NextGen RCM

Coastal Orthopedics outsources all billing functions, except for coding and insurance authorizations, to NextGen RCM Services—essentially all functions once claims are entered into the system. NextGen RCM Services helps Coastal Orthopedics get claims out, post payments, resolve denials, manage appeals, mail out paper claims, and report end-of-month numbers, and provide system support.

Loden Vision Centers improved its financial transparency and efficiency using NextGen RCM, significantly reducing A/R days, bill lag, and payment lag while increasing payments. This partnership provided the center with actionable insights into billing processes and data analytics, enhancing operational decisions and strategic planning.

First Care Clinic significantly improved its financial performance and operational efficiency using NextGen RCM, leading to a reduced payment lag, bill creation time, and days in accounts receivable, surpassing regional benchmarks and enabling the clinic to serve a growing patient base more effectively.

Shawnee Christian Healthcare Center enhanced its revenue cycle management and addressed the financial intricacies of running a Federally Qualified Health Center by partnering with NextGen RCM, leading to improved organization, efficient handling of payment information, and effective management of specific challenges like wraparound payments.

NextGen RCM helps Syracuse Community Health Center speed up payments and improve billing accuracy. They’ve decreased their accounts receivable and increased net collections by about 20%.

Applying automation across the revenue cycle helps make sure claims are billed at the actual contracted amount, coded accurately, and processed as quickly as possible. Denials dropped from 8.67% to 6.13%, Days Sales Outstanding (DSO) reduced from the 30s to the low 20s, 95% of claims are now paid within 60 days, and charges grew 13.85% compared with experience under previous RCM vendor.

The Reno Sparks Tribal Health Center significantly improved financial performance and service delivery to Native American communities in northwest Nevada by implementing NextGen RCM, resulting in reduced claims creation lag, increased gross collection rate, and a substantial decrease in outstanding accounts receivable.

NextGen RCM helps First Care Medical Clinic by providing FQHC billing and a fully integrated medical record.

NextGen RCM helps Retina Consultants of Texas with difficult-to-collect claims, increasing their collections and improving their profit margin.

Vision Care of Maine uses NextGen RMG to help adjust claims and process old accounts receivable.