Medical Decision Making (MDM)

NextGen® Orthopedic Suite Help 80.2.14.0

Add a Diagnosis to Plan

The Diagnosis grid displays the patient’s diagnoses. You can add a diagnosis for today’s visit or use one from the Diagnosis grid. Filter the grid by selecting the Orthopedic or Medical option above the Diagnosis grid. Click Add under the grid to launch the Common Assessment template or click Problem IT if using IMO. Select a diagnosis to add to the patient’s history. Click Save & Close. Select a diagnosis from the Diagnosis grid to add it to today’s plan. The selected diagnosis moved to the Diagnosis field. Note: For the multi-fracture template, you can select the second and third diagnosis from the Diagnosis grid and the diagnosis are assigned to the Fracture 2 and Fracture 3 field respectively. Fracture Care Procedure Code Add Date of Injury, Initial Rx, and Global Date Submit the Fracture Care Code Parent topic: Assessment and Plan Panel - Single Fracture Parent topic: Assessment and Plan for Multiple Fracture Parent topic: Assessment and Plan (MDM) Panel Related concepts Diagnosis

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

Assessment and Plan Panel - Single Fracture

The Assessment and Plan panel enables the provider to submit a single fracture care code, document the plan, verbal counseling and next visit information. It also has quick links to cast or splint, DME, and office procedures. Assessment and Plan panel on the Single FX template Add a Diagnosis to Plan Cast/Splint, O/P Orders, and Office Procedures Medical Decision Making (MDM) Sign-Off and Finalize Fracture Care Visits Parent topic: Fracture Care Workflow

NextGen® Orthopedic Suite Help 80.2.14.0

Medical Decision Making

Providers can enter plan information. The plan includes any verbal counseling done, medications, office procedures s, diagnostic tests, labs, DME’s, patient education, and follow-up visits. These fields are all list driven and fully configurable within the Picklist Configuration template. Parent topic: Assessment and Plan for Non-Billable Post Op Visits

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 (MDM)

Recommendations

Add a Diagnosis to Plan

Medical Decision Making

Medical Decision Making for Multi Fractures

Assessment and Plan Panel - Single Fracture

Medical Decision Making

Enter Plan Information