NextGen Integration

Medical Billing Services for NextGen Users

We bill inside NextGen Enterprise PM and NextGen Office, claim submission, denials, AR, and patient billing all happen in your existing platform. No migration, no parallel systems, no downtime.

0 Data Migrations
14-21 Days to Go-Live
99% Clean Claim Rate
Get a Free Audit Book a 15-Min Call
Why NextGen Users Choose Us

Billing Expertise for Both NextGen Platforms

NextGen Enterprise and NextGen Office have different workflows. Our team handles both with equal precision.

No Migration Required

We log into your NextGen instance. Your build, fee schedule, templates, and clearinghouse connection stay identical. Zero configuration change.

NextGen-Experienced Staff

Our billers know NextGen Enterprise PM's EPM screens, claim tracking, and denial worklists, as well as NextGen Office's cloud workflow.

Inside-Out Billing Workflow

From encounter creation through charge capture, claim edit, submission, and posting, we know how NextGen routes revenue, and where it gets stuck.

Seamless Clearinghouse Submission

Claims continue to flow through NextGen's clearinghouse connections. We work the edits and exceptions that feed submission.

NextGen-Specific Challenges

NextGen Billing Challenges We Solve

Enterprise PM Worklist Clearance

NextGen Enterprise's claim edit queues pile up without daily attention. We take documented ownership of specific worklists with clearance SLAs.

Denial Resolution & Appeals

We work denial buckets, correct and resubmit within 24 hours for correctable denials, and file formal appeals with documentation inside NextGen.

AR Aging & Follow-Up

Aged AR doesn't clear itself. We work aging buckets 0-30, 31-60, 61-90, and 90+ by payer with escalating action rules.

ERA Posting Exceptions

ERAs post automatically in NextGen, except when they don't. We resolve posting exceptions, reconcile payments, and flag underpayments for recovery.

Patient Statement Cycles

We run the patient billing cycle inside NextGen, statement generation, payment plans, portal payments, and pre-collections follow-up.

Underpayment Detection

We compare every payment against expected contracted allowables and pursue underpayments systematically with payer dispute documentation.

Our NextGen Workflow

How We Plug Into NextGen

Step 1: User Provisioning

You provision named users for our team with appropriate security class. We follow your existing NextGen security model with no workarounds.

Step 2: Worklist & Bucket Assignment

We take ownership of specific worklists, claim edits, denials, AR buckets, self-pay, with documented thresholds and escalation rules.

Step 3: Daily Execution

Our team works assigned queues daily inside NextGen, corrections, resubmissions, appeals, posting, and account documentation.

Step 4: Reporting & Reviews

Weekly operational reporting and monthly business reviews cover days in AR, denial trends, net collection rate, and payer performance.

99%
Clean Claim Rate
24 Days
Average Days in AR
97%+
Net Collection Rate
$500M+
Revenue Recovered

Related Services

Billing & AR Medical Coding Denial Management

Other EHR Integrations

Epic athenahealth eClinicalWorks AdvancedMD
FAQ

Common NextGen Billing Questions

Yes. We work inside both NextGen Enterprise (typically used by larger ambulatory groups) and NextGen Office (the cloud SaaS platform for smaller practices). Our teams are trained on both.
No. Your NextGen build, templates, fee schedule, and clearinghouse connections stay exactly as they are. We log in as users with the appropriate security class.
We work the claim edit and scrub queues in NextGen's billing module, clearing edits for eligibility, modifier rules, NCCI, and payer-specific requirements before claims submit.
Yes. We work denial worklists, categorize by CARC/RARC, resolve correctable denials, and file appeals through NextGen's correspondence and documentation workflow.
Yes. AR follow-up is a core part of our engagement, we work aging buckets by payer, call or portal-check claim status, escalate stalled claims, and document every interaction inside the account.
We manage the patient billing cycle using NextGen's statement workflow and patient portal integration. Payment plans, self-pay follow-up, and pre-collection steps all happen inside NextGen.
Yes. Your NextGen dashboards, SQL reports, and operational KPIs continue to run as they do today. Our monthly reporting is supplemental.
Typical go-live is 14-21 days depending on the complexity of your NextGen build. User provisioning, worklist assignments, and escalation workflow setup happen in parallel.