Set Up Charge Submission Defaults

NextGen® Enterprise EHR Help

Setting Up Required fields for Order Processing

For more efficient order processing and best clinical practices, your practice may need to set up certain fields as required. For example, your practice wants the Diagnosis field to be required when ordering a lab or radiology test. The NextGen® Enterprise EHR Orders module enables you to select fields as required in File Maintenance Practice Preferences. Required fields can be set up for all of the order types, that is, Lab, Radiology, and Immunizations. Once you set up these fields as required, they will display in Red on the appropriate Orders or Immunizations window, when you add or update an existing order. Before an order can be saved, users must ensure that these required fields have been entered or selected. For more information about setting up required fields for the Immunizations module, go to the NextGen Healthcare Success Community and download the Immunizations Module Setup Guide forNextGen®Enterprise EHR. On the Create New/Update Lab Order for (patient name) window, the

NextGen® Enterprise EHR Help

Order Module Practice Preferences

Field Description Print Requisition when Lab Order is saved This preference can be selected to automatically trigger the printing of lab orders when they are saved. If this preference is turned ON, NextGen® Enterprise EHR prints a copy of the current order when the Save button is selected on the new order page. Print Requisition when Radiology Order is saved This preference can be selected to automatically trigger the printing of radiology orders when they are saved. If this preferences is turned ON, NextGen® Enterprise EHR prints a copy of the current order when the Save button is selected on the new order page. Use NextGen Compendium for New lab Orders This preference is set with a check box that when turned ON uses the NextGen compendium value when new Test orders are created. Use NextGen Compendium for New Radiology Orders This preference is controlled with a check box that when turned ON uses the NextGen compendium value when new Radiology orders are created. Allow Providers to Ma

NextGen® Enterprise EHR Help

Configure Charge Submission for Orders

For your practice to post charges for performing laboratory and diagnostic tests, you can define the charge using the Service Item (SIM) code or SIM group code for the test. You must also configure the schedule for posting charges on ordered tests for all types of performing entities, including any for in-house testing. CAUTION: If your practice uses templates to place orders and manage charges, do not use charge posting in the Orders module as it can result in duplicate charges. 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. Open File Maintenance. Under Master Files, select EHR, and then select Practices. The Practices List window opens. Double-click a practice name. The Modify Practice Information window opens. Select Preferences. The Practice Preferences window opens. Under Preference List, select Orders Module. Select the Lab/Rad tab. In the Charge Submission Default

NextGen® Enterprise EHR Help

Medical Necessity and Orders Practice Preferences Setup

You can set a number of practice preferences for the Orders Module in NextGen® Enterprise EHR. Set Up Orders Module Practice Preferences Order Module Practice Preferences Explains the order module preferences available for a practice. Medical Necessity Setup When selecting a diagnosis for an order, you can set up NextGen® Medical Necessity Check to determine if Medicare will pay for a test . Select Test Favorites for a Practice Set Up Charge Submission Defaults You can set up the charge submission defaults. Set Up the Group to Notify for Failed Test Charges Set Up Practice Preferred Performing Entities Set Up a Private Results Filter Set Up URLs for Educational and Clinical Resources Auto Release Practice Preferences Set Up the Automatic Order Tracking Comments Set Up Confidential Lab Results Delegates Set Up Allow Patient Procedure Activity against a Locked Encounter Setting Up the Link Document Management (DM) Images to Orders and Status Update Preferences Setting Up Required fields

NextGen® Enterprise EHR Help

Adding Procedures on Charge Submission of Orders

When you submit a charge for an order that is saved in the Orders module, system creates a procedure for that order. The procedure appears in the procedures list in the Procedures module, within an encounter for the patient and in the Superbill module. If you select Include AUC HCPCS code/modifier automatically for a payer in File Maintenance for a radiology advanced imaging order, system automatically adds the G-code and the Appropriate Use Criteria (AUC) modifiers to the procedures. For more information on automatically adding G-code and modifiers, go to NextGen Healthcare Success Community, and download the latest, Radiology Appropriate Use Criteria Workflow for the Orders Module for NextGen® Enterprise EHR.Note: To display the G-code and modifiers for the ordered tests in the Procedures module, you must set up the following in File Maintenance. Modifiers in Modifier in Master Files - System. G-code in the Service Items Library Maintenance window in Service Items in Libraries. For m

NextGen® Adaptive Content Engine Help Enterprise 8

Configure AUC Scores

Configure AUC Scores Configure AUC Scores You must configure settings in File Maintenance and on the Practice Configuration practice template to use the AUC score wizard. To successfully use the AUC score wizard, you must configure the following settings in File Maintenance. Open NextGen® Enterprise EHR. To activate the AUC rules for the assigned payer, in the File Maintenance, do the following. In the Master Files, click Payers. The Payers List window opens. Double click a payer from the list. The Modify Payer Information window for the payer opens. Click the Orders Module tab, and select the Enable payer for Appropriate Use Criteria rules for Advanced Radiology Imaging orders check box. Apply the AUC for all payers within the same financial class, if necessary. To automate the inclusion of modifier and G-code in the procedure billing, select the Include AUC /HCPCS code modifier automatically option. Select a payer in the encounter level insurance for the current patient. In the Order

Set Up Charge Submission Defaults

Recommendations

Setting Up Required fields for Order Processing

Order Module Practice Preferences

Configure Charge Submission for Orders

Medical Necessity and Orders Practice Preferences Setup

Adding Procedures on Charge Submission of Orders

Configure AUC Scores

Setting Up Required fields for Order Processing

Order Module Practice Preferences

Configure Charge Submission for Orders

Medical Necessity and Orders Practice Preferences Setup

Adding Procedures on Charge Submission of Orders

Configure AUC Scores