Sign off or Reject a Multi-user Document from PAQ

Do one of the following:
- Log on to NextGen® Enterprise EHR as a Provider Approval Queue (PAQ)-enabled provider.
- If you are a provider's delegate, log on with your own credentials, and select the PAQ-enabled provider you are the delegate for in the provider list at the top of the NextGen® Enterprise EHR main window.
Open the PAQ Pending tab in NextGen® Enterprise EHR.
The most recent item added to the PAQ is selected by default and appears in the viewing pane on the right.
If the default item is not the document for signoff, locate the document, and select to open it.

You can view the electronic signatures at the bottom of the document.

Note: If the encounter provider has not signed off a document that has been rejected by another signee, Sign-off and Sign-off with Actions are disabled, and you cannot sign off the document.
Review the document for accuracy.
Look at any comments beneath the document that were entered by the encounter provider or other signees or that were system generated.
To add your own comments to the document:
1. Select Add/View to the right of the comments section.
2. In the Add Comments window that appears, enter your comments, and select Save.
Your comments are added above any previous comments for the document.
To sign off this document and perform other PAQ actions:
1. Select Sign-off with Actions.
2. Select the other PAQ actions in the action panel.
  
  Note: Do not select Add/Remove Signee(s). Only the encounter provider can add or remove signee(s) for this document.
3. Select Run Actions.
  If you try to run an action to add or remove signees, a message appears, stating that you are not the primary provider on this item.
4. Select OK to dismiss the message.
The document is removed from the PAQ Pending tab of the provider signee. An electronic signature is added to the document for the provider or the delegate on behalf of the provider.
To sign off this document without performing any other PAQ actions, select Sign-off.
The document is removed from the PAQ Pending tab of the provider signee. An electronic signature is added to the document for the provider or the delegate on behalf of the provider.
To reject the document, select Reject.

Note: It is a best practice to add a comment explaining why you have rejected a document. If the comments section is blank when you reject a document, you are required to enter comments. If the comments section is not blank, you are not prompted to enter comments, so enter them before you reject the document. The system-generated comment, Document Rejected, appears in addition to your comments.

If no comments have been added for this document, a window opens, instructing you to enter comments, and then select Reject.
1. Select OK.
2. Enter your comments following the instructions in step 6.
3. Select Reject.
The document is removed from the list of items in the PAQ Pending tab and moved to the Rejected tab of the provider signee. The electronic signatures are removed from the document, which is then returned to the encounter provider's PAQ Pending tab.

Sign off or Reject a Multi-user Document from PAQ

Do one of the following:
- Log on to NextGen® Enterprise EHR as a Provider Approval Queue (PAQ)-enabled provider.
- If you are a provider's delegate, log on with your own credentials, and select the PAQ-enabled provider you are the delegate for in the provider list at the top of the NextGen® Enterprise EHR main window.
Open the PAQ Pending tab in NextGen® Enterprise EHR.
The most recent item added to the PAQ is selected by default and appears in the viewing pane on the right.
If the default item is not the document for signoff, locate the document, and select to open it.

You can view the electronic signatures at the bottom of the document.

Note: If the encounter provider has not signed off a document that has been rejected by another signee, Sign-off and Sign-off with Actions are disabled, and you cannot sign off the document.
Review the document for accuracy.
Look at any comments beneath the document that were entered by the encounter provider or other signees or that were system generated.
To add your own comments to the document:
1. Select Add/View to the right of the comments section.
2. In the Add Comments window that appears, enter your comments, and select Save.
Your comments are added above any previous comments for the document.
To sign off this document and perform other PAQ actions:
1. Select Sign-off with Actions.
2. Select the other PAQ actions in the action panel.
  
  Note: Do not select Add/Remove Signee(s). Only the encounter provider can add or remove signee(s) for this document.
3. Select Run Actions.
  If you try to run an action to add or remove signees, a message appears, stating that you are not the primary provider on this item.
4. Select OK to dismiss the message.
The document is removed from the PAQ Pending tab of the provider signee. An electronic signature is added to the document for the provider or the delegate on behalf of the provider.
To sign off this document without performing any other PAQ actions, select Sign-off.
The document is removed from the PAQ Pending tab of the provider signee. An electronic signature is added to the document for the provider or the delegate on behalf of the provider.
To reject the document, select Reject.

Note: It is a best practice to add a comment explaining why you have rejected a document. If the comments section is blank when you reject a document, you are required to enter comments. If the comments section is not blank, you are not prompted to enter comments, so enter them before you reject the document. The system-generated comment, Document Rejected, appears in addition to your comments.

If no comments have been added for this document, a window opens, instructing you to enter comments, and then select Reject.
1. Select OK.
2. Enter your comments following the instructions in step 6.
3. Select Reject.
The document is removed from the list of items in the PAQ Pending tab and moved to the Rejected tab of the provider signee. The electronic signatures are removed from the document, which is then returned to the encounter provider's PAQ Pending tab.

Sign off or Reject a Multi-user Document from PAQ

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