NextGen Billing Services

For specialty groups on NextGen weighing outsourced billing against the team they already have. We work inside your system, and you keep sight of your own numbers.

What does not change

What we run inside your NextGen

Claims from your existing documentation

We work from what your providers already complete. Nothing is submitted before the note supports it.

Denials worked and categorised

Every denial gets a reason recorded, so you can see which causes recur rather than only what was collected.

Payments checked against the remittance

What the payer said they paid, compared with what arrived. Underpayment is the loss practices notice last.

A/R worked by age and value

Oldest and largest first, because those are the claims closest to a filing deadline.

Reporting you can actually read

Denial reasons and A/R ageing, in a form that tells you what changed and why - not a dashboard nobody opens.

How the switch works

  1. We review your recent claims

    Before anything changes, a sample of recent submissions shows what is being denied and why.

  2. Access, not migration

    You give us user access to the NextGen you already run. No data moves and nothing is reconfigured.

  3. We agree what your in-house person keeps

    If you have a biller, this is the conversation that matters most. Some practices keep them on patient balances and front-desk collection; some move them to scheduling. It is your call, and it should be made deliberately rather than by default.

  4. We confirm enrolment per provider

    Specialty groups often carry an enrolment gap for one clinician or one payer that has been producing denials for months.

  5. New claims first, then the backlog

    Current work starts immediately so nothing stalls; outstanding A/R is worked alongside it.

What your staff still do

Where practices like yours lose money

The question is not really outsourcing, it is what happens to your biller

Practices with someone in-house rarely have a billing problem they cannot name. They have a coverage problem: one person, no backup, and no capacity for appeals. That is worth saying out loud before deciding anything.

Billing knowledge that lives in one head is a risk

When the person who knows your payers leaves, collections usually slip before anyone connects the two. Practices discover the dependency at the worst moment.

Specialty groups lose money on complexity, not volume

Higher-value procedures carry more documentation requirements, and the denials that follow are larger and harder to appeal. Complexity, not claim count, is where the money goes.

Handing over the work should not mean losing the numbers

If you cannot see your own denial rate and A/R days after outsourcing, you have swapped a staffing problem for a visibility one. Ask any billing company how you will see those figures.

Questions we get asked

We have an in-house biller. Does this replace them?
Not necessarily, and it should be a deliberate decision. Some practices move that person onto patient balances and front-desk collection, which is work that genuinely benefits from being on site. We will tell you honestly what we would take on and what is better kept in-house.
Will we still see our own numbers?
Yes. Denial reasons and A/R ageing, not just a collections total. If a billing company cannot show you why claims are being denied, that is worth asking about.
Do we have to change systems?
No. We work inside the NextGen you already have.
What access do you need?
User access with billing permissions, plus the payer portals you are enrolled with. Your practice remains the account owner.
What does it cost?
Billing is 4-8% of collections depending on volume and specialty. Credentialing is per application, per provider. Every rate is published on our pricing page.

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