NextGen Office Billing Software

With our web-based Practice Management you can schedule, bill, collect and manage anywhere. Implementing the NextGen Office- Formerly MediTouch cloud-based software is easy – since we do all the work for you.

• Automated data backup
• Secure and certified by the Electronic Healthcare Network Accreditation Commission
• We update the codes so you don’t have to
• View your daily schedule on any smartphone

You can also reduce phone calls at the front desk with NextGen Office patient scheduling software. Patients can request times online via our patient portal , and confirmations can be automated via email or text, with an option for patients to easily add the event to their calendar across all of their devices. Today, patients are modern, savvy consumers and they want to make appointments at the doctor’s office with the same convenience and immediacy as they would book a hotel room or order a movie to watch on demand. Recent studies have shown that text and email reminders are more effective than voice call reminders. By employing these functions, in conjunction with an online scheduler, any medical office will slash their no-show rates, thereby capturing potentially lost revenue.

For proper billing, a virtual HCFA form just won’t work. Complex payer rules dictate a more inclusive interface, with fields that pre-fill and incorporate all the data required to get paid correctly on your initial submission. With our integrated clearinghouse there is never any disconnect between the charge entry interface and payer requirements.

• Billing templates speed up charge entry
• Supports latest 5010 rules, anesthesia minutes and NDC codes

• Fee schedule automatically enters appropriate fee for each CPT code

• Coding is a breeze – remembers prior diagnoses for patients

We unify the posting of electronic and paper advice. Detailed reporting allows the user to report payments by payer, provider and location.

Continuous Updates Keep You Ahead of the Payers 

There’s a tug of war going on and your practice needs to win. Formats change, codes change, payer rules change – we help you keep up because falling behind means lost revenue.

• Manage Global Periods

• Thousands of built-in edits

• 5010 compliant

• The best ERA auto-posting system

• Fast manual posting for payers that don’t send electronic remittance

• We do the math so every account balances

• Compare expected amount per your fee schedule with payer allowed amount

Patient posting screens display prior balances, co-pay amounts and guarantor balances making it easy for front office staff to collect at the point of care, and the built-in credit card module is completely integrated with the payment process.

Should you get a denial, our workflow supports an easy way to mark the claim for appeal and re-send the claim to the payer along with any edits you choose to make.

• Compare each claim against a sophisticated database of standards

• Millions of edits designed to avoid health plan rejection and denial

• Monthly reports that track your denials based on the denial reason

• Get feedback on the latest Medicare LCD and NCD rules, CCI edits and use of modifiers

NextGen Office’s Denial Defender system goes far beyond the simple “code scrubber” tools offered by other medical billing software options. Our easy to use, “at-a-glance” system is designed to make recommendations on the use of billing codes and modifiers, increasing your percentage of clean claims and speeding your payment rate.

Denial Defender is a color-coded system that uses a database containing tens of thousands of coding rules. Denial Defender® verifies modifier usage, checks for CCI bundling edits, determines code validity, validates pass-through items and verifies medical necessity. Plus, Denial Defender provides the Relative Value Unit (RVU) of each procedure, helping billers to maximize reimbursement. Taken together, these tools comprise one of the best denial management software systems available, insuring your reimbursement and speed of payment are optimized. In addition, Denial Defender will alert you real-time if your charges are saved to claims that are inconsistent with the current Medicare coverage guidelines. You can also modify the alert system so that Denial Defender is customized for your practice.

Most medical billing software platforms don’t have tools that can assist the user in systematically reducing their AR. Practices need a mechanism that looks at payment and compares it to the contracted fee schedule. Manually sifting through hundreds of claims is impossible, only software can efficiently “bubble up” the claims that require the attention of your billing team. Tracking these claim, working denials and your ambiguous AR is what separates superior billing software system from the rest.

Our electronic insurance claims processing system means that claims scrubbing and error reporting is done within minutes and sent back to you for immediate correction of any errors. This speeds your time from submission to payment, significantly improving your cash flow. In addition, our medical insurance claims management software provides a unique eligibility verification tool that allows you to schedule rechecks of eligibility at any point you specify before the appointment, reducing denials and payment delays. Coupled with the ability to create the patient chart right from the eligibility check, your practice will have the exact same demographic data as the payer thereby reducing clerical errors related to claim submission. 

With NextGen Office, you also have simple management of your ERAs, with the ability to upload and download ERA files, automate ERA retrieval directly from the payer, easy printing of any ERA in a readable format, and more. Plus, the seamless electronic claims processing between our medical billing software and integrated medical claims clearinghouse means that your medical claims management is as smooth and error-free as it can be. And all clearinghouse fees are included in your monthly subscription, reducing your billing expenses. With NextGen Office EHNAC certified claims clearinghouse, the insurance claims submission feature offers built-in edits so that first-pass acceptance rates reach 95 percent or higher. The insurance verification process is automated and possesses information about your patients’ insurance benefits.

With NextGen Office’s medical eligibility verification system, you get:

• Real-time eligibility and benefits

• Verify Medicare and hundreds more

• Co-pay, co-insurance and deductible data

Plus, NextGen Office insurance verification software offers unique features to help you improve your practice profitability:

• A “Create chart” button that allows you to create the patient chart right from the eligibility check, eliminating manual entry of registration information and assuring you that the patient data in the billing system matches what the payer has on file.

• The option to schedule rechecks of eligibility at any period that you specify before the appointment. “Just in time” eligibility checking reminds you when coverage has changed, reducing claim denials and payment delays.

The option to create your patient charts right from the payer information is also more important than ever with the latest changes in health insurance; making certain that the spelling of the patient’s name and the address information are correct reduces submission errors. Less errors mean that you get paid as soon as possible, reducing denials and payment delays.Because the health insurance industry is in transition, the need for real-time medical eligibility verification has never been greater. And that means checking eligibility not just when the appointment is made, but also at a scheduled time that you choose near the date of the appointment, to insure the information is still current. A membership card alone is not the answer to medical eligibility verification. Automate the process and learn more than you ever have about your patient’s insurance benefits—and get paid faster.

• Upload and download ERA files

• Automate ERA retrieval with SFTP file transfer

• Print any ERA in perfect text readable format

Work smarter – not harder and stop manually posting remittance advice. Throw away the paper and move to auto-posting with our ERA medical billing services.

Easily print statements or use our electronic service to mail the statement for you. Better yet – send statements to the patient portal and collect patient balances via credit card without ever mailing a statement.

• Save your favorite statement batching parameters as a template

• Group statements by guarantor to save mailing expenses

• Send custom messages and/or an automatic AR Aging (Dunning) message

• Easily skip a statement if the patient has recently made payment

Avoid billing patients until the secondary claim has been adjudicated – we will automatically filter the statements for you based on whether the patient has a secondary payer. 

NextGen Office Reporting makes understanding the financial health of your practice easy and efficient. With our advanced user rights feature, only those who “need to know” have access to the data.

• Benchmarking

• Instructive visualizations – charts and graphs

• Customizable and displayed in Excel format

• Track AR, Revenue, Payer Performance and hundreds more

Set report templates and either run a report real-time or create a customized reporting schedule. With scheduled reporting we will deliver the reports to you regularly just when you need them.