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

NextGen® Therapy Suite Help 30.3.13.0

Ancillary Services

The Ancillary Services visit type selected on Homepage opens the Ancillary Services template. This visit type does not increase the patient’s SOC on Homepage. Ancillary Services visit type selected on NTS Homepage With the Ancillary Services template, you can see patients for concussion testing and H-wave testing and document findings for baseline readings prior to injury or post injury. It also includes a Concussion Document. You must select Start Time before you can document any information. Select the Patient seen for text field to open a picklist of ancillary services. Ainf Cpt Code Multi View picklist Select the ancillary service that you want to document on. The service you choose determines the charges that appear below the Comments field. Enter the provider’s name or select the Provider button to select it. Select the select the patient’s school or team. Make any necessary notes in the Comments field. Select the checkbox for the Charge to apply. If you select the checkbox Manua

NextGen® Therapy Suite Help 30.3.13.0

Default Sub Navigation Links

Link Description Appts Opens a window that lists any appointments for the patient and their statuses. Phone Call Opens the Telephone Call template where you can document phone communications with or regarding the patient. See Telephone Call Template. Transcription Opens a template where you can document information about the patient in a letter format. See Transcription Template. Documents Opens a configurable picklist of available documents that you can manually generate. Cancel Opens a template where you can document a canceled visit or no-show. See Cancel Template. Pre-cert Opens a template where you can document pre-certification requirements and authorizations. See Pre-cert Template. Worklog Opens a configurable picklist of available worklogs. See Worklogs. ABN Opens the ABN template where you can document the need for an Advance Beneficiary Notice (ABN) and print the document for the patient to sign. See Document an Advanced Beneficiary Notice of Non-Coverage (ABN). CCDA Narrativ

NextGen® Therapy Suite Help 30.3.13.0

Using NextGen® Therapy Suite

NextGen® Therapy Suite supports ambulatory rehab providers in physical therapy, occupational therapy, speech therapy, audiology, chiropractic care, and more. Its comprehensive and configurable clinical content is designed to seamlessly document the patient visit and create billing from documentation based on payer-specific billing rules controlled by the practice. With this therapy clinical content, staff can work efficiently with tools designed to maximize reimbursement and margins per visit. NextGen® Therapy Suite also provides automated tracking of Scripts, Plan of Care, Pre-certifications, and Medicare Caps with provider alerts and real-time worklogs for support staff. Annual updates ensure NextGen® Therapy Suite complies with regulatory standards. Homepage Template Navigation and Documentation Shortcuts Pre-staging PT/OT Treatment in the Rapid Flowsheet Template In the Rapid Flowsheet template, you can enter physical and occupational therapy treatment information before patient ch

NextGen® Orthopedic Suite Help 80.2.14.0

Record the Medicare ABN Information

Use the Medicare ABN template to enter basic information on the Medicare ABN form. Medicare ABN template Click the Forms link, and double-click Medicare ABN from the list. Click the Service Types field to select the service and items, which may not be covered by Medicare. Enter the Identification Number for the patient. Click the Items or Services field to type in items or services. If the patient received an injection, click the Injections field to select it. Click the Reason Medicare May Not Pay field to select a reason. Click the Estimated Cost field and type in the estimated cost of the items and services. Select the check box for Option 1, Option 2, or Option 3 based on the patient’s response. You can also leave this blank for the patient to select it once printed. Select the Done check box. This enters the name of the logged-in user, with a date and timestamp. Click the ABN Form document button to generate the document. Parent topic: Forms

NextGen® Enterprise EHR Help

Medical Necessity Setup

You must set up the NextGen® Medical Necessity Check to determine if Medicare will pay for a test when selecting a diagnosis for an order and run it when you place a test order. If Medicare or other insurance does not cover the costs of the test, you can print an Advanced Beneficiary Notice (ABN) and record the patients' decision about how to handle test codes. If an order does not contain Medicare or other insurance then you can't run NextGen® Medical Necessity Check as this follows the Medicare guidelines. Note: You need to obtain a license to run NextGen® Medical Necessity Check. To set up the NextGen® Medical Necessity Check locations, do the following: Access and download the NextGen® Medical Necessity Check update package from the NextGen Healthcare Success Community. This package populates the Locations (and associated data) in the Orders Module tab. Set up the appropriate NextGen® Medical Necessity Check encounter level insurance for the appropriate location. For more informati

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

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

Recommendations

Ancillary Services

Default Sub Navigation Links

Using NextGen® Therapy Suite

Record the Medicare ABN Information

Medical Necessity Setup

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

Ancillary Services

Default Sub Navigation Links

Using NextGen® Therapy Suite

Record the Medicare ABN Information

Medical Necessity Setup

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