NextGen Practice Solutions will assist you in establishing controls to capture the appropriate revenue and provide a mechanism to bill and collect properly. The result is assurance that all services performed are billed, and that everything billed is collected.

Our comprehensive receivables and reimbursement management services include:

• Charge capture process design/redesign focusing on internal controls and regulatory requirements
• Electronic claims submission
• Accounts Receivable - comprehensive collection module with follow-up protocols and performance tracking
• Detailed reporting and benchmarking for days in A/R, aging, cumulative collection percentage, charge and payment trending; reports can be filtered by payer, physician, location, department, and more

NextGen EHR offers coding optimization functions to help you maximize third-party payments and withstand audits scrutinizing how well your documentation supports coding. In addition, Practice Solutions offers:

• Full-time staff of certified coders including CPC, CPC-H, AAPC-approved instructors for the Professional Medical Coding Curriculum, and Certified Compliance Professionals
• E&M auditing with detailed report of findings including revenue enhancement and compliance risk
• Coding and documentation training and instruction
• Compliance plan development and review
• AAPC-approved CPC preparatory class with CPC exam

Aging technology, outdated processes, and unsupported software can lead to data loss and regulatory compliance challenges. NextGen Practice Solutions will help transition your practice to industry-leading technology solutions and best practices to improve operations with:

• Paperless billing and collection through NextGen EPM (enterprise practice management)
• Point-of-service charge capture, digital records management, and archiving through NextGen EHR (electronic medical records)
• Electronic eligibility verification
• Device connectivity
• Implementation support
• Digital imaging
• Process redesign, and software training and support

Improve control and knowledge over billing and clinical operations to ensure your claims and processes are tracked, controlled, and executed with utmost precision and effectiveness, while your practice workflow gains new efficiencies.

• Detailed review and assessment of coding, billing, and collections processes that affect Accounts Receivable and cash flow
• Significant emphasis on the proper internal controls and checks and balances necessary to successfully capture, bill, and collect all services performed by the practice
• Further emphasis on developing reporting benchmarks to track performance and set goals for the organization
• Thorough report of findings and assistance in implementing the proposed redesign

We can negotiate payer contracts as they relate to billing to optimize collections and identify loopholes for lost revenue.

• Insurance package management
• Review and negotiate payer contracts as they relate to billing
• Credentialing software for government, managed care, and other insurers
• Council for Affordable Quality Healthcare (CAQH) universal credentialing data source