Revenue Cycle Management

Achieve a faster, more effective revenue cycle

To thrive and grow your practice, it’s critical to maximize revenue integrity by preventing denials, increasing net collections, accelerating collections, reducing days in A/R, and enhancing the patient experience. Achieve the best possible financial outcomes with NextGen RCM Services.

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Time for Change

Why the opportunity to optimize RCM is NOW

RCM is one area where large health systems tend to outperform independently owned practices. Independent practices usually do not have equivalent technological and human resources or capital to invest in RCM solutions. How can your practice overcome the RCM challenge?

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Experience the benefits of NextGen RCM Services

Tailored to your unique needs

Select only the services that your practice needs—claims management, payment management, staff augmentation, coding services, analytics, credentialing services, and patient statement services.

Optimize your revenue cycle

NextGen RCM Services allow you to increase collections while dedicating fewer resources. It enables you to dedicate more practice resources to where they are most needed for the delivery of care.

Cutting-edge technology

Claims submission, payment management, and credentialing are centralized and managed using a centers-of-excellence approach. A/R and denial prevention are tailored to your specialty's needs.

Actionable financial insights

Financial analytics available through customizable dashboards allow you to drill deeper into data. We aggregate key financial data from all payers, in all specialties, enabling us to track more than 100 KPIs.

Expert consultation and guidance

Access specialty-based expert guidance to ensure you get the most out of your RCM services. Your practice’s specific needs are addressed by a dedicated client manager with specialty expertise.

Free up your staff

Reduce administrative burden on your staff and allow them to focus on higher value tasks. We work with you to maximize operational efficiency, optimize reimbursement, and achieve full regulatory compliance.

RCM Your Way

Choose RCM services for your specific needs

A/R recovery

A professional recovery support team will follow up on your outstanding A/R. Many practices have received A/R recovery support from NextGen Healthcare. These practices have achieved results ranging from 3x to 10x return on their investment in A/R recovery services.

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Eligibility services

We’ll help you implement a consistent, accurate eligibility verification process, decrease eligibility-related denials, and accelerate cash flow. When denials are fewer, more cash flows. Services include optimization of NextGen Healthcare’s automated eligibility verification tool.

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Analytics with consultative services

Access the power of analytics. identify metrics that are falling behind and find ways to address them. Each month, your data is examined, explained, and elaborated upon by a subject matter expert trained in RCM for your specialty area.

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Payment posting

Your practice will benefit from the support of skilled professionals as well as deployment of proprietary software tools to maximize automation and efficiency. The result: less staff time consumed by posting and deposit reconciliation, improved accuracy, and lower administrative costs.

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Credentialing

Credentialing is time consuming and labor intensive. NextGen Healthcare has the staff and technology to speed the process. Instead of spending hours on paperwork and phone calls, let us complete and submit every form and application for you.

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Coding services

We will take the bulk of your coding burden off your plate. Based on your documentation, our coders will extract and assign the appropriate codes to document the extent of services and complexity of care performed by your providers.

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About RCM from NextGen

People are loving NextGen Healthcare

Hear what our clients have to say about our fully integrated health IT solution and specialty-specific content designed to meet the clinical and financial goals of your practice.

RCM has been super. I cannot say enough good things about them. They’ve gone above and beyond in helping us with claim adjustments. They’ve helped us clean up our old accounts receivable. They hit the floor running.

Christy Hewitt, RN

Director of Operations

Vision Care of Maine

The NextGen Healthcare team fights harder—not just for the low-hanging fruit but also for stuff that’s more difficult to collect. As a result, we’re making more money. We’ve seen that in our numbers, too.

Shawn Hawley

Chief Operating Officer

Retina Consultants of Houston

An important thing for us was to choose a vendor that could do the FQHC billing for us. It is very specialized; there are a lot of intricacies. NextGen Healthcare stood out because they provide a fully integrated medical record.

Bryan Brady

Chief Executive Officer

First Care Clinic