NextGen Medical Billing Services

Medical Billing for practices that use NextGen Enterprise EHR and NextGen Office

MZ Medical Billing provides outsourced medical billing services for healthcare providers who want their billing handled within their existing NextGen EHR and practice management (PM) system. We take over charge entry and review, claim submission, payer follow-up, denial management, and payment posting while working with your established workflows.

If your practice runs on NextGen, you already know how much your revenue depends on how billing fits your existing setup, from encounter templates and charge capture to claim edits and the queues your staff works through every day. A billing company that asks you to change that setup to suit its own system can create extra work for your front desk, your providers, and your billing operations.

Your providers can continue documenting as they do now, and your staff does not have to learn a new billing platform. You retain access to your NextGen data and can review billing activity through the access and reporting available in your system.

Get a free NextGen Medical Billing review.

Fill out the form to discuss billing for NextGen Enterprise EHR or NextGen Office with our team.

Free Audit No cost or obligation

Response Time Within 1 Business Day

Compliance 100% HIPAA Compliant

INDEPENDENT BILLING COMPANY

MZ Medical Billing is an independent, outsourced medical billing company and is not affiliated with, endorsed by, or sponsored by NextGen Healthcare, Inc. We provide billing services within your practice's existing NextGen EHR. NextGen is a registered trademark of NextGen Healthcare, Inc.

NextGen RCM

ERA Posting

Claims Submission

NextGen Enterprise

Medical Billing Inside NextGen Enterprise and NextGen Office

A NextGen system only pays you well if the billing inside it is run correctly. Wrong charge rules, template codes that don’t match the note, and bad insurance data from intake all turn into denials and underpayments. MZ Medical Billing works directly in NextGen Enterprise and NextGen Office, so these errors are caught and corrected before they cost you revenue.

Billing for NextGen Enterprise EHR and Enterprise PM

Enterprise is configurable, which means a wrong rule repeats on every claim it touches. For groups with 10 or more providers, we review your charge creation rules and claim scrubbing settings, correct the ones producing errors, and manage the full cycle from eligibility and claim submission through A/R follow-up, collections, and reporting.

Billing for NextGen Office (formerly MediTouch)

Small practices often own NextGen Office’s billing tools but have no one with the time to use them. We become your billing team for practices of 1 to 10 providers, running eligibility checks, claim scrubbing, claim submission, and denial follow-up inside your system so your staff can stay focused on patients.

Template-Based Coding Review

A code suggested by a template is not automatically a supported code. Our certified coders (CPC, CCS, CPB, CRC) check template-generated codes against the documentation and payer rules and confirm the right modifiers are attached before the claim goes out.

Ambient Assist Documentation Review

AI-drafted notes are faster, but they can still fall short of supporting the level of service or the codes billed. We review Ambient Assist notes before submission and send a query to the provider when the documentation does not support the claim, so we never bill past the note.

NextGen Mobile Charge Capture

Hospital rounds, nursing home visits, and after-hours care are the services most often left unbilled. We track charges captured through NextGen Mobile and reconcile them against the schedule and notes so each visit becomes a claim.

Patient Portal and Intake Verification

Insurance errors entered at intake come back as denials. We use the information patients submit through online forms and check-in to verify coverage before the visit, then keep patient balances accurate and simple to pay through online bill pay.

MIPS and Quality Code Capture

Missed quality codes can cost a practice incentive payments or lead to a negative Medicare Part B adjustment. We capture quality-related codes correctly on your claims so they are reflected in your reporting.

Work With a NextGen Billing Team

If your NextGen system is producing denials, delayed payments, or unbilled visits, we can review it and show you where the revenue is leaking. Contact MZ Medical Billing to request a billing review.

Our NextGen Medical Billing Services

NextGen Billing Setup and Workflow Optimization

We review billing configuration and workflows within your NextGen environment, including payer records, payer IDs, provider and location details, fee schedules, claim settings, and applicable billing rules.

We also assess unresolved work queues, recurring claim edits, and delays between encounter completion and claim submission.

Based on our findings, we recommend corrections that can reduce preventable rejections, improve billing efficiency, and support more consistent claim processing.

Charge Entry and Charge Review

We review charges from your NextGen encounters before claims are submitted.

Our team checks billed services against provider documentation, verifies CPT and HCPCS codes, confirms diagnosis links and provider details, and identifies missing charges or incorrect entries.

This helps reduce billing errors and capture services supported by the medical record.

Medical Coding and Documentation Review

We review medical records and assigned codes to check that billed services reflect the provider’s documentation.

