Document Past Medical History for Fracture Care

NextGen® Orthopedic Suite Help 80.2.14.0

Submitting Charges to Finalize a Visit

You can enter the visit details, today's diagnoses, and procedures to submit charges and finalize visit. You can use various sections on the Finalize Visit template to add data and submit charges for finalizing a visit. In the Non-Billable & Initial Fracture Care grid, you can select the appropriate option for the current workflow to add it to the coding grid. When you select any option except No services rendered in the Non-Billable & Initial Fracture Care grid, the IORTSfinalize Po window opens for entering the dictation used for any part of the visit. If dictation is not configured for the provider or the practice, the IORTSfinalize Po window does not open. For the options that have associated task configured, the Add New Task window opens before the IORTSfinalize Po window. After you assign the task to the desired user or work group and close the Add New Task window, the IORTSfinalize Po window opens. If no services are provided to the patient, you can select No services rendered,

NextGen® Orthopedic Suite Help 80.2.14.0

Document Providers and Patient Histories for Preregistration

You can add patient histories and the details of the providers for preregistration of a patient. On the Pre Reg template, click the Clinical 1 tab. The Clinical 1 template opens. Clinical 1 template Note: The fields in the Appointment, Contact Information, and Best Time sections are automatically filled with the values on the Pre Reg template. You can update the fields below Best Time. Double-click the Pharmacy field. The Preferred Pharmacy window opens. Add the preferred pharmacy for the patient. Review the preferred pharmacy, and select Reviewed. Review the following details, and select All Reviewed. Appointment Pharmacy Contact Information Best Time In the Providers panel, add the details of the providers and shared care facilities. Providers panel on the Clinical 1 template To enter the details of previous treatments, do the following: Click Previous Treatment. The IORTSprev Treatment window opens. IORTS Previous Treatment window Type the details of the previous treatments. Select

NextGen® Orthopedic Suite Help 80.2.14.0

Access the FC Past Med Hx Template

You can access the FC Past Med Hx template from the Home template. On the Home template, click the New Fracture tab. The Navigation window opens. Select any fracture care template from the list, and click OK. The selected template opens. On the fracture care template, click the Past Med Fx tab. The FC Past Med Hx template opens. FC Past Medical History template Parent topic: Pre-Op Templates Related tasks Access the Home Template

NextGen® Orthopedic Suite Help 80.2.14.0

Document Pre-Operative History and Physical Examinations

You can review patient histories, document physical examinations, and add diagnosis details. On the Intake template, click the Non-Billable tab. The Navigation window opens. Select Pre-op H&P from the list, and click OK. The Pre-op H&P template opens. Note: The Patient is accompanied by field displays the data documented on the Intake template. You can change the value as needed. History panel on the Pre-op H and P template In the History panel, review the chief complaint, patient histories, medications, and allergies. Note: The fields in this panel are automatically filled with the data documented on the Intake template. You can document additional details or edit the details as needed. Enter the history of the present illness. In the Physical Exam panel, select an option from the left navigation bar, and document the physical examinations. Note: You can add or edit details in the following grids as needed. Vitals Today's Internal Radiology Orders Injections Outside Diagnostic Studies

NextGen® Orthopedic Suite Help 80.2.14.0

Document Patient History for Post-Operative Visits

You can document a patient's history such as details of the last injection, pain, medications, and allergies for a post-operative visit. On the Non Billable Visit template, expand the History panel. Enter the details of the last injection in the following order: Click the Last Inj field, select the last injection date, and then click OK. Enter the duration of the relief in hours, days, weeks, and months. Enter the details of pain as follows: Indicate the severity of the pain. Click the Pain Scale field, and select the pain scale from one to ten from the list. Click the Status % field, select the percentage of the pain status, and then click OK. Select one of the following to indicate the pain status. B. Better S. Same W. Worse In the Ambulatory Aids/Braces, Assoc Symp, and Function/Activity Level sections, do the following: Click the blank field, select the appropriate condition from the window, and then click OK. Indicate the applicability of the selected condition. Note: You can ente

NextGen® Orthopedic Suite Help 80.2.14.0

Patient History

You can review, add, and update the patient histories. The History panel on the Billable Visit template enables you to select the visit type and review the diagnoses, histories, medications, allergies, and review of systems of a patient. You can also add or update the details of the history of present illness (HPI). The following grids are automatically filled with the data documented on the Intake template. You can add, edit, and remove the data as needed. Diagnosis Orthopedic Surgical History Allergies Medical History Surgical History Medications Social History Family History Review of Systems History panel on the Billable Visit template Visit Type Quick Visit Add a Chief Complaint Document HPI of Patients You can document a history of present illness (HPI) for chief complaints. Signing Off Patient Histories After you review and update the patient histories, you can sign off the data to bill for the visit. Parent topic: Billable Visits Related concepts Patient Intake Details

Document Past Medical History for Fracture Care

Recommendations

Submitting Charges to Finalize a Visit

Document Providers and Patient Histories for Preregistration

Access the FC Past Med Hx Template

Document Pre-Operative History and Physical Examinations

Document Patient History for Post-Operative Visits

Patient History

Submitting Charges to Finalize a Visit

Document Providers and Patient Histories for Preregistration

Access the FC Past Med Hx Template

Document Pre-Operative History and Physical Examinations

Document Patient History for Post-Operative Visits

Patient History