NextGen Upgrade Changes - Core

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1 NextGen Upgrade Changes - Core Patient Information Bar Overview For female patients, access to the OBGYN Synopsis template is available by selecting the OBGYN Details button. The patient picture has been removed since it is available in the Patient Information Bar. Sticky Note section has been made larger. The new Pregnancy Outcomes data grid is visible Page 1

2 Intake/SOAP Template Reason for Visit Panel 1. The top reason for visits are still visible however, the user no longer has to select Additional/Manage to select a complaint not visible in the top The end user can select the blue drop down arrow to review additional HPI options. Page 2

3 2. To reduce the list further, the end user can type in the first letter of the desired HPI and select the drop down blue arrow for a condensed list. 3. The user can also free text in the Other field and select the Add button to add an HPI. Page 3

4 4. The user NO longer has the ability to space and free text to attach the Generic HPI. This will create two HPIs with the same name. The user should free text the HPI and select the backslash to use the Generic HPI. Example: uti/ Page 4

5 Intake/SOAP Template Reason for Visit Panel: HPI Generic Free Form The Generic Free Form HPI templates include all 8 E/M HPI Coding elements. The following fields have been added to the form: Context/Quality/Associated symptoms Intake Template Medication Panel The No Medication check box on the template has been renamed to No medications this encounter. The medications reconciled checkbox is auto-selected when the No medications this encounter checkbox is selected on the template. Page 5

6 Intake Template Orders Panel: Immunizations Update to the following templates to display immunizations: Intake template-orders Panel will be modified to have the label for View Immunizations Due to be replaced with Immunizations Today Histories Template - Problem List Panel The Problem List grid can now be edited from the Problem List panel without having to access the Problem Module. Page 6

7 SOAP Template Assessment/Plan Panel: A/P Details - Exclusions The system allows user to view the System measure on the CQM Results template. SOAP Template Assessment/Plan Panel: Referral Document Insurance and policy number will generate on Referral document when placing order on My Plan template. Page 7

8 SOAP Template Assessment/Plan Panel: CoSign/Review Orders The Cosign/Review Orders template is updated to include Immunizations. When the Cosign/Review Orders template is launched, the Immunization Today panel expands if data is present. This allows the user to signoff on all orders or a single immunization order using the radio buttons within the cosign template. Page 8

9 SOAP Template Assessment/Plan Panel: Plan Orders - Immunizations SOAP-Assessment/Plan Panel will be updated to include the information for immunizations and the status. If diagnosis is associated with the order within the Immunization Order Module, then a concatenated summary will display. Checkout Template Today s Orders: Immunizations Checkout template-today s Orders Panel will be modified to have the label for View Immunizations Due to be replaced with Immunizations Today Page 9

10 Procedures Generic procedures template and workflow are enhanced to address the billing of more than one CPT and ICD code from the template. Many procedures involve multiple CPT/ICD/modifier codes. To allow for the billing of more than one procedure code as well as billing modifiers: 1. In the Indications section, the new Description, Code, and Status fields function the same as the existing fields. Clicking the Description field launches the diagnosis search window. The Code field is read only. Clicking the Status field opens the status picklist. You can clear a clinical description and ICD code from the new description fields by selecting the Clear button. The Clear button becomes visible when a description is documented in the new description fields. Page 10

11 2. In the Procedure section, the Procedure description and Code fields include a modifier 1 and modifier 2 field on each row. The modifier fields launch a new modifier picklist. Clicking in the Procedure description field, launches the search engine. 3. Patient Identified and Correct site and side confirmed are now available Page 11

12 4. Procedure note field allows for further documentation. As well as Post procedure has been added with the use of My Phrases (Proc Instruction Phrase type). Page 12

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