Our team checks ICD-10-CM, CPT, and HCPCS code selection, modifier use, and medical necessity requirements. We also identify recurring coding issues and recommend corrections to help reduce avoidable denials and support accurate reimbursement.

Claim Scrubbing and Submission

We review claim edits, correct identified errors, and submit claims electronically through the appropriate clearinghouse.

Our team checks patient and provider information, payer details, diagnosis and procedure codes, and other required claim fields before submission. We also monitor rejections and correct errors promptly to reduce resubmissions and payment delays.

Insurance Eligibility and Benefits Verification

We verify insurance coverage before scheduled services and review available benefit information, including copays, deductibles, coinsurance, and coordination of benefits.

Our team also checks referral and prior authorization requirements when applicable. Identifying coverage issues before the visit helps practices address billing problems before they lead to claim denials or unexpected patient balances.

Prior Authorization and Referral Management

We track prior authorization and referral requirements for services that need payer approval.

Our team can submit requests, follow up on pending decisions, track authorization numbers and validity dates, and check approved service limits.

We also monitor outstanding requests and communicate status updates to help practices reduce delays caused by missing or incomplete authorization information.

ERA and Payment Posting

We post insurance payments from electronic remittance advice (ERA) files and other remittance records, along with patient payments, into your billing workflow.

Our team reviews adjustment and denial codes, contractual write-offs, and patient responsibility. We also investigate posting discrepancies and reconcile payment records against available deposit information to maintain accurate account balances and A/R reports.

Denial Management and Appeals

We review denied claims to identify the reason for nonpayment and determine the appropriate next step.

Depending on the issue, our team may correct and resubmit a claim, request reconsideration, or prepare an appeal with supporting documentation.

We also track recurring denial patterns by payer, provider, and code to identify problems that need correction in the billing process.

Underpayment Detection and Recovery

We review payer payments against applicable fee schedules, contract terms, and expected reimbursement to identify potential underpayments.

Our team investigates discrepancies, checks contractual adjustments, and follows up with payers when reimbursement appears incorrect. When a payment dispute is supported by the available records, we pursue the appropriate correction or appeal to help recover outstanding revenue.

Our NextGen Billing Onboarding Process

Starting with MZ Billing is simple, safe, and planned. We do not disrupt your practice, and you keep full control of your NextGen system the whole time.

Free Discovery Call

We learn about your practice: your specialty, number of providers and locations, your NextGen version (Enterprise or Office), your payer mix, and your biggest billing problems. This call is free and has no obligation.

Free NextGen Billing Audit

With read-only access, we review your A/R aging, denial trends, clean claim rate, charge lag, and NextGen setup. We then show you, in simple words, where your practice is losing money and how much may be recoverable.

Agreement and HIPAA Business Associate Agreement (BAA)

We sign a clear service agreement and a HIPAA Business Associate Agreement before we touch any patient data. Your data stays protected and private.

NextGen User Access and System Connections

Your team creates secure NextGen user accounts for our staff with the right permissions. We also get access to your clearinghouse, payer portals, and bank deposit reports as needed. You can see and track all our activity.

NextGen Setup Cleanup

We review and fix fee schedules, payer library entries, payer IDs, provider and location data, charge rules, and claim edits. We also confirm EDI and ERA enrollment with your payers.

Go-Live and Daily Billing

We start daily charge review, claim submission, payment posting, and denial work. At the same time, a separate team starts working your old A/R, beginning with claims close to timely filing limits.

Monthly Reports and Ongoing Improvement

Every month, you get your KPI report and a review meeting. We keep improving your NextGen setup and workflows so your results get better over time.

Outsource NextGen Billing Without Changing Your EHR

Moving billing to an outside company should not mean new software, provider retraining, or data migration. MZ Medical Billing works within your existing NextGen environment, with system access, billing responsibilities, and reporting agreed upon before work begins.

Your Existing NextGen System Stays in Place

Whether your practice uses NextGen Enterprise EHR with Enterprise PM or NextGen Office, you keep your current system, clinical templates, and existing NextGen vendor relationship. Our team works within your established setup rather than requiring you to move to a different billing platform.

Providers Document the Same Way

Your providers continue documenting encounters in their usual NextGen workflows. Our team reviews available encounter notes and charge information to complete the assigned billing tasks. If documentation is missing or does not support a code, we flag the issue for provider review. We do not change clinical documentation; the provider decides whether an amendment is needed.

