Increase claims payments
Medical practices often miss out on revenue due to incomplete collection of payments. NextGen Healthcare's collection solutions offer tools like claims editing software, rules engine, cost estimator, and self-pay solutions to boost revenue from both third-party payers and patients. These technologies help streamline the payment process, ensuring that practices are adequately compensated for the services they provide.
Edit claims prior to creation
NextGen's In-line Edits feature enables automated and real-time editing of encounters before claim creation. This functionality allows for quick identification and correction of issues within the encounter, ultimately accelerating cash flow and reducing claim denials. By ensuring claims are clean and accurate from the start, practices can minimize payment delays and optimize their revenue cycle.
Faster payments via rules engine
The implementation of a rules engine in NextGen Healthcare's collection solutions enables the use of custom and specialty-specific rules for reviewing and correcting charge data. By automating charge review processes, practices can eliminate up to 75% of the manual effort involved, leading to faster payments and improved collections. This automation streamlines workflow and enhances operational efficiency.
Follow up on denials
Efficient denial management is crucial for maximizing revenue recovery. NextGen Healthcare's collection solutions facilitate proactive follow-up on denials, allowing practices to address recurring errors promptly. By leveraging a rules engine that can be updated to prevent recurring denials, practices can reduce revenue leakage and improve their overall financial performance.
Make it easy for patients to pay
NextGen Healthcare's collection solutions prioritize patient convenience by offering tools like cost estimator, patient portal, and flexible online payment options. These features make it easier for patients to understand their financial responsibilities and submit payments promptly. By enhancing the patient payment experience, practices can increase collections and improve cash flow.
Analyzing denial trends with analytics
NextGen Healthcare's collection solutions include robust analytics capabilities that allow practices to uncover denial trends and patterns. By identifying the root causes of denials, practices can implement targeted strategies to reduce denial rates and enhance revenue recovery. Analyzing denial trends empowers practices to make informed decisions and optimize their collections process.