- Electronic Health Records (EHR)
- Enterprise Practice Management (EPM)
- Community Health Solutions (CHS)
- NextMD Patient Portal
- Practice Solutions
We launched our Windows-based practice management system in 1994 to provide user-friendly technology for practices to manage appointments, billing, and other administrative processes. Today, NextGen EPM has helped hundreds of practices improve cash flow and productivity.
| NextGen Advantage | Hospitals & Health Systems | Group Practices | Small Practices |
To maximize a practice’s efficiency and workflow, NextGen Healthcare continually adds advanced features and functionality unique to our practice management system such as:
- WorkLog Manager, a feature that monitors and instantly responds to events occurring in the system by sending tasks in real time to designated staff members with instructions on what to do next; how to do it; and when to do it.
- Instant productivity transparency by tracking completed and outstanding tasks to measure operations and performance.
- Labor-intensive reports and business tasks can be scheduled to run automatically at a specified time.
- Integration with the NextGen product suite to enable consistent, real-time clinical and administrative workflow among providers, hospitals, and patients.
NextGen EPM’s scalable, enterprise architecture can connect large, multiple-location healthcare organizations to one database to:
- Centralize appointments, billing, A/R, collections, and other business processes
- Reduce costs of IT and system administration
- Share demographic data and comply with privacy laws
- Streamline referrals
- Generate roll-up “dashboard” reports or individual practice reports directly from EPM
- Improve clinical and administrative data sharing through integration with NextGen EMR
NextGen EPM goes beyond measuring charges and payments – it measures operations by tracking whether tasks have been completed, making staff accountable and allowing managers to monitor productivity.
Operational and financial reports can be quickly generated straight from the application at both the practice level and the enterprise level. Each practice has the power to run reports for their practice, while executives can analyze activities across the enterprise. Dashboards can be created to provide a daily snap shot of activity.
NextGen EPM can centralize appointment scheduling, billing, collections, and other business processes for group practices, while preference settings allow different locations, and in some cases staff, to operate according to their own workflow.
Workflow flexibility is the key to productivity. Yet, management can control business processes across practices because data is collected and centrally stored in a standardized, discrete format.
This gives practices real-time access to patient records from any location, to reduce redundancy and errors – and to provide patients with better service. At the same time, managers have instant access to reports, for financial and operational analysis, that are built into the system.
NextGen EPM features other practice-configured automation tools for increased productivity and management control, such as WorkLog Manager and Autoflow, a computer-guided check-in/check-out process.
Learn more about what NextGen can do for your Group Practice.
Overdue claims, denials, and time-consuming manual processes can kill cash flow in a small practice, where every dollar counts. Add ever-changing payer and coding rules, and it’s a wonder providers find time to practice medicine.
That’s why NextGen pre-loads your system with claims rules for Medicare and other payers, fee schedules, medications, and procedure and diagnosis codes. In addition to payer and clinical intelligence, NextGen EPM incorporates automation features that, when configured to follow your workflow, will:
- Check claims for errors before electronically submitting to a payer or clearinghouse
- Alert staff the instant a claim becomes overdue, with instructions for immediate follow up
- Obtain real-time eligibility verification prior to service, to troubleshoot payer issues
- And much more!
NextGen employs staff dedicated to staying on top of new rules and regulations that will affect your practice. Your sales consultant and the NextGen customer support staff proactively reach out to help ensure your system is ready for new regulations when they take effect.
WorkLog Manager
When configured to follow your practice’s business rules, WorkLog Manager monitors and responds to events in the system by sending tasks in real time to designated staff members. The system tracks whether the task has been completed, to help measure productivity.
Autoflow for Check-in / Check-out
A computer-guided process can be configured to walk front-desk personnel through each step of your patient check-in and check-out process. This step-by-step guidance is especially helpful with training new employees.
Background Business Processor
Business reports and tasks, such as encounter billing, statement processing, electronic claims, and batching and sending eligibility verification, can be scheduled to run automatically at a specified time to save bandwidth during office hours.
Eligibility Verification / Claim Status Checking
On-demand, batched, or automatic, verifying patient eligibility with a payer or checking the status of a claim can be done in real-time, with results appearing quickly.
Appointment Scheduling
Scheduling can be centralized for multiple locations with a search-ahead feature by doctor, day, time, and distance. Customizable, resource-based time durations start at 5-minute increments, and chain-event scheduling can be done on the fly.
Reporting
Straight from the application, you can generate memorized reports or use the application’s reporting tool to easily create new ones. Reports are interactive, providing line-item-level drill-down capabilities – claims can be worked directly from a report.
Electronic Claims
NextGen EPM checks claims for errors or missing information before electronically submitting to a HIPAA-compliant payer or to a clearinghouse. When the system identifies an error, it can be configured to send a task to the appropriate claims specialist to fix.
Denial Management
During electronic remittance, the reason code can be posted with a denial. WorkLog Manager can be configured to automatically send a task to the staff member assigned to a reason code to research the denial.
Aging Management
WorkLog Manager can be configured to trigger a task for the appropriate collectors for follow up the instant an account becomes past due, drastically reducing days in A/R.
Collections
When the insurance shifts from primary to secondary, the system can be configured to automatically submit the secondary claim electronically, to help improve collections.
Accounts Receivable
Payments can be posted electronically and the EOB can be stored in the patient's record.
Implementation
Planning and preparation are the two main factors contributing to successful implementations in over 1,800 practices.
Each implementation plan is designed to fit a practice’s schedule, resources, and needs. And, NextGen assists you with setting up your system to ensure minimal downtime. Your project lead will consult you on how to maximize the NextGen system’ capabilities within your workflow to increase efficiency – and ROI.
We pre-load and “short list” the most common procedure and diagnoses codes used by each practice. We pre-populate your system with claims rules for Medicare and other payers, fee schedules, medications, and practice data.
Training
NextGen has invested time and resources in our training program because of its significance to a successful go-live, and more importantly, ongoing user adoption.
Our multiple training options support different schedules and needs. Physicians and staff can attend courses at one of our four state-of-the-art facilities, take self-paced online eLearning, and train virtually by WebEx.
Post Go-Live Support
For six to nine months following implementation, NextGen assigns your practice a customer care specialist to provide a central contact point as your practice transitions to its new system.
Your customer care specialist can help you with tracking support calls, additional training requests, licenses, upcoming releases, new features, general questions, concerns, and more.
Our customer care program is a non-billable service provided by NextGen to ensure a high level of satisfaction.
The in-house NextGen customer support department is composed of industry professionals who specialize in particular areas of the NextGen application suite.
All support requests are responded to within two hours by a customer support analyst who specializes in the specific incident area for faster resolution. The assigned analyst remains the customer’s single point of contact until the incident is resolved. Support incidents are closed only with customer permission, to ensure complete satisfaction.
NextGen Healthcare follows best practices for incident, problem, and change management. The NextGen customer support department works closely with NextGen development to scope for new releases and implement lasting solutions based on customer feedback.
NextGen uses broadly accepted software standards to promote product compatibility and facilitate the seamless patient data exchange between your practice’s information systems and other healthcare entities.
From external information systems at payors, labs, pharmacies, and diagnostic imaging centers to other medical records systems, patient portals, and medical devices, by strengthening these connections within the continuum of care, NextGen puts you one step closer to accessing all of the data you need, when you need it.
NextGen has played a major role in helping to develop standards. We employee dedicated personnel, including a manager of interoperability and standards, to ensure our products are at the cutting edge of standards-related initiatives.
Standards used in the NextGen application suite:
- Health Level 7 (HL7)
- ANSI ASC X12
- Continuity of Care Record (CCR)
- Continuity of Care Document (CCD)
- ELINCS
- NCPDP Script 8.1
- XML
- https
- IHE XDS, IHE XDM