Access, Responsibilities, and Reporting

System access: We use individual user accounts with permissions appropriate to our assigned billing duties, based on your NextGen configuration and access policies.

Responsibilities: Before billing begins, we agree on which tasks MZ Medical Billing handles, such as charge review, claim submission, payment posting, denial follow-up, and accounts receivable management, and which tasks remain with your staff.

Reporting: We establish a reporting schedule and identify the information your practice will receive, which may include claim status, denial trends, outstanding accounts receivable, and collections.

Why NextGen Billing Needs a NextGen Expert

NextGen is a full ambulatory platform, not a simple billing tool. The EHR, where providers document the visit, connects to the practice management system, where charges, claims, and payments live.

When that connection is set up well, a finished note produces a correct charge with little manual work. When it is set up badly, the same connection produces wrong charges, missing modifiers, and rejected claims every day, and the cause stays hidden because each error shows up later as a different problem.

A missing modifier at charge entry becomes a payer denial. A wrong insurance ID at registration becomes a clearinghouse rejection. An unposted adjustment becomes a wrong A/R balance.

A biller who treats NextGen like any other software can send claims and work denials, but never finds out why the same ones keep coming back. The practice pays for billing help and keeps losing money to the same errors.

MZ Medical Billing looks at your NextGen system as one connected revenue cycle. We check how the encounter becomes a charge, how the charge becomes a claim, how the claim moves through the clearinghouse, and how the payment returns and posts. We separate claims rejected before they reached the payer from claims the payer denied, because the fix is different for each, and we group denials by cause.

Coding errors, missing modifiers, and corrected claims we fix ourselves. When the cause sits in a provider’s note, at registration, or in a NextGen setting, we send your team the specific claims affected so the source gets corrected, not only the claim.

The result is fewer repeat denials, fewer claims stuck in edit queues, and a clear list of what is owed and why.

Common NextGen Billing Problems We Fix

Most recurring NextGen billing problems start in one of five places: system configuration, incomplete encounter documentation, claim data, payment posting, or follow-up that stops too early. Each one leaves a pattern in your claims that repeats until someone finds the cause.

Encounters Stay Open and Charges Are Delayed

An unsigned encounter or incomplete note holds up charge entry, and the claim waits with it. The result is charge lag, slower payment, and claims moving closer to timely filing limits. We compare encounters against the schedule, find visits with no charge, and send providers and staff a list of the records that need completion.

The Same Claim Rejections Keep Happening

Wrong payer IDs, provider NPIs, taxonomy codes, or service location details cause rejections. Fixing one claim does not help if the same wrong data is used on the next one. We read the rejection messages, find the data field behind the pattern, and correct the claims. When the cause is a NextGen setting, we send the authorized person at your practice the specific change needed.

Wrong or Missing Modifiers

A missing or incorrect modifier leads to rejections, denials, or reduced payment, and requirements differ by service, specialty, and payer. Our coders check modifiers against the note and payer rules before submission. When a modifier depends on clinical detail the note does not give, we refer the question to the provider.

ERA Payments Do Not Post Correctly

ERA (835) files carry the payer’s payments and adjustments. When a file fails to load or payments stay unposted, paid claims look unpaid and the A/R report is wrong. We post ERA and EOB payments, check adjustment and denial codes, and investigate any file or posting that does not match the deposit. Underpayments and denials found during posting go to follow-up.

Old Accounts Receivable Keeps Growing

Unpaid claims get harder to collect as they age, especially near payer filing deadlines and appeal limits. We sort A/R by age, payer, balance, and claim status, and work claims closest to a deadline first. We contact payers, check claim status, and take the next step the status calls for, such as a corrected claim, reconsideration, or appeal.

Patient Balances Are Confusing

Posting errors, wrong adjustments, or a wrong split between insurance and patient responsibility leave patients with balances that look wrong. That produces billing calls, complaints, and late payments. We check account records and correct the balance before statements go out, and before they are sent again.

How We Bill in NextGen Enterprise vs. NextGen Office

Both NextGen products can bill well, but they need different approaches. Here is how our billing work changes for each one.

