Record the Medicare ABN Information

NextGen® Orthopedic Suite Help 80.2.14.0

Complete the Medicare ABN Form

To open the Medicare ABN template, do one of the following: Click the ABN button below the Office Procedures grid on the Billable Visit template Click the Medicare ABN button on the Cash Supplies template Click the Forms link and select Medicare ABN Medicare ABN template Click the Service Types field and select the service type from the picklist that opens. (Optional) Enter the Identification Number. Click the Items or Services field and type in any items or services provided to the patient. Enter the Injection. Click the Reason Medicare May Not Pay field and select an ABN reason. Enter the Estimated Cost if that information did not pull into the field automatically. Select one of the three options for service payment. Select Done. This enters your name in the field with a date and time stamp. Click the ABN Form document icon to generate the form. Parent topic: Physical Exam Panel

NextGen® Orthopedic Suite Help 80.2.14.0

Forms

The Forms link opens a list of forms that enable you to do the following: Generate an attendant care request letter Generate excuse letters to restrict participation in, or excuse the patient from school, gym, return to work, jury duty, and, travel Generate letters for referrals, Medicare ABN, and replacement services Generate missed appointment and termination of care letters Forms link Forms picklist Creating Excuse Notes and Generic Letters You can create generic letters and excuse notes for a patient to describe the restrictions due to an injury. Complete the Return to Work Form Enter Attendant Care Complete the Replacement Services Form Documenting Missed Appointment Details If a patient misses an appointment, you can document the reason and track action items. Termination Template Complete the Jury Duty Form Document Laceration Repair Procedures You can document the laceration repair procedures that are performed in the office. Complete the Travel Excuse Form Med Rec Release Temp

NextGen® Therapy Suite Help 30.3.13.0

Document an Advanced Beneficiary Notice of Non-Coverage (ABN)

You can document items and services that may not be covered by the patient’s Medicare insurance and whether the patient chooses to receive them. Open the NTS Therapy ABN template from the ABN sub-navigation link. By default, this link is on the NTS Homepage template; it also appears on other templates. NTS Therapy ABN template Select any provider field to enter or change the name of that provider. The providers’ names are pulled from other templates. The Rendering Therapist field is required. Select the Service Types field, and then select the types of items or services that Medicare may not pay for. If the patient has an identification number, enter it in the Identification Number (Optional) field. Enter text to describe the items or services in the Items or Services field. Select the field Reasons Medicare May Not Pay, and then select a reason from the picklist. Enter an estimated cost for the items or services in the Estimated Cost field. Select one of the three Options for payment

NextGen® Therapy Suite Help 30.3.13.0

Manage ABN Link

The Manage ABN link opens the ABN History template, which shows any historical ABNs on file for the patient. When the patient has signed the ABN document, select the Manage ABN link. Manage ABN link The ABN History template opens. Select Add. The ABN CPT Codes window opens. Use the filters at the top of the grid to narrow down the list of codes available. You must move at least one code, or the asterisk (*) to the Included grid. ABN CPT Codes window Select a code in the Available grid that is relevant to the ABN or select the (*) to designate all codes. Select the right arrow to move the selection to the Included grid. Codes in the Included grid have the GA modifier attached to them on the Fee Sheet. Codes billed that are not selected as Included for the ABN do not get the GA modifier. Select Add when done. The selected codes are entered the ABN History window grid. Select Close. The system records that the ABN has been signed and is on file, and marks the Signed ABN checkbox, which ca

NextGen® Orthopedic Suite Help 80.2.14.0

Document Cash and Carry Supplies

You can document any cash and carry items handed out during the visit. These items do not require a script. The total amount owed for the cash supplies is displayed on the Check-Out template for front desk staff to collect at check-out. Click the Supplies button below the Office Procedures grid. The Cash Supplies template opens. Cash Supplies template Select the item from the Cash Supplies grid. This enters the selected item, code, and price into the fields below the grid. Enter the quantity in the Qty field. Select a diagnosis from the Diagnosis grid. The Diagnosis and DX Code are filled. Repeat steps 2-4 to add as many items as needed. Click Calculate to calculate the total amount owed. Note: The Total amount pushes to the IORTS Check-Out template for staff to collect at check out. Enter the provider’s name in the Provider field. If you intend to include cash supplies on the ABN form for Medicare, click the link Click to add items to ABN. The selected cash supplies are added to the A

NextGen® Enterprise EHR Help

Obtain the ABN Report and Verify Cost Coverage When a NextGen® Medical Necessity Check Fail

When you run the medical necessity check for a patient with Medicare or another insurance (which follows Medicare guidelines), if the test fails, a notice displays. A red X is returned when you select Check Medical Necessity for an order. Note: If you receive a Cannot Confirm message, Medicare coverage for the selected tests cannot be determined. This message is not the same as a failure. Run the NextGen® Medical Necessity Check again to confirm coverage. If the NextGen® Medical Necessity Check fails, do the following: In the Select Medical Necessity Failure Reason window, select the reason for the failure. To print an Advanced Beneficiary Notice (ABN) to give to the patient, select Print ABN. The ABN includes the reason for the failure. To preview the ABN before you print it, select Preview ABN. Contact the patient to determine how the patient would like to pay for the services. Document the patient's payment option in the ABN Options section on the Assign Diagnosis to Select Tests pa

Record the Medicare ABN Information

Recommendations

Complete the Medicare ABN Form

Forms

Document an Advanced Beneficiary Notice of Non-Coverage (ABN)

Manage ABN Link

Document Cash and Carry Supplies

Obtain the ABN Report and Verify Cost Coverage When a NextGen® Medical Necessity Check Fail

Complete the Medicare ABN Form

Forms

Document an Advanced Beneficiary Notice of Non-Coverage (ABN)

Manage ABN Link

Document Cash and Carry Supplies

Obtain the ABN Report and Verify Cost Coverage When a NextGen® Medical Necessity Check Fail