Jackson Heart Clinic Boosts Clean Claims Performance with Rules Engine
Jackson Heart Clinic was facing rising denials, slow A/R, and the burden of manual processes. They turned to NextGen Healthcare for a refined process that wouldn't disrupt their clinical workflows.
Jackson Heart Clinic
Jackson Heart Clinic is a leading cardiology practice in Mississippi, offering comprehensive cardiovascular care across multiple locations. With a team of 35 providers, they manage approximately 10,500 patient encounters per month, utilizing NextGen Enterprise EHR and PM systems to support their operations.
NextGen Healthcare Solutions:
- NextGen® Enterprise EHR
- NextGen® Enterprise PM
- NextGen® Rules Engine
Seamless integration
Jackson Heart Clinic streamlined billing without interruption through technology that seamlessly integrated into their EHR and PM
Improved accuracy
By reducing the need for manual review, Jackson Heart Clinic improved billing accuracy, leading to gains in revenue and increased efficiency
Personalized implementation
With a small team, Jackson Heart Clinic received targeted training and personalized implementation to support smooth adoption and go-live
Efficient automation
NextGen Rules introduced automation that streamlined repeatable processes, surfaced errors, and increased visibility for the Jackson Heart team
The weight of manual processes
Like many high-volume specialty groups, Jackson Heart was up against rising denial rates, lagging A/R, and the daily grind of manual coding corrections. They needed to clean up their claims pipeline, speed up reimbursement, and do it all without increasing staff.
Operating within a hosted EHR environment, the team needed a solution that could streamline operations without disrupting clinical workflows. A key challenge involved adapting internal processes to NextGen Healthcare’s charge entry architecture, requiring staff to shift to more EHR-based entry than they had done historically.
Automation that lives within workflows
Back in control
Not only were they able to reduce manual review and improve billing accuracy, they were able to accomplish this without adding any additional staff. This allowed them to better capitalize on the success of implementation and better realize the gains in revenue and efficiency.
Jackson Heart was also able to retain visibility and control without added complexity or resources. The NextGen Rules Engine integrated seamlessly into their existing NextGen Enterprise platform, ensuring that implementation was seamless and integration was pain-free.
Jackson Heart now spends less time fixing errors and more time moving claims forward. The team achieved a tightly integrated setup that reduced manual intervention, improved clean claim performance, and helped them stay on track operationally, without disruption.
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