Submit cleaner claims and increase revenue with NextGen RCM

Enterprise Revenue Cycle Management

NextGen Revenue Cycle Management is an end-to-end RCM platform that strengthens revenue cycles for enterprise-level medical practices from claim creation to collection. Reduce denials by up to 21% and increase net collection rates to 95-100%.


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Key Features

What is NextGen Revenue Cycle Management?

How RCM secures more income for ambulatory medical practices

Enhance productivity

It's time to end after-hours charting. Save up to two hours daily by generating structured SOAP notes in seconds and receiving relevant suggestions for diagnosis codes with Ambient Assist.
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Decrease denials with eligibility services

Eligibility services from NextGen Healthcare help you implement a consistent, accurate eligibility verification process, decrease eligibility-related denials, and accelerate cash flow.

  • Automate eligibility verification
  • Reduce denials
  • Accelerate cash flow

Increased documentation accuracy

Macros make charting easier and more precise. Just tap on the tags, dictate, edit the dictation, and send it directly to the EHR. Boost this even further with relevant suggestions for diagnosis codes and lab orders from Ambient Assist.

Reduce provider burnout

Transcription and scribe services can greatly reduce documentation burden for providers. Ambient listening technology goes even further, reducing documentation time to a few minutes an encounter.

Greater flexibility

Generate fully structured SOAP notes from patient-provider conversations, in English and Spanish. View clinical schedules. Review patient charts. Administer telehealth visits with NextGen Virtual Visits. All on your mobile device.

Greater flexibility

Generate fully structured SOAP notes from patient-provider conversations, in English and Spanish. View clinical schedules. Review patient charts. Administer telehealth visits with NextGen Virtual Visits. All on your mobile device.
The Numbers Speak for Themselves

The value NextGen RCM brings practices

75%

of charge processing automated

80%

reduction in posting corrections time

24%

Reduction of days in A/R

70%

Reduction in appeals process

45%

Decrease in denial rates

27 hrs.

Saved creating appeals letters

How NextGen Revenue Cycle Management benefits your financial workflows

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End-to-end RCM platform

No need to juggle disparate systems or a patchwork vendor solution. NextGen Revenue Cycle Management provides a unified platform for ambulatory practice revenue cycles from credentialing to collections.

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Optimize your revenue cycle

NextGen Revenue Cycle Management allows you to increase collections while dedicating fewer resources. It enables you to dedicate those resources to where they are needed most for the delivery of care at scale.

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Cutting-edge technology

Claims submission, payment management, and credentialing are centralized and managed using a centers-of-excellence approach. A/R and denial prevention are tailored to your specialty's needs.

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Actionable financial insights

Financial analytics available through customizable dashboards allow you to drill deeper into data. We aggregate key financial data from all payers, in all specialties, enabling us to track more than 100 KPIs.

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Expert consultation and guidance

Access specialty-based expert guidance to ensure you get the most out of your RCM services. Your practice’s specific needs are addressed by a dedicated client manager with specialty expertise.

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Ease staff and augment gaps

Reduce administrative burden on your staff and allow them to focus on higher value tasks. You can even augment spaces your staff can't cover to maximize operational efficiency & optimize reimbursement..

Case Studies: Revenue Cycle Management in action

Explore how NextGen Healthcare Revenue Cycle Management performs for real practices with with measurable results.

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Overcoming staffing challenges
  • 11 hr. reduction in charge entry time
  • 22% reduction in A/R denial tasks
  • Reduced backend rejections from 40-15%
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Increasing financial gains
  • 95% of claims paid within 60 days
  • Denials dropped from 8.67% to 6.13%
  • Charges grew 13.85%
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Positioning for expansion
  • 16% growth in overall billings
  • Reduced overhead by 1/3
  • Increased optical billing by $2.4m
2026 Blackbook award for NextGen Healthcare
Award-Winning PM Software

Ranked #1 by Black Book

Consistency matters. For the eighth consecutive year, NextGen’s PM solution has been recognized by Black Book Research for its efficacy across physician groups of all sizes and specialties. This year, our embedded Electronic Health Record (EHR), noted for its integrated modules for emerging care models, achieved first-place in Cardiology, Internal Medicine, Neurosurgery, Pediatrics and Sleep Medicine/Pulmonary.
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Ranked #1 Electronic Health Records & Practice Management Software

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In-House or Outsourced?

Outsourced medical billing vs. in-house RCM

Outsourcing makes sense when denials, days in A/R, or staffing costs rise faster than collections. In-house RCM works when volume is stable and billing expertise is deep. NextGen Healthcare offers support for both and a middle path: staff augmentation, so you outsource only what you need to support existing staff.

What real clients think about NextGen Revenue Cycle Management

Duane Sheldon, Director of Revenue Management at Vision Innovation Partners, talks about how NextGen RCM solutions have helped them keep their denial rate down.

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The use of AI and integrating it into medical care—the possibilities are endless. I've seen that NextGen [Healthcare] has really honed in on the AI world, and it's making efficiencies happen so much more easier; the drastic change of helping reduce clinician burnout.

Amie Flannery

IT Applications Manager

Preferred Family Healthcare

We needed a healthcare technology solution that would be easy for our staff to use, one that syncs with our financial information and complex federal data. NextGen Healthcare has streamlined our processes, allowing us to better service patients and their families.

Marta Silverberg

Chief Executive Officer

Monmouth Family Health Center

We use NextGen as the lynchpin that makes all those pieces move together in tandem instead of as their own individual entities.

Chandler Blakely

Chief Financial Officer

Ocoee Regional Health Corporation

Ready to strengthen your revenue cycle?

Make the switch to NextGen Healthcare

FAQs

Your Guide to Revenue Cycle Management Services

From denial prevention to A/R recovery, learn how the right revenue cycle management services and software can transform your practice’s financial health.

Revenue cycle management (RCM) handles the financial side of healthcare; claims, payments, denials, and collections, from patient scheduling through final payment. NextGen RCM pairs expert teams with NextGen software for mid-size to enterprise ambulatory practices.

Outsource medical billing when denials, days in A/R, or staffing costs rise faster than collections; keep RCM in-house when volume is stable and expertise is strong. NextGen Healthcare offers a middle path, staff augmentation and select-service outsourcing.

NextGen Healthcare is considered a leading revenue cycle management companies for ambulatory practices. NextGen RCM clients have achieved 3x–10x returns on A/R recovery, and US Eye corrected 67% of charges with claim automation.

Denial management is the process of preventing, analyzing, and appealing rejected insurance claims. NextGen takes a prevention-first approach with an AI Rules Engine that scrubs claims before submission, which has reduced denials by up to 21% for existing clients.

The core revenue cycle KPIs are days in A/R, net collection rate, clean claim rate, denial rate, and cost to collect. NextGen RCM analytics aggregates data from all payers and specialties, tracking more than 100 KPIs in customizable dashboards.

Yes, NextGen RCM Services runs natively on NextGen Enterprise PM, with claims, payment, and credentialing managed through centers of excellence. A/R and denial workflows are tailored to your specialty, and analytics unify data across every payer.

Revenue integrity means capturing accurate, compliant revenue for every service delivered, preventing leakage from undercoding, denials, and missed charges. NextGen RCM Services builds revenue integrity through clean-claim submission, denial prevention, coding accuracy, and continuous KPI monitoring.