best Practices for Managing Your Immunizations Life Cycle
To create and track your Immunization orders effectively, NextGen® Enterprise EHR Immunizations module provides comprehensive functionality that is based on how you set up Immunizations in File Maintenance and System Administrator. Each practice has its own unique Orders and Immunizations workflow. As you use the Immunizations module, consider your primary patient type, such as pediatric and your overall workflow. For example, immunizations orders flow may begin with your physician conducting an office visit, selecting immunizations, and then passing the administration of immunizations to the clinical staff. To help you process your immunizations more effectively, consider the following best practices for managing your immunizations life cycle: To view the current vaccine schedules to determine which immunizations are due, access the Immunization Schedules (that is Chart, Recommendation, and Registry). To order an immunization, select a vaccine, provide the appropriate vaccine detail,
NextGen® Enterprise EHR Help
Immunizations Workflows
For each visit, you need the flexibility to work with the Immunization functions as each event occurs in real time. If needed, for example, you may need to do any of the following: View or hide dose exceptions when administering immunizations. Select and document Excluded Immunizations. Document that an Immunizations series is complete. Mark a patient who has no previously documented immunizations for reporting purposes and tracking. Report adverse events. Document erroneous or wasted immunizations. Open File Maintenance or the Vaccine Inventory as you process an Immunization order. Viewing or Hiding Dose Exceptions when Administering Immunizations Select Vaccines to Exclude Document that a Series is Complete Patient with no Previously Documented Immunizations Reporting Adverse Events and Accessing Other Immunizations Schedules Documenting Erroneous or Wasted Immunizations Access the Vaccine Inventory While Administering Immunizations Access Vaccine Billing While Administering Immuniza
Immunizations Workflow Considerations
Consider your primary patient types for your practice, such as pediatric.
Consider your overall workflow.
How are your immunizations selected and processed currently?
What groups primarily administer the immunizations after the physician selects the immunizations for a patient?
Does your practice have VIS forms that you produce manually or will you be attaching them to Immunizations orders to print electronically?
Do you administer VFC immunizations to children in your practice? If so, you must select the VFC reason and funding source.
Do you need to submit immunizations to your state's mandated registry?
