Medical Decision Making

NextGen® Orthopedic Suite Help 80.2.14.0

Sign-Off

Once all information has been entered, sign off on the template (if you are not using PAQ functionality) and go to the Finalize Visit template to submit the charges. Parent topic: Assessment and Plan for Non-Billable Post Op Visits

NextGen® Orthopedic Suite Help 80.2.14.0

Assessment and Plan for Non-Billable Post Op Visits

The Assessment and Plan panel allows the provider to document a post-op visit for an initial fracture care procedure, the plan, verbal counseling, and next visit information. The Diagnosis grid displays the patient’s diagnoses. The system defaults to the Orthopedic option to view Orthopedic-specific diagnoses. The Medical option displays non-orthopedic diagnoses. Assessment and Plan panel on the NBV Single Fx template Add Today’s Diagnosis Medical Decision Making Sign-Off Parent topic: Non-Billable Fracture Care Post-Op Workflow

NextGen® Orthopedic Suite Help 80.2.14.0

Medical Decision Making (MDM)

You can enter plan information. A plan may include any verbal counseling done, medications, office procedures, diagnostic tests, labs, DME, patient education, and designated follow-up visits. You can enter data in these ways: Click Get Data to load in MDM information from previous encounter. Click the star or double star icon in the QuickPick toolbar to load a template default. Select radio buttons, click fields to select entries from picklists, or click fields to type comments or add additional items. The fields are all picklist-driven and configurable in the Picklist Configuration template. Parent topic: Assessment and Plan Panel - Single Fracture

NextGen® Orthopedic Suite Help 80.2.14.0

Medical Decision Making

You can enter in the plan information. Each body area has its own plan section. The plan includes any verbal counseling done, medications, office procedures, diagnostic tests, labs, DME’s, patient education, and an area to designate follow-up visits. These fields are all picklist-driven and fully configurable within the Picklist Configuration template. You can enter data multiple different ways: Click each field to select items from configurable picklist. Click on the star or double star icons in the QuickPick Toolbar at the top of the Fracture Care template or from the MDM button that opens the MDM template to load a template default. Click the MDM button to launch a template where you can use the Get Data button to load MDM information from previous encounter. Parent topic: Assessment and Plan Panel for Poly Trauma

NextGen® Orthopedic Suite Help 80.2.14.0

Medical Decision Making for Multi Fractures

You can enter in the plan information. Each fracture care code has its own plan section. The plan includes any verbal counseling done, medications, office procedures, diagnostic tests, labs, DME’s, and patient education. There is also an area to designate follow-up visits. These fields are all picklist-driven and fully configurable on the Picklist Configuration template. You can enter data multiple different ways: Click each field to select items from a picklist. Click on the star or double star icons in the QuickPick Toolbar at the top of the Fracture Care template or from the MDM button that opens the MDM template to load a template default. Click the MDM button to launch an MDM template where you can use the Get Data button to load MDM information from previous encounter. Parent topic: Assessment and Plan for Multiple Fracture

NextGen® Orthopedic Suite Help 80.2.14.0

Enter Plan Information

Entering a plan includes documenting Management (for example, medications, office procedures, DME), Diagnostics (procedures, tests, labs, consults) Instructions to the patient, and Printed Materials given to the patient. This panel also has an area to enter Verbal Counseling and one to designate Next Visit time frame and X-rays. The fields (except Verbal Counseling) are picklist-driven and configurable in the Picklist Configuration template. You can enter data in these ways: Click fields to select items from configurable picklists. Click on the star or double star icon in the QuickPick Toolbar at the top of the Non-Billable Visit template to load a template default. Type text in the Verbal Counseling fields to describe verbal counseling. Once all information has been entered, sign off on the template (if not utilizing PAQ functionality) and click the Finalize button to open the Finalize Visit template to submit charges. Parent topic: Assessment and Plan (MDM) Panel Parent topic: Assess

Medical Decision Making

Recommendations

Sign-Off

Assessment and Plan for Non-Billable Post Op Visits

Medical Decision Making (MDM)

Medical Decision Making

Medical Decision Making for Multi Fractures

Enter Plan Information

Sign-Off

Assessment and Plan for Non-Billable Post Op Visits

Medical Decision Making (MDM)

Medical Decision Making

Medical Decision Making for Multi Fractures

Enter Plan Information