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Nextgen - Medical Practice Management

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  • Company Size:SML
  • Features:
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Details

Practices that use the NextGen Revenue Cycle Management solution see an 81% decrease in A/R days and achieve net collections of close to 98%. The solution’s first pass claim rate is as high as 97% and overall revenue increases by about 4%. The software offers a unified billing and collection service that takes over revenue collection while the practice can concentrate on handling their patients. Even regulatory issues are simplified. A large number of medical practices trust NextGen with their medical billing and collections and have commented positively on the advantages they have gained.

Details

The benefits of using the NextGen RCM start even before medical practices begin using the solution. NextGen credentialing processes simplify provider enrollment and take these complex tasks away from the practice. A professional approach to credentialing saves money, time and malpractice suits that may arise due to incorrect credentialing.

Many medical practices struggle with the rising costs of running a practice and with frequent turnover of administrative staff. NextGen minimizes operating costs with their billing services and practices no longer have to worry about staffing issues. All critical billing work is handled by NextGen with well qualified and experienced staff that understands billing and coding and can customize the solution to meet any specific requirements your practice may have.  

Fees are based on a fixed percentage model that ensures that NextGen only gets paid out of the revenue that the practice generates. This provides comfort that no cash outflow occurs from the practice just because a billing service has been contracted.

The NextGen RCM solution integrates with all NextGen products as well as with any third-party tool your practice may be using. The solution is fully certified for Meaningful Use Stage II and supports ICD-10. . The solution is cloud based, implying that users do not have to procure any additional hardware to run it. In addition, any other regulatory changes will be implemented by the solution team and users will not be required to take any actions to upgrade their solution. 

Features

Pricing Model
  • Monthly subscription per user
  • Yearly subscription per user
  • Metered per minute
  • Monthly site license
  • Yearly site license
  • Flat fee
  • Monthly subscription
  • Percentage-based (% of collections or claims)
  • Fee-based (fixed $/claim)
  • Hybrid (combination of % and fixed amount/claim)
Target Company Size
  • Startup
  • Small-to-Medium Business
  • Enterprise
Service Terms Offered
  • Commitment Free
  • Free Setup
  • Free Cancellation
  • Money Back Guarantee
  • Month-to-Month Option
  • Keep Original Number
  • Customizable Plans
  • Free In-Network Calls
  • Unlimited Minutes
  • International Calls
  • Reduced Price for Multiple Users
  • Account Manager
Mobile Apps Offered
  • None
  • iOS
  • Android
Support Features
  • FAQs Section
  • Tutorials
  • Telephone Support
  • Email Support
  • 24/7 Support
  • Online Chat
  • Forum
  • In-Person Training
  • Social Media
  • Knowledge Base
  • Webinars
Compatible Operating System(s)
  • Windows
  • iOS
  • Linux
  • Mac
  • Android
Deployment
  • Hosted/Cloud
  • On-Premise
  • Mobile
Supported Devices
  • Mobile
  • Tablet
  • Touchscreens
  • Desktop
  • iPad
Targeted Users
  • Primary care (MDs, DOs)
  • Specialists (DC, OD, PT, PhD, LCSW, etc)
  • Small/private practices
  • Mid-sized to large practices
  • Inpatient care organizations (hospitals, etc)
  • Single office
  • Multiple offices
  • Outpatient care providers
  • Substance Abuse Agencies
  • Medicaid Waiver Providers
  • Medical Billing Centers
  • Outsourced Billing Services
Specialties
  • Allergy
  • Anesthesiology
  • Bariatric Surgery
  • Behavioral Health
  • Breast surgery
  • Cardiology
  • Chiropractic
  • Dentistry
  • Dermatology
  • Emergency medecine
  • Endocrinology
  • ENT
  • Family Medecine
  • Gastroenterology
  • General Surgery
  • Geriatrics
  • Hematology
  • Hospital
  • Infectious Disease
  • Internal Medecine
  • Long-Term Care
  • Nephrology
  • Neurology/Neurosurgery
  • Occupational Medecine
  • Oncology
  • Ophtalmology
  • Optometry
  • Orthopedics
  • Pathology
  • Pediatrics
  • Physical Therapy
  • Plastic Surgery
  • Podiatry
  • Psychiatry
  • Psychology
  • Pulmonology
  • Radiology
  • Rheumatology
  • Sleep Medecine
  • SurgiCenter
  • Urgent Care
  • Urology
  • Vascular Surgery
Integrated software suite
  • EMR/EHR
  • Stand-alone
  • Medical practice management
  • Medical billing
User Authentication
  • User authentification
  • Role-based access
  • Manage access permissions
Certifications
  • ONC-ATCB
  • CCHIT
  • Meaningful Use Certified
  • None
  • EHNAC Accredited
  • Microsoft Gold Certification
  • Surescripts Certification
HIPAA Compliance
  • Yes
  • No
  • In process
Billing Features
  • Payment Reminders
  • Billing Estimates
  • Automatic Payment Posting
  • Assignment of Benefits (AOB)
  • Applied to Deductible (ATD)
  • Ambulatory Payment Classification (APC)
  • Explanation of Benefits (EOB)
  • Electronic Remittance Advice (ERAs)
  • Online Bill Payment
  • Batch-process Patient Billing
  • Credit Card Processing
  • Collection Letters
  • Customizable Fee Schedules
  • EDI Rules Manager
Medical Billing Codes
  • ICD-9
  • ICD-10
  • CPT Codes
  • CPT-4
  • CPT Modifiers
  • CDT Codes (dental)
  • NDC Drug Codes
  • DRG Medicare Codes
  • Taxonomy Codes
  • Medical Diagnostic Codes
  • HCPCS Codes
  • Evaluation Codes
  • IFC Codes
  • DSM-IV Codes
  • Automatic Codes Updates
  • Automatic Payer Rules Updates
  • ASA Codes
Scheduling Features
  • Online Patient Scheduling
  • Physician Scheduling
  • Staff Scheduling
  • On-Call Scheduling
  • Facility Scheduling
  • Drag & Drop Scheduling
  • Appointment Management
  • No-Show Tracking
  • Recurring Appointments
  • Appointment Reminders
  • Notes
  • Intelligent Waitlists
  • Multi-Resource Scheduling
  • Check-In & Checkout
Document Management
  • Medical Record Management
  • EHR/EMR Integration
  • Patient Statements
  • Patient Invoices
  • Consultation Report Integration
  • Lab Reports
Patient Management Features
  • Patient Portal
  • e-Prescribing and Refills
  • Lab Orders & Results
  • Patient Medical History
  • Insurance Information Details
  • Coverage Verification
  • Patient Payment History
  • Drug Interaction and Allergies
Claim Management Features
  • Claim Scrubbing
  • Claim Processing
  • Batch Claim Processing
  • Claim Follow-up
  • Insurance Eligibility Verification
  • Denied Claims Management
  • Integrated Claims Correction
  • Collection Agency Reporting
  • Claim Status Tracking
  • Preferred Clearinghouse
  • Electronic Claim Submission
  • Paper Claim Submission
Reporting
  • Financial Reports
  • Payments Reporting
  • A/R Reports
  • Revenue Reports
  • Payer Performance Reports
  • First-Pass Resolution Rate Report
System Compliance
  • Office of Inspector General (OIG) Compliance
Deployment
  • Web-based
  • Installed (on-premise)
Price
  • 1 - Inexpensive
  • 2
  • 3 - Moderate
  • 4
  • 5 - Expensive
Features
  • 1 - Limited features
  • 2
  • 3 - Moderate
  • 4
  • 5 - Full featured

Pricing

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