With hundreds of live interfaces to trading partners, NextGen EPM clients are now benefiting from HIPAA regulations to reduce administrative costs.
Bypass expensive claims clearinghouses for your HIPAA solution as NextGen EPM allows you to connect directly with any HIPAA compliant trading partner without a license fee. With live 835 direct feeds and configuration to submit HIPAA compliant 837 claims files, many clients are now automating their transaction posting while complying with HIPAA claim transaction and code set standards.
Here are a few key features that differentiate NextGen® EPM from any other vendor’s solution, and help you comply with HIPAA claim requirements:
NextGen® EPM natively supports a HIPAA-compliant 837 claim output file that is accepted by ANY trading partner.
NextGen®
EPM natively supports the returned
835 ERA file.
With NextGen’s Real-time Transaction Server, practices can process realtime eligibility and referrals queries, with claim status capability coming soon.
Full acceptance and tracking of the 997 acknowledgement as well as the unsolicited 277 (claim status response) give clients better tracking of the status of their claims
Because NextGen’s exclusive Worklog Manager is integrated with the HIPAA standard transaction code sets, tasks can be automatically created and assigned when specified denial codes come in, when patients are ineligible, or when a patient’s insurance expiration date is sooner than a future appointment date
NextGen was proud to participate recently in a successful, industry-led pilot of the 275 claims attachment transaction. Read a press release on NextGen's critical role in this important CMS project.
For more information regarding NextGen Healthcare’s HIPAA positioning and 837 transaction code set compliance strategy, view the following white papers:
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