Document an Epidural Injection

NextGen® Orthopedic Suite Help 80.2.14.0

Document Diabetic Foot Wound Care

You can document the office procedures for the wounds on toes, mid-foot, and hind-foot of diabetic patients. On the IORTS Castsplint Apply template, click Diabetic Foot in the left pane. The IORTSproc Diab Foot template opens. IORTS Diabetic Foot Procedures template Select Informed Consent if the patient was informed about the risks, benefits, and alternatives prior to the procedure. In the panel for the location of the wound, click the Side field, and select the side from the list. Note: When the side is selected, the Location and Direction fields display lists of locations and directions of the wound. Panels on the IORTS Diabetic Foot Procedures template Select the location and direction of the wound from the lists. Click the Depth field, and enter the depth of the wound on the Depth window. The Width and Length windows open subsequently. Enter the width and length of the wound. Click the Margins field, and select the margin of the wound from the list. Click the field for the anesthe

NextGen® Orthopedic Suite Help 80.2.14.0

Document Debridement Procedures

You can document the debridement, burn, and wound care procedures performed in the office. You can select only one type of procedure at a time in the Burns, Infected skin, and Ulcer/Wound sections. To add multiple procedures, you can document the treatment of each body area as a separate procedure and add it to the grid. When you document the details in the Ulcer/Wound section, the Wound Debridement - Total area of wound in sq.cm field displays the total area of debridement documented. For the initial 20 square centimeters of debridement documented, an entry is added to the Office Procedures grid on the Billable Visit template. For each increment of 20 square centimeters, separate entries are added to the grid. Open the IORTS Castsplint Apply template. Click Debridement in the left pane. The IORTSproc Debride template opens. IORTS Debridement template In the Debridement/Burn/Wound section, select the pre-procedure steps performed. In Burns, Infected skin, and Ulcer/Wound sections, do t

NextGen® Orthopedic Suite Help 80.2.14.0

Documenting Office Procedures

You can document various procedures that are performed in the office. You can use the Office Procedure grid in the Physical Exam panel on the Billable Visit template to document various office procedures. This grid displays the office procedures documented for the today’s visit. Note: The cast and splint application procedures are not displayed in the Office Procedure grid. Office Procedures grid on the Billable Visit template You can document the following office procedures: Cast and splint application Strapping Compartment pressures Laxity I & D Debridement Diabetic foot Epidural injections Laceration repair The following table describes the buttons available below the Office Procedures grid. Button Purpose Supplies Document the supplies for office procedures. ABN Add advance beneficiary notice of non-coverage (ABN). Epidural Document epidural injections. Add Add office procedures. Edit Edit office procedures. Remove Remove office procedures. Access Office Procedure Templates You can

NextGen® Medication Inventory Control Help 10.6.3.0

Document Injection Procedure Information

You can manually document injection procedure in the Procedure Type panel on the MICS Injections/Aspirations template. You can manually document the injection procedure in following fields or using a Quickpick. On the MICS Injections/Aspirations template, expand the Procedure Type panel. Select the Procedure Type as Injection. In the Admin Type field, select administration type. The Body Parts picklist opens. Select the body part from the picklist, and select OK. The Sides picklist opens. Select the side from the picklist, and select OK. The Locations picklist opens. Select the location from the picklist, and select OK. The Portal/Approach picklist opens. Select the portal and approach from the picklist, and select OK. All the fields display the values you selected. The CPT code field is filled based on the Admin Type selected. The Modifier field is filled based on the Side selected. To associate a diagnosis code with the procedure, select a diagnosis in the Diagnosis field. Note: If y

NextGen® Adaptive Content Engine Help Enterprise 8

Document Penile Injections

On the Procedure - Penile Injection template, you can document the details of the penile injection procedure including the pre-procedure care, injection status, anesthesia, and post-procedure and follow-up instructions. On the SOAP template, select the Procedures link. The Procedures template opens. In the Genitourinary section, click Penile Injection. The Procedure - Penile Injection template opens. Procedure - Penile Injection In the Indication section, click Description , and select a diagnosis. The code is automatically filled. To enter a saved default set, click Quick Load and Save. In the Pre-procedure care section, select the appropriate check boxes after explaining the procedure details to the patient. Note: To add more information about the consent, click the Consent link. In the Procedure section, select the procedure type. In the Injection Status section, select the injection status. In the Anesthesia section, select the anesthesia from the list and then enter the dosage det

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Cosmetic or Therapeutic Injection Pre-Procedure

On the GET template, click Cosmetic Injectable. The Cosmetic Injectable template opens. In the Pre-Procedure care section, after explaining the details of the procedure to the patient,select the relevant options. Note: To document additional details on the consent, click the Consent link. To record that you answered all the questions asked by the patient, select the Questions answered check box. To record that you explained each procedure and the associated risk to the patient, select the Procedures/risks were explained check box. To record that you confirmed the side and exact location of the procedure, select the Correct side and site check box. To record that you confirmed the identity of the patient and that it is the correct patient, select the Correct patient identified. To record the patient's position during the procedure, click Position and select the details. Note: To record a position not available in the list, select the blank field at the top and type in the position. To s

Document an Epidural Injection

Recommendations

Document Diabetic Foot Wound Care

Document Debridement Procedures

Documenting Office Procedures

Document Injection Procedure Information

Document Penile Injections

Document the Cosmetic or Therapeutic Injection Pre-Procedure

Document Diabetic Foot Wound Care

Document Debridement Procedures

Documenting Office Procedures

Document Injection Procedure Information

Document Penile Injections

Document the Cosmetic or Therapeutic Injection Pre-Procedure