Billing Area	NextGen Enterprise	NextGen Office
Practice size	Larger groups, often 10+ providers, many locations	Small and solo practices, 1 to 10 providers
Setup work	Deep review of charge rules, payer settings, fee schedules, and claim edits across locations	Quick review of payer setup, fee schedules, and clearinghouse connection
Charge creation	We check rules-based charges from encounters for each specialty and provider	We check charges coming from cloud-based notes and superbills
Eligibility	We use pre-service financial clearance before the visit	We run electronic eligibility checks through the built-in tools
Claim scrubbing	We manage custom claim edits for each major payer	We fix claim scrubber alerts and clearinghouse rejections daily
Reporting	Multi-location, multi-provider revenue cycle reports	Simple practice-level reports for the owner or office manager
Who we work with	Billing managers, revenue cycle directors, and IT teams	Practice owners, providers, and front-desk staff

Front-End Billing: Getting It Right Before the Visit

Most denials do not start in the billing office. They start at the front desk, when patient data or insurance details are entered wrong. NextGen Enterprise PM includes tools for registration, scheduling, eligibility verification, and pre-service financial clearance. We use these tools to protect your revenue before the patient is even seen.

Here is how our front-end billing support works:

Schedule review. We look at your upcoming NextGen appointment schedule one or more days ahead.
Batch eligibility checks. We run insurance checks for groups of patients at once, instead of one by one.
Data correction. We fix wrong member IDs, wrong dates of birth, old plans, and wrong primary or secondary insurance order.
Authorization and referral flags. We mark visits and procedures that need prior authorization or a PCP referral.
Patient cost estimates. We note copays, deductibles, and coinsurance, so your front desk can collect at check-in.

When the front end is clean, your claims are clean. This lowers eligibility denials, coordination of benefits denials, and “patient not covered” rejections, which are some of the most common and most avoidable denials in medical billing.

Billing for AI-Assisted Notes and NextGen Ambient Assist

AI documentation is changing how providers write notes. With NextGen Ambient Assist, the conversation in the exam room becomes a structured SOAP note in the EHR. Providers save time and can focus more on the patient. But billing still depends on what the note supports.

AI-created notes can be long and detailed, but they may still miss key billing details, such as the time spent, the medical decision making, which problems were addressed, or why a procedure was done. They can also include information that is not relevant to the billed service.

Our coding team reviews AI-supported notes before billing. We confirm that the E/M level matches the medical decision making or total time, that diagnosis codes are specific, and that each procedure is clearly supported. When something is missing, we ask the provider to add it before the claim goes out. This protects you from both lost revenue and audit risk, and lets your practice use NextGen’s AI tools with confidence.

Specialty Billing With NextGen Templates

NextGen is known for its specialty-specific clinical content. Each specialty template captures different details, and each specialty has its own coding and payer rules. A template built for an eye doctor works very differently from one built for a therapist. Our coders understand how these NextGen templates connect to billing, so the codes your providers pick turn into clean, fully paid claims.

Orthopedic Billing in NextGen

NextGen orthopedic templates capture exams, imaging, joint injections, and surgery planning. Orthopedic billing is full of rules that cause denials when missed. We track global surgery periods so post-op visits are not billed by mistake, and we make sure separate problems during a global period are billed with the right modifier. We check joint injection codes, drug codes, and units, and we review the use of modifiers 25 and 59 when an office visit and a procedure happen on the same day. We also handle durable medical equipment (DME) billing such as braces and splints, which needs its own codes and payer rules.

Behavioral Health Billing in NextGen

NextGen behavioral health templates support therapy notes, assessments, and treatment plans. Behavioral health billing depends heavily on time. We make sure psychotherapy codes match the session time written in the note, and that add-on codes like interactive complexity or crisis time are only billed when the note supports them. Many payers limit the number of therapy visits per year or need authorization after a set number of visits, so we track these limits for you. We also follow the changing telehealth rules for behavioral health, including the right place of service and modifiers for video and audio-only visits.

OB/GYN Billing in NextGen

NextGen OB/GYN templates cover prenatal visits, ultrasounds, deliveries, and gynecology care. Obstetric billing often uses a global maternity package, where prenatal care, delivery, and postpartum care are billed together. We make sure the global package is billed correctly, and we handle split billing when a patient changes insurance or providers during pregnancy. We also bill ultrasounds, non-stress tests, and other services that are paid outside the package. On the gynecology side, we separate preventive well-woman visits from problem visits, so both are billed correctly when they happen on the same day.

Ophthalmology and Optometry Billing in NextGen

NextGen ophthalmology templates capture eye exams, diagnostic tests, and procedures. Eye care practices often deal with two kinds of insurance: medical insurance and vision insurance. We make sure each visit is billed to the right one, based on why the patient came in and what was found. We use the right eye exam codes (E/M or the special eye codes), apply bilateral and eye-side modifiers such as RT, LT, and 50, and bill diagnostic tests like OCT and visual fields with correct frequency limits and supporting diagnoses.

Dermatology Billing in NextGen

NextGen dermatology templates document lesions, biopsies, and skin procedures in detail. Dermatology coding depends on the size, location, and type of each lesion, and small details change the code and the payment. We check that lesion size and method of removal match the code billed, that biopsies are linked to the right pathology results, and that multiple procedures on the same day are billed with correct modifiers. We also separate cosmetic services from medically necessary ones, so payers are not billed for services they will never cover.

Gastroenterology Billing in NextGen

NextGen gastroenterology templates support consults, endoscopy, and colonoscopy. The biggest billing challenge in GI is the difference between screening and diagnostic colonoscopy. When a screening colonoscopy turns into a diagnostic one because a polyp is removed, patient cost-sharing and coding rules change. We apply the right codes and modifiers, such as PT for Medicare and 33 for many commercial payers, so patients are billed fairly and your practice is paid correctly.

Cardiology Billing in NextGen

NextGen cardiology templates cover cardiac exams, testing, and ongoing monitoring. Many cardiology tests have two parts: the professional part (the doctor’s reading) and the technical part (the equipment and staff). We bill these parts correctly with modifiers 26 and TC, based on where the test was done and who owns the equipment. We also bill remote cardiac monitoring and device checks, which have strict time periods and rules about how often they can be billed.

Primary Care Billing in NextGen

NextGen primary care templates support wellness visits, chronic care, and preventive care. Primary care has many codes that are easy to miss. We bill Medicare annual wellness visits, preventive visits, and screening services correctly, and we separate them from problem visits on the same day. We also help capture chronic care management, transitional care management, and quality-related codes that support value-based care and MIPS reporting, so your practice gets paid for the full care you provide, not just the office visit.

Do not see your specialty? We bill for many more specialties in NextGen. Contact us, and we will review your specialty and your NextGen templates for free.

Billing for FQHCs and Community Health Centers on NextGen

NextGen is widely used by Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs). These centers have billing rules that are very different from private practices, and mistakes can be costly.

FQHC billing often includes the Medicare FQHC Prospective Payment System (PPS), state Medicaid encounter rates, wrap-around payments, sliding fee discount programs for low-income patients, and special G-codes for qualifying visits. Centers also need clean data for UDS reporting and grant compliance. Behavioral health, dental, and medical services may all be billed under one roof with different rules for each.

We help FQHCs and CHCs using NextGen set up the right encounter rates, apply sliding fee discounts correctly, bill the right payer codes, and track wrap-around payments that are often missed. We also make sure the billing data in NextGen supports accurate reporting. This helps your center protect its funding and keep serving your community.

Patient Payments: Portal, Statements, and Easy Collections

Patient responsibility is now a big part of practice revenue because of high-deductible health plans. If patients do not understand their bill or cannot pay easily, they pay late or not at all.

NextGen gives patients online bill pay through its patient portal and connected patient experience tools. In NextGen Office, these tools are part of the practice’s “Closed Loop” patient experience, from scheduling and intake to visit and follow-up. NextGen Office also includes dunning management, which helps handle declined credit card payments. We use these tools to make paying simple.

Our patient billing support includes:

Clear, simple patient statements sent on a regular schedule
Online payment links through your NextGen patient portal
Payment plans for patients who cannot pay the full amount at once
Follow-up on declined cards and unpaid balances
Friendly patient billing support by phone, so your front desk is not overloaded
Careful review before any account is sent to collections

When patients get correct, clear bills and an easy way to pay, your patient collection rate goes up and complaints go down.

Revenue Cycle Reports and KPIs From Your NextGen Data

NextGen holds a lot of financial data, but many practice owners find its reports hard to read. We turn your NextGen data into a short monthly report that you can understand in a few minutes. These are the key performance indicators (KPIs) we track for you:

KPI	What It Means in Simple Words
Total charges	How much work your practice billed this month
Total collections	How much money actually came in
Net collection rate	Of the money you could collect, how much you did collect
Days in A/R	How many days, on average, it takes to get paid
A/R over 90 days	How much money is old and at risk
Clean claim rate	How many claims were accepted on the first try
Denial rate	How many claims were denied by payers
Charge lag	How many days between the visit and the claim
Collections by provider and payer	Who brings in the most, and which payers pay slowly

Each month, we also meet with you to explain the numbers, share what we fixed, and agree on next steps. You always know where your money is.

