Manage Insurance Selections for Orders

NextGen® Enterprise EHR Help

Manage Immunization Order Details

Before you begin Ensure that you have completed the recommended setup and mapping instructions for custom Vaccines for Children (VFC) SIM codes in File Maintenance. For more information, go to NextGen Healthcare Success Community, and download the latest File Maintenance Master Files Guide for NextGen® Enterprise. Ensure that you have configured the registries for your practice. For more information on registries setup, go to NextGen Healthcare Success Community, and download the latest Immunization Registry Configuration Guide for NextGen® Enterprise EHR. Ensure that you have configured allergy check for immunization orders. Ensure that you have configured drug interactions checks. For more information on medication interactions setup, go to NextGen Healthcare Success Community, and download the latest Drug Interaction and Medication Update Utility User Guide for NextGen® Enterprise EHR and Medications and Medication Allergies Module User Guide for NextGen® Enterprise EHR. In the Immu

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

Manage Laboratory Order Details

In the Laboratory tab, you can view and modify your selected laboratory order items, associated diagnoses, and other general information, such as billing type and order priority. Note: Computerized Physician Order Entry (CPOE) groups the laboratory order items by performing entity. Open CPOE. Select an order item. Assign a diagnosis to the order item. To view and modify the details of the order item, do one of the following: Select the Laboratory tab. In the All tab, select the order item's link under Description. Under the Laboratory Order section, do any of the following: View the patient's treatment history. Modify the assigned diagnosis . To change the performing entity for the selected laboratory order item, select the corresponding cross icon and reselect the order item with a different performing entity. Under the Laboratory Details section, do any of the following: Assign tasks to other users or user groups. Document the ordering reason and manage schedules for future and recur

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

Place Selected Orders

Before you begin While selecting your orders, ensure that you address all the mandatory indicators, which are denoted by . Ensure that you have completed the charge submission and payers information configurations in File Maintenance so that your practice can post charges for performing laboratory and diagnostic tests, and also automatically include Healthcare Common Procedural Coding System (HCPCS) codes and Modifiers in the charges for diagnostic orders with Appropriate Use Criteria (AUC) check. Note: For more information on charge submission configurations, go to NextGen Healthcare Success Community and download the latest File Maintenance Preferences Guide for NextGen® Enterprise and Procedures and Superbill Modules User Guide for NextGen® Enterprise. You can place your selected orders and view a summary of the of the placed orders in Placed Items. Note: In File Maintenance, if you have configured Practice Preferences for automatic billing of laboratory or diagnostic orders, Comput

NextGen® Enterprise EHR Help

View Placed Orders List

After you place an order in Computerized Physician Order Entry (CPOE), the order status appears on the Placed Items list on the CPOE Order Search Bar. You can view the details of your order in the Orders module. Open NextGen® Enterprise EHR and select a patient from Patient Lookup window. 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. Place the order. To view a summary of the placed orders, hover over Placed Items.A list of the placed orders for the encounter appears. To view the details of the placed orders, select Placed Items.The Orders Summary window in the Orders module opens. Note: For more information on the Orders module, go to NextGen Healthcare Success Community and download the latest Orders Module User Guide for NextGen® Enterprise EHR. Parent topic: Place Selected Orders Related concepts Selecting Orde

Manage Insurance Selections for Orders

Before you begin

Recommendations

Manage Immunization Order Details

Manage General Order Details

Manage Laboratory Order Details

Check Medical Necessity for Laboratory and Diagnostic Order Items

Place Selected Orders

View Placed Orders List

Manage Insurance Selections for Orders

Before you begin

Manage Immunization Order Details

Manage General Order Details

Manage Laboratory Order Details

Check Medical Necessity for Laboratory and Diagnostic Order Items

Place Selected Orders

View Placed Orders List