MCR Clinical Impression

NextGen® Therapy Suite Help 30.3.13.0

Add a Finclass or Payer Setting

In the NTS System Config template, expand the Finclass and Payer Settings panel, and then select the text field below the Fin Class Name column. A picklist opens that displays the full list of financial classes built in File Maintenance. Choose the financial class that you want to set up. (Optional) To apply your setting only to a specific payer in that financial class, select the text field below the Payer Name column. The default is all payers, indicated by an asterisk (*). Choose one of the options below the Script / POC column: POC – Req – a POC is required on all payers in this financial class. The POC will be generated as needed when the Fee Sheet is submitted, is tracked in the POC worklog, and must be signed off so that care can continue. POC – Track – a POC document will be generated as needed upon submission of Fee Sheet submission, be tracked in the POC worklog, and IF signed and returned will update the script on Homepage. If the POC is not returned, the staff can remove it

NextGen® Therapy Suite Help 30.3.13.0

Requiring Progress Visits

You can specify if a Progress visit will be required by number of days or number of visits, whichever comes first, for either the patient’s primary insurance or a payer listed anywhere on the case. Finclass Settings in the Finclass and Payer Settings panel of the System Config template You can configure the requirement for an entire financial class or a specific payer. Once set up, an alert appears when the NTS Homepage is opened to let the therapist know that a progress visit is needed on the visit. If configured, a Progress visit must be done on that visit, or you will not be able to submit charges; there will be a hard stop on Fee Sheet – cannot submit charges. You will not be able to submit charges on the Fee Sheet. Parent topic: Finclass Settings

NextGen® Therapy Suite Help 30.3.13.0

Finclass Settings

Use the Finclass Settings grid to specify financial classes and payers within financial classes that: Require a Plan of Care (POC – Req) Track a Plan of Care (POC – Track) Use the Script document (Script) Require none of the above (None) In this grid, you can also set timeframe requirements for scripts and progress visits. Add a Finclass or Payer Setting Requiring Progress Visits You can specify how often a progress visit is required. Track MCR Certification Change Certification Timeframe MCR Clinical Impression Parent topic: Finclass and Payer Settings Panel

NextGen® Therapy Suite Help 30.3.13.0

Medical Necessity Field

The Medical Necessity field can be configured to be hidden, visible (not required), or required on Eval and Progress visit types for those financial classes/payers designated in the configuration in the System Configuration system template. If required, the field title is red until it contains an entry. Medical Necessity field Document Medical Necessity Parent topic: Assessment Panel

NextGen® Therapy Suite Help 30.3.13.0

Medical Necessity

The Medical Necessity field can be configured to be hidden, visible (not required), or required on Eval and Progress visit types for those financial classes/payers designated in the configuration in the System Config system template. If required, the field title is red until it contains an entry. Medical Necessity field Document Medical Necessity Parent topic: Speech Assessment Panel

NextGen® Therapy Suite Help 30.3.13.0

Document Medical Necessity

Select Clinical Impressions. The Medicare Clinical Impressions template opens. Medicare Clinical Impressions template The top three checkboxes provide leading sentences for the documentation. Selecting No changes satisfies documentation if there has been no change in the medical necessity for treatment since the patient’s last visit. Note: To fill in the Medicare Clinical Impressions template, you can use Get Data to pull information from a prior visit. See Use Get Data Select all checkboxes that apply. Select Save & Close. Your selections in the Medicare Clinical Impressions template are converted to prose in the Medical Necessity field. Clinical impressions converted to full sentences in the Medical Necessity field Parent topic: Medical Necessity Field

MCR Clinical Impression

Recommendations

Add a Finclass or Payer Setting

Requiring Progress Visits

Finclass Settings

Medical Necessity Field

Medical Necessity

Document Medical Necessity

Add a Finclass or Payer Setting

Requiring Progress Visits

Finclass Settings

Medical Necessity Field

Medical Necessity

Document Medical Necessity