With hospital and medical practice bottom lines rapidly eroding, there is an acute need for outside business expertise. With NextGen Practice Solutions as your revenue cycle management (RCM) service partner, we’ll:

• Analyze your current revenue cycle to determine issues that may be hindering your cash flow and growth
• Customize and adapt our services to meet your unique practice requirements
• Create workflow processes to streamline your operation and reduce your expenses
• Align your business office requirements with your clinical activities
• Identify specific examples of missed revenue, and educate your staff
• Jointly establish goals and metrics, and regularly provide you with detailed performance reports

With NextGen Practice Solutions, you no longer need to spend money on software support, a billing staff, space, or technical and financial consultants. We provide it all with a superior level of service, a genuine familiarity with your practice and the business acumen that makes you confident in our responses.

• Account Management with knowledgeable account managers to act as your business partners, and communicate practice performance metrics, financial outcomes, trends, and information on opportunities for revenue improvement.
• Accounts Receivable Management for the time-consuming task of tracking your accounts receivables from payers to patients, using task management software designed to keep your A/R days at a minimum.
• Accounts Receivable Wind-down services required to closeout your account receivable programs from many other systems used today.
• Billing and Collection services including registration, charge capture, claim submission, payment posting, claim follow-up, contract management, and financial reporting and analysis.
• Revenue Cycle Management Consulting services including profiles of reimbursement areas, fee schedule analysis, contract compliance review, coding evaluation, and an assessment of best practices.
• Coding and Compliance Reviews handled by a fulltime staff of certified coders who conduct evaluation and management audits, including detailed reports on revenue opportunities and compliance risk. Coders are CPC, CPC-H and AAPC-approved.
• Provider Credentialing tracks and manages provider credentialing using Vistar Technologies VIP credentialing software and complies with all JCAHO, NCQA and CMS requirements. For collection of provider data, we use the Council for Affordable Quality Healthcare (CAQH) Universal Credentialing DataSource (UDC).
• Payment Posting for payments and denial information using the Electronic Admittance Advice and lockboxes where available – linking EOB images to each encounter.
• Practice Start-up Services for new physicians and practices, establishes revenue management cycles before physicians and practices begin to operate.
• Technology Management and Solutions include hardware and software maintenance programs, a paperless billing process, digital charts, and complete training and support program for end users.
• A full range of revenue management services integrated with NextGen EHR and Enterprise Practice Management systems, ePrescribing, Community Health Solution data exchange, and the NextMD physician-patient communications portal, provides you with a complete solution.

Our solution is simple – you focus on provider care, we’ll take care of everything else. Our total solution provides:

• A collaborative, safe path to a total solution – electronic health records (EHR), enterprise practice management (EPM), revenue cycle management (RCM), Pay-for-Performance (P4P), patient portal (NextMD), connectivity solutions (CHS).
• A solution that meets the ”Meaningful Use” requirements of the Health Information Technology (HITECH) provisions that are included in the American Recovery and Reinvestment Act (ARRA). NextGen EHR is CCHIT-certified; reports clinical quality measures, exchanges electronic health information, and supports electronic prescribing.
• Services augment or reduce your staff by responding to billing and collection inquiries, posting payments, and doing follow-up with third parties.
• Expanded revenue cycle services including workflow analysis, technology management, practice start-up services, and pay-for-performance.

With NextGen Practice Solutions’ scalable, enterprise architecture we can connect large, multiple-location healthcare organizations to one database to allow for centralization of appointments, coding and other business processes. This allows you to share demographic data while still complying with privacy laws, plus it streamlines referrals. When you also integrate NextGen EHR with NextGen Enterprise Practice Management (EPM) system, you’ll improve clinical and administrative data sharing.

Choose either a hosted (Application Service Provider – ASP) or a non-hosted solution. With an ASP hosted model, all you pay is a one-time installation fee covering training and configuration, and a fixed monthly subscription fee for access to the practice management and/or electronic health record system. We host, maintain and support the software you choose – your staff uses the software just as if you had purchased it. If a question arises, call Practice Solutions for an answer.