A/R management
Our technology and team of experts identify and work all claims that are denied, underpaid, or not paid at all. Certified billing experts ensure that all claims are followed up with speed and accuracy until payment in full.
Financial Growth
starts with RCM
and Credentialing
starts with RCM
and Credentialing
NextGen Healthcare RCM and Credentialing Services simplify billing, streamline payer enrollment, and reduce denials—helping your practice cut costs and focus more on patient care, not paperwork.
COMMITTED TO YOUR SUCCESS
Experience the benefits of NextGen Healthcare RCM services
Maximize practice efficiency
Significantly improve ROI by integrating your EHR, practice management (PM) system, cloud-hosting software, e-Prescribing platform, electronic eligibility checks, and clearinghouse.
Expedite claims
Maximize revenue with a predictive rules engine to help ensure that 98% of your claims are accepted and paid after the first submission.
Improve decision-making
Take advantage of analytics dashboards and reports on your key metrics—as well as drill-down data mining capabilities and peer comparisons to inform decisions.
Free staff from tedious tasks
Instead of requiring your staff to spend hours on paperwork and phone calls as part of credentialing, let us complete and submit every form and application for you. Our team will update you weekly.
Apply comprehensive training
Engage an expert trainer to help your staff better manage claims, post payments, and capture denial information to save time.
Diversify your payer mix
Let our experts manage credentialing and fee schedule review for your practice. We’ll help monitor and maintain licenses and time-sensitive credentials. We’ll also help your practice negotiate fee schedules with payers.
PRODUCT HIGHLIGHTS
Advantages of NextGen Healthcare RCM Services
Partnership approach
Your practice should expect a level of shared accountability from a dedicated RCM partner that enables your staff to shift their focus from financial management to other essential functions, such as high-quality care.
Learn More
Claims management
Our team has proprietary tools that streamline claim review and release as well as management tools that optimize Insurance account receivable management. We respond quickly to claim corrects and resubmissions, appeal denied claims, and minimize delays to cash flow.
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.
Account management
We provide each RCM client with a dedicated client manager who’s an expert in their specialty. This ensures a one-stop source for questions or concerns. Your client manager will ensure you’re not left wondering what to do or who to ask.
Claim edits
Our claim edit technology uses a rules-based engine that applies standard and custom edits. These edits support accurate claim submission for maximum payment. This customizable solution will improve your practice’s coding and billing accuracy.
Peace of mind
Financial challenges are more manageable when you have a trusted advisor taking care of your vital business functions and expertly navigating you through uncertain times. We’ll submit claims, follow up on A/R, and support your practice.
RELATED CONTENT
Learn more about NextGen Healthcare RCM Services
EVERY DOLLAR YOU DESERVE
7 Revenue Cycle Best Practices
Improve both your current financial situation and long-term outlook with a focus on the right revenue cycle tactics and solutions. This E-book discusses steps you can take to ensure you get paid every dollar you deserve.
People are loving NextGen Healthcare
Hear what our clients have to say about NextGen Healthcare RCM Services
READY TO UPGRADE YOUR PRACTICE?
Make the switch to NextGen Healthcare
