Cast and Wound Care Workflow

Panel	Description
History	To document the patient's surgical history and issues with the cast, brace, splint, or wound.
Physical Exam	To document issues with the cast area and what was done for the new cast, splint, or brace.
Plan	To document the details of the basic assessment and plan.

NextGen® Orthopedic Suite Help 80.2.14.0

Billable Visits

The Billable Visit workflow starts on the Billable Visit template. This template is used to document the History of Present Illness (HPI), Physical Exams, and Assessment and Plan portions of an E&M coded visit. It pulls in information from the Intake template. It has three panels: History, Physical Exam, and Assessment and Plan. Documenting Visit Time You can enter the visit time for a patient's visit on the Billable Visit template. Patient History You can review, add, and update the patient histories. Physical Exam Panel Assessment and Plan Panel (Diagnosis/MDM) Billable Visit Sign-off Documenting Billable Visit Counseling You can document the additional counseling time and its associated details for a patient. Finalizing a Patient Visit You can enter a patient's visit details and today's diagnoses, and apply diagnosis codes to procedures to submit charges and finalize the visit. Parent topic: Using NextGen Orthopedic Suite

NextGen® Orthopedic Suite Help 80.2.14.0

Non-Billable Fracture Care Post-Op Workflow

Each fracture care template has a corresponding non-billable fracture care template such as NBV Single Fx, NBV Multiple FX, and NBV Poly-Trauma FX follow-up. The non-billable fracture care templates are accessed by clicking the Non-Billable tab and selecting the desired template. These templates enable you to document a follow-up visit for the initial fracture care visit. Each of these templates has four panels; Surgical Information, History, Physical Exam, and Assessment and Plan. Copy Previous Surgery Details You can copy details of previous surgeries for assessment and planning of the polytrauma fracture care on the NBV PolyTrauma template. Patient History for Post-Operative Visits You can associate surgical procedures with post-operative visits, and document a patient's history for post-operative visits. Physical Exam Panel Assessment and Plan for Non-Billable Post Op Visits Assessment and Plan Panel- NBV Multiple FX Assessment and Plan Panel - NBV Polytrauma FX Submitting Charges

NextGen® Orthopedic Suite Help 80.2.14.0

Non-Billable Post-Op Visit Workflow

The Non-Billable Visit template is for post-op visit documentation, as well as, any non-billable visits that require HPI, Exam, and Plan information. The Non-Billable Visit template has four panels; History, Infection, Physical Exam, and Assessment and Plan (MDM). Access the Non-Billable Visit Template You can access the Non Billable Visit template from the Home template. Patient History for Post-Operative Visits You can associate surgical procedures with post-operative visits, and document a patient's history for post-operative visits. Infection Panel - Implants, Labs, and Antibiotics Physical Exam Panel Assessment and Plan (MDM) Panel Submitting Charges to Finalize a Visit You can enter the visit details, today's diagnoses, and procedures to submit charges and finalize visit. Parent topic: Using NextGen Orthopedic Suite

NextGen® Orthopedic Suite Help 80.2.14.0

Pre-Op Templates

Access the FC Past Med Hx Template You can access the FC Past Med Hx template from the Home template. Document Past Medical History for Fracture Care You can document the pre-operative information for fracture care of patients. Pre-Operative Visit for a Surgery You can document the details of the pre-operative visit for a surgery. Pre-Operative History and Physical Exams The Pre-op H&P template enables you to document the details of H&P exams and generate the H&P Note. Submitting Charges to Finalize a Visit You can enter the visit details, today's diagnoses, and procedures to submit charges and finalize visit. Parent topic: Using NextGen Orthopedic Suite

NextGen® Orthopedic Suite Help 80.2.14.0

Document the Cast and Wound Care History

You can document the surgical history of a patient and any issues with the cast, brace, splint, or wound. On the Cast/Wound Care template, expand the History panel. History panel on the Cast/Wound Care template In the History section, select the applicable issues with the cast, brace, splint, or wound. Make the desired changes in the Surgical History section. Note: This section is automatically filled with the data documented on the Intake template. You can add, edit, and remove the data as needed. Enter any additional details in the Notes field. Parent topic: Cast and Wound Care Workflow Related concepts Surgical History of Patients My Phrases Related tasks Access the Cast and Wound Care Template

NextGen® Orthopedic Suite Help 80.2.14.0

Enter the Physical Exam for Cast and Wound Care

Use the Physical Exam section on the Cast/Wound Care template to document issues with the cast area as well as what was done for the new cast, splint, or brace. On the Home template, click the Cast/Wound Care link. The Cast/Wound Care template opens. Physical Exam panel on the Cast/Wound Care template To enter exam information, select the appropriate check boxes, as well as which provider the patient was seen by. Document what was done to the cast, splint, or brace by selecting the appropriate fields. Type any additional information in the notes section. Click Cast/Splints button opens the Billable Cast and Splint Application template. Parent topic: Cast and Wound Care Workflow

Cast and Wound Care Workflow

Recommendations

Billable Visits

Non-Billable Fracture Care Post-Op Workflow

Non-Billable Post-Op Visit Workflow

Pre-Op Templates

Document the Cast and Wound Care History

Enter the Physical Exam for Cast and Wound Care

Billable Visits

Non-Billable Fracture Care Post-Op Workflow

Non-Billable Post-Op Visit Workflow

Pre-Op Templates

Document the Cast and Wound Care History

Enter the Physical Exam for Cast and Wound Care