Revenue Cycle Management

Claims Submission: Make it Clean and Save Time

Having a high clean claims rate indicates that your practice's processes for billing and managing claims are sound. Hear how ambulatory healthcare professionals successfully implemented RCM solutions and claims processing software.

Revenue Cycle Management

How real-time eligibility verification can enhance practice efficiency

With the health insurance industry in transition, the need for real-time medical eligibility verification has never been greater. With an EHR/EMR platform, featuring a medical eligibility verification system, you get real-time eligibility and benefits, the ability to verify Medicare, as well as accurate co-payment, co-insurance and deductible data.

Revenue Cycle Management

Claims Follow-Up and Denials Management: How to Better Manage Medical Claims Denials

The focus of this blog will be on following up on denials to help maximize revenue earned by the practice. Most practices meet timely filing standards for the initial submission of a claim but be aware there are also deadlines for reworking and appealing denials.

Revenue Cycle Management

What is Payer Remittance: How to Better Manage Payments and Keep Track of Denied Claims

In this blog, we are going to cover the process of payer remittance and helpful tips to manage payments and keep track of denied claims.

Revenue Cycle Management

How to Make Sure Your Claim Isn't Denied by Your Clearinghouse

As we continue along the revenue cycle journey, it's now your last chance to prevent a denial before you submit your claim for payment. Understanding how the clearinghouse works and how it fits into the claims process helps ensure your claim isn’t rejected later by insurance payers.

Revenue Cycle Management

Reporting & Analytics: How to Monitor the Health of Your Practice to Ensure Financial Stability

Last step in the claims process. Assessing the data in the available reports and analytics to effectively monitor the health of your practice. This can ensure financial stability and freedom for your practice long into the future.

Value-based Care

Understanding MACRA: Value-based healthcare today and beyond

Make sense of Medicare Access and Chip Reauthorization Act (MACRA) incentive programs in value-based healthcare with this guide to MIPS and APMs.

Value-based Care

Why simply survive as an independent practice? Two simple steps to help you thrive

In this week’s blog, NextGen Healthcare provides tips for managing challenges such as meeting government regulations, combating staff burnout & dissatisfaction, & maintaining the financial health of your practice.

Industry news

NextGen Advisors Podcast: FDA Approves Alzheimer’s Treatment, Controversy Ensues

In this episode of the NextGen Advisors podcast, Graham Brown and Dr. Betty Rabinowitz discuss the drug’s approval and the concerns, hopes and implications it has raised.

Revenue Cycle Management

The Revenue Cycle Journey: Ideas and Tips to Improve Your Medical Billing Process

The revenue cycle journey affects every aspect of your practice, including patient satisfaction, provider experience, and financial and clinical outcomes. In this upcoming blog series, we will explore all areas of this journey.

Revenue Cycle Management

What is Payer Adjudication: Tips to Improve Your Medical Claims Process

Our last blog post on the revenue cycle journey looked at clearinghouse edits. The next stop in the medical claims process is payer adjudication.

Industry news

How to Capture Charges for Faster, More Accurate Reimbursement

The previous blog in this series explored how to effectively capture patient’s information at the front desk. The next topic is charge capture—the process that physicians, other healthcare providers, and medical office staff use to record information about services provided. Once recorded, this information is translated into a claim and sent to third-party payers for reimbursement.

Industry news

Medical scheduling software

Medical scheduling software is key to improving any medical practice's efficiency.

Industry news

Mirth Connect The First 10 Years

Check out this blog to learn more about some of notable milestones of Mirth Connect.

Industry news

NextGen® Advisors Podcast - Integration of Behavioral and Physical Health: Provider Perspectives

Recently, NextGen Healthcare partnered with XtelligentMedia to conduct a national survey of provider organizations who offer behavioral health and primary care services. Listen here as the NextGen® Advisors reflect on provider reported experiences and challenges in the journey to whole person care.

Industry news

Three takeaways from HIMSS18

Reflecting on HIMSS18, we are amazed at the ways information technology helps us collaborate through connected health, interoperability, shared health records and data analytics.

Small Practice

Coming together to address new challenges in healthcare data exchange

Bruno Nardone provides unique insights regarding this year's Strategic Health Information Exchange Collaborative (SHIEC) 2018 Conference held in Atlanta.

Telehealth

Improve Your “Webside Manner” Through New Telehealth Training Video

To help providers successfully implement virtual visits, it is important to follow a few key steps to ensure you and the patient have the best possible telehealth experience.

Industry news

Collect Patient Information Effectively: What You Need to Know

Preauthorization is an important part of registration. Insurance payers commonly require preauthorization for medical procedures other than a primary care physician visit. If you don’t obtain it, the physician will not be paid.

Interoperability

Health Information Exchanges: Advancing Interoperability

Interoperability and HIE are at the forefront of conversations in the healthcare industry. Learn more about these hot topics and how they impact HIT applications.

Interoperability

Health Information Exchanges: Advancing Interoperability

Interoperability and HIE are at the forefront of conversations in the healthcare industry. Learn more about these hot topics and how they impact HIT applications.

Interoperability

The Benefits of Partnering with NextGen Healthcare for eHealth Exchange Participation

eHealth Exchange enables healthcare organizations to access one of the largest exchange networks for clinical record sharing. In this blog, we dive deep into the benefits of partnering with NextGen Healthcare for eHealth exchange participation.

Interoperability

Exchanging Data for the Sake of Care

NextGen Healthcare’s latest blog discusses “connected health,” also known in the industry as “interoperability.” The seamless connectivity among differing information technology systems and software applications is a must-have if delivering optimal patient care and effectively managing the practice is at the top of the priority list.

Interoperability

HIEs Can Alleviate the Burden of Compliance with the New 21st Century Cures Legislation

With 21st Century Cures comes a slew of compliance changes for providers and payers to follow. The importance of these changes is laid bear with the COVID-19 pandemic, and the challenges stakeholders still face with exchanging crucial health data.

Interoperability

It's getting real: the 2017 interoperability outlook

For medical organizations to get from where they are now to where they want to be on the interoperability continuum, vendors and physician practices must work together to improve information exchange.

NextGen Advisors

NextGen® Advisors Podcast - Could Health Information Exchanges (HIEs) Serve as Utilities?

A recent HIMSS article argues that HIEs have proven to be a critically important public health tool in the context of the COVID-19 pandemic, but in order to achieve their full potential, they need to be converted to state designated utilities.

NextGen Advisors

NextGen Advisors Podcast - How Community Health Centers Can Lead the Way in a New Era of Healthcare

In this episode, the NextGen Advisors discuss key takeaways from a recent webinar with leaders from various community health centers across the U.S.

NextGen Advisors

NextGen Advisors Podcast - How Virtual Visits are Changing Care Team Roles

With the sudden emergence of virtual visits and the associated challenges, the NextGen Advisors continue to explore topics relevant to ambulatory care.

NextGen Advisors

NextGen Advisors Podcast - Episode 7: Insights from Providers on the Future of the Ambulatory Practice

This week’s podcast hosted by NextGen Healthcare’s CMO Dr. Betty Rabinowitz explores insights from recent discussions and polling conducted by NextGen® Advisors with leaders from large ambulatory practices across the United States.

NextGen Advisors

NextGen Advisors Podcast: Provider Incentive Programs - Pros and Cons

Health plans employ a variety of incentive programs in an attempt to influence provider behavior.

NextGen Advisors

NextGen Advisors Podcast: Provider Incentive Programs - Pros and Cons

Health plans employ a variety of incentive programs in an attempt to influence provider behavior.

NextGen Advisors

NextGen® Advisors Podcast – Should Medical Students Be Involved in COVID-19 Response?

In this episode, the NextGen® Advisors discuss a recent article from Annals of Internal Medicine on the role of medical students during the COVID pandemic and the recommendation by the American Association of Medical Colleges.

NextGen Advisors

NextGen® Advisors Podcast – Significant Potential Changes in the Proposed CMS 2021 Fee Schedule

In this episode, the NextGen® Advisors are joined by government affairs advisor, Chris Emper to discuss the potential game-changing impact of CMS’s proposed 2021 Physician Fee Schedule.

NextGen Advisors

NextGen Advisors Podcast - The Growing Role of Pharmacists in the Practice of the Future

The NextGen Advisors recently published a blog about the growing role of pharmacists in the practice of the future.

NextGen Advisors

NextGen Advisors Podcast - The impact the COVID Pandemic has had on Patients Accessing Routine Care

Hear our experts discuss the impact COVID-19 has had on routine care.

NextGen Advisors

NextGen Advisors Podcast- When Two Epidemics Collide: COVID-19's Impact on the Opioid Crisis

Prior to the COVID-19 pandemic, the opioid epidemic was exacting a phenomenal toll on U.S. citizens. Several recent articles in the Annals of Internal Medicine have highlighted the significant problem resulting from the collision of these two epidemics.

NextGen Advisors

NextGen® Advisors Podcast - A Post COVID Practice

In this week’s podcast, Nextgen Advisors build on their April 29th blog, ”A Strategy Pivot for COVID-19?”, discussing the longer term implications of the COVID-19 pandemic for practices.

NextGen Advisors

NextGen® Advisors Podcast – The Impact of Legislative and Regulatory Changes from COVID-19

The Impact of Legislative and Regulatory Changes from COVID-19

NextGen Advisors

A Focus on Prevention - Breast Cancer Awareness, Mental Health, and COVID-19 Booster Shot

In this podcast episode, NextGen Advisors discuss national breast cancer awareness month and national depression and mental health screening month, as well as developments at the FDA regarding COVID-19 booster shots.

NextGen Advisors

NextGen Advisors Podcast - Bidding farewell to 2020: Healthcare predictions for 2021

NextGen Advisors discuss predictions for the healthcare landscape in 2021

NextGen Advisors

NextGen Advisors Podcast - Bidding farewell to 2020: Healthcare predictions for 2021

NextGen Advisors discuss predictions for the healthcare landscape in 2021

NextGen Advisors

NextGen® Advisors Podcast – Challenges in the Development, Production and Distribution of COVID-19 Vaccines

During the podcast, Dr. Vesper discusses some of the unique attributes of the vaccines, as well as the challenges that we will face as we get closer to production and distribution.

NextGen Advisors

NextGen Advisors Podcast - Coronavirus and the Flu, Can We Cope with Both?

In this podcast, the Advisors discuss the impact of the ongoing pandemic overlapping with flu season.

NextGen Advisors

NextGen® Advisors Podcast – How 2020 has Impacted Provider Strategies

Last week the NextGen Advisors and Executives met with healthcare leaders from provider groups across the country to hear about their strategic priorities, concerns and hopes for the future.

NextGen Advisors

NextGen Advisors Podcast - Mental Health, Depression and Suicide in the Face of the COVID-19 Pandemic

NextGen Advisors focus their discussion on mental health issues, and particularly depression, in the face of the COVID-19 pandemic.

NextGen Advisors

NextGen Advisors Podcast - Mental Health, Depression and Suicide in the Face of the COVID-19 Pandemic

NextGen Advisors focus their discussion on mental health issues, and particularly depression, in the face of the COVID-19 pandemic.

NextGen Advisors

NextGen® Advisors Podcast – How Population Health Risk Algorithms Introduce Racial Bias into Every Day Practice

In this podcast, the Advisors discuss a recent Science magazine article which exposed how commonly used population health algorithms introduce racial bias into many clinical decisions. They review the underlying reasons for these algorithm shortcomings and discuss the ways in which these problems can be mitigated.

NextGen Advisors

NextGen Advisors Podcast - Are Providers Ready to Take on $1 Trillion in Risk?

In this week's podcast, the NextGen Advisors explore several value-based care and alternative payment models, discussing how the COVID-19 pandemic may serve as an accelerator in the shift to value-based care.

NextGen Advisors

NextGen® Advisor Podcast - Is Violence as Viral as COVID-19?

With so much reported violence on the news, in this week’s podcast the NextGen Advisors discuss a public health perspective on this issue.

NextGen Advisors

NextGen Advisors Podcast - The Biden Administration's Impact on Healthcare

In this week's podcast, NextGen's government policy expert, Chris Emper, joins the conversation to discuss the likely impacts of the Biden administration and the new Congress on the healthcare landscape.

NextGen Advisors

NextGen Advisors Podcast - The Biden Administration's Impact on Healthcare

In this week's podcast, NextGen's government policy expert, Chris Emper, joins the conversation to discuss the likely impacts of the Biden administration and the new Congress on the healthcare landscape.

NextGen Advisors

NextGen Advisors Podcast - Building bridges between dentistry and medicine to optimize patient outcomes

In this episode, NextGen Advisor Dr. Martin Lustick speaks with NextGen Healthcare’s oral health experts, Carlos Vallecillo and Brian Peterson about the division between oral health (dentistry) and medical health and how these healthcare services can become more integrated through technology and business practices.

NextGen Advisors

NextGen Advisors Podcast: Community Health Centers Awarded Record $6.1 Billion in Federal Grant Funding

The Biden administration recently announced $6.1 billion in supplemental funding grants to the nation’s federally qualified community health centers (FQHCs).

NextGen Advisors

NextGen Advisors Podcast: COVID-19 Vaccination Programs: Lessons from Countries Outside the U.S.

The NextGen® Advisors explore the foundations of success in Israel and the United Kingdom’s coronavirus vaccination programs, and identify the obstacles faced by Canada and the European Union which have prevented them from achieving similar results.

NextGen Advisors

NextGen Advisors Podcast: COVID-19 Vaccination Programs: Lessons from Countries Outside the U.S.

This week’s podcast is devoted to a conversation with NextGen® Advisor, Chris Emper about the $1.9 trillion COVID-19 aid bill that was just passed into law.

NextGen Advisors

NextGen® Advisors Podcast: COVID-19 and Herd Immunity – Are We Almost There?

The NextGen® Advisors delve into the concept of herd immunity and its implications for getting us to a new normal.

NextGen Advisors

NextGen® Advisors Podcast – COVID-19: New Variants and Their Implications

In this podcast, the NextGen Advisors discuss the status of vaccination campaigns, the implications of these new variants on efforts to control the pandemic and how pharmaceutical companies and researchers are responding to this challenge.

NextGen Advisors

NextGen Advisors Podcast - Does the COVID-19 Pandemic Help Us See the Future of Vision Services?

This week the NextGen Advisors discuss the impact of the COVID-19 pandemic on ophthalmology and its allied fields, what they've learned in the past year, and what it means for the future of vision services.

NextGen Advisors

NextGen Advisors Podcast - Does the COVID-19 Pandemic Help Us See the Future of Vision Services?

This week the NextGen Advisors discuss the impact of the COVID-19 pandemic on ophthalmology and its allied fields, what they've learned in the past year, and what it means for the future of vision services.

NextGen Advisors

NextGen Advisors Podcast: Ethical and professional implications of physician employment and health care business practices

Today's podcast explores the shift to value-based care and physician employment models and looks at how providers balance ethical principles and professional values about the patient-physician relationship.

NextGen Advisors

NextGen Podcast - Review of the Harvard University Football Players Health Study with guest speaker Jo Ann Pugh RN

Joann Pugh, the founder and president of 50 yard line mom joins us to discuss the Harvard University Football Players Health study.

NextGen Advisors

NextGen Podcast - Review of the Harvard University Football Players Health Study with guest speaker Jo Ann Pugh RN

Joann Pugh, the founder and president of 50 yard line mom joins us to discuss the Harvard University Football Players Health study.

NextGen Advisors

NextGen Advisors Podcast: Health Information Technology and Patient Engagement – Making it Work for Consumers and Providers

In this podcast, the NextGen Advisors discuss the role of Health Information Technology (HIT) in supporting patient engagement.

NextGen Advisors

NextGen® Advisors Podcast – Mental Health Needs of Healthcare Workers During COVID-19

Recent emergency use authorization of vaccines offer a light of hope to people around the globe as the phase of mass inoculation campaigns begin. Meanwhile, the COVID-19 pandemic continues to strain the resources of healthcare systems and puts thousands of frontline workers at risk under incredibly stressful, exhausting and disruptive circumstances.

NextGen Advisors

NextGen Advisors Podcast - New Challenges with COVID-19 Testing

PCR is the most widely used diagnostic to test coronavirus providing a simple yes-no answer to the question of whether a patient is infected.

NextGen Advisors

NextGen Advisors Podcast - New Challenges with COVID-19 Testing

PCR is the most widely used diagnostic to test coronavirus providing a simple yes-no answer to the question of whether a patient is infected.

NextGen Advisors

NextGen Advisors - Poll Results Confirm Patients' Demand for Telehealth and Online Healthcare Solutions

Recently, NextGen Healthcare commissioned Harris Poll to conduct an online Connected Healthcare Study among 2,055 adults ages 18+.

NextGen Advisors

NextGen® Advisors Podcast – Finding the Silver Linings from the COVID-19 Pandemic

The COVID-19 pandemic discussion has often covered the implications and impact of this devastating pandemic.

NextGen Advisors

NextGen® Advisors Podcast: Challenges in Tracking Vaccinations and new CDC Guidelines for the Vaccinated

In this episode of the NextGen® Advisors podcast, the Advisors discuss challenges in tracking who has been vaccinated and highlight some of the new guidance released this week from the Centers for Disease Control for those who have been vaccinated.

NextGen Advisors

NextGen Advisors Podcast - The Untapped Value of Adjudicated Claims Analytics

There is growing interest in the use of multi-sourced data analytics to support practice’s success in value-based contracts, particularly the use of adjudicated insurance claims.

NextGen Advisors

NextGen Advisors Podcast: How Certified Community Behavioral Health Centers are Leading the Integration of Whole Person Care

In this podcast episode, NextGen Advisors Graham Brown and Dr. Marty Lustick speak with Government Affairs Advisor Chris Emper about the important role played by Certified Community Behavioral Health Centers and detail recently announced grant programs from Health and Human Services to advance the integration of these programs at the community level.

NextGen Advisors

NextGen® Advisors Podcast – Walgreens to open up to 500 full service doctors offices, what impact could this have for ambulatory practices?

On this episode, NextGen Advisors discuss the potential impact this disruptive development may have on primary care, FQHCs, and patient-provider relationships. Tune in now to listen.

NextGen Advisors

Primary Care Takes Center Stage in the Evolution of Care

In this week’s episode of the NextGen Advisor Podcast, Dr. Betty Rabinowitz, Graham Brown, and Dr. Martin Lustick discuss how primary care has been the foundation supporting the entire American healthcare system.

Revenue Cycle Management

Claims Creation and Scrubbing: What They Are and How to Get Them Right

Proper charge capture enables you to create an accurate claim that has a better likelihood of reimbursement. The next step to create the claim itself and scrub that claim to make sure it is clean and error free.

Value-based Care

NextGen® Advisors Podcast – Reflections on Behavioral Health Integration

In this podcast, the NextGen Advisors discuss the opportunities and challenges of integrating behavioral health with physical medicine.