Get More Revenue From Your NextGen System

You already invested in NextGen. It has the tools to run a strong revenue cycle: specialty templates, rules-based charges, claim scrubbing, eligibility checks, ERA posting, and a patient portal. MZ Billing makes sure those tools actually bring money into your practice.

Let our NextGen billing experts review your system for free. We will show you where claims are getting stuck, why denials keep coming back, and how much money may be waiting in your old A/R. No pressure, no long sales pitch, just a clear picture of your NextGen billing.

FAQS

FAQs About NextGen Medical Billing

Why are claims being rejected or denied in NextGen?

NextGen claims may be rejected because of incorrect insurance details, missing provider information, invalid modifiers, incomplete claim data, or clearinghouse edits. Payer denials can also result from coding issues, authorization requirements, or documentation that does not support the service billed. Reviewing rejection and denial reasons by category helps identify recurring problems and determine the appropriate correction.

Do I need to stop using NextGen to work with MZ Billing?

No. You keep using NextGen. We work inside your existing NextGen Enterprise or NextGen Office account. Your patient records, charges, claims, and payments all stay in your system.

What should we look for in a NextGen medical billing company?

Look for a Nextgen billing company that understands the connection between encounter documentation, charge entry, claim submission, payment posting, denials, and A/R follow-up. Ask how it tracks recurring denial reasons, reports outstanding claims, handles payer communication, and escalates issues that require provider or system-administrator input. Clear task ownership and regular reporting are also important when billing is outsourced.

How can we reduce claim denials in NextGen?

Start by reviewing eligibility, authorization requirements, provider and payer details, coding, modifiers, and documentation before claim submission. Track denials by payer and reason to identify patterns instead of correcting each claim in isolation. MZ Medical Billing reviews billing errors, works assigned denials, and identifies recurring issues that may require changes by your practice.

Can we outsource NextGen medical billing without changing our EHR?

Yes. Outsourced billing can be handled within your practice’s existing NextGen environment, provided the product configuration and access permissions support the required workflows. Your providers can continue using their established documentation process while the billing team handles agreed-upon tasks, such as claim submission, payment posting, denial follow-up, and accounts receivable management.

Why are ERAs not posting correctly in NextGen?

Electronic remittance advice (ERA) posting problems can arise from file processing errors, payer setup issues, unmatched payments, or incorrect adjustment handling. These problems can leave paid claims appearing outstanding and distort accounts receivable reports. Reviewing the remittance, payment records, adjustments, and deposit details helps identify discrepancies and determine what needs correction.

How do we manage old accounts receivable in NextGen?

Review outstanding claims by age, payer, balance, claim status, and filing or appeal deadlines. Follow up on unpaid claims, investigate underpayments, correct billing errors, and submit reconsiderations or appeals when appropriate. A consistent A/R process helps your practice identify which balances need attention first and why payments remain outstanding.

Do you work with both NextGen Enterprise and NextGen Office?

Yes. We support NextGen Enterprise EHR and PM for larger and multi-location groups, and NextGen Office for small and solo practices. Our process changes to fit each system.

Can you help if my NextGen system was set up badly?

Yes. This is one of our main strengths. We review your NextGen file maintenance, fee schedules, payer settings, charge rules, and claim edits, and we fix what is causing rejections and denials.

How long does it take to start billing with you?

Most practices go live within a few weeks. The exact time depends on your practice size, number of payers, and how fast system access is set up.

Can you work old A/R from before we switched to NextGen?

Yes. We can work old claims in your previous software while we bill new claims in NextGen. This way, you do not lose money during a system change.

Do you review notes created with NextGen Ambient Assist?

Yes. Our coders review AI-supported notes to make sure the codes and service levels billed are fully supported by the documentation.

Do you bill for FQHCs and community health centers?

Yes. We understand PPS, Medicaid encounter rates, wrap-around payments, sliding fee discounts, and the billing data needed for reporting.

Will I still be able to see what is happening with my billing?

Yes. All our work is done and noted inside your NextGen system. You also get a monthly KPI report and a monthly review meeting.

Is my patient data safe with you?

Yes. We follow HIPAA rules, sign a Business Associate Agreement, use secure individual logins, and only access what we need to do the billing work.

Do you help with credentialing and payer enrollment?

Yes. We help with new provider enrollment, re-credentialing, and EDI and ERA enrollment, so claims and payments move electronically through NextGen.

How much do your NextGen billing services cost?

Our pricing is usually a percentage of what we collect for you, so we only do well when you do well. The exact rate depends on your specialty, size, and claim volume. Contact us for a free, custom quote.