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NextGen EHR software is a cloud-based solution that unifies charting, patient scheduling, eligibility checks, and claims submission in one system. With a single NextGen login and secure NextGen patient portal access, providers have complete access, from patient notes to billing. Yet the platform’s potential often goes underutilized, requiring specialized NextGen billing services for practice revenue cycle optimