New Client RCM Readiness and Quoting Assessment — NextGen Healthcare

New client RCM readiness and quoting assessment

Thank you for taking the time to share information about your practice. The details below help us understand your revenue cycle needs, prepare an accurate quote, and build a smooth go-live plan. Please upload any available reports where requested. If something isn't available yet, just tell us in your response.

* Required

Primary contact information

Questions 1–4

Please provide the primary contact details for this assessment.

1–4

Complete all four contact fields, including a valid email address.

Assessment details

Questions 5–13

Credentialing, systems, and the historical reports we use to build your quote. Excel files only for uploads (.xlsx, .xls, .xlsm, .csv).

5
Provider credentialing status *Work in progress

For each provider, indicate whether credentialing is complete, in progress, or not started, including relevant payers and expected completion dates.

1 provider

Enter a provider name and select a credentialing status for each row.

6
Group NPI status *

Select the current status of the practice's Group NPI.

Group NPI status

Select one option.

8
Practice management and EHR systems *

Identify the current or planned EHR, practice management system, clearinghouse, payment platform, and any system integrations.

Tell us which systems you use or plan to use.

A NextGen onboarding specialist reviews submissions within two business days.

Assessment submitted

Thanks, Alec. Your readiness assessment is with the RCM onboarding team. You'll get a confirmation at your email, and we'll reach out about anything marked unavailable.

This is a mockup, so nothing was actually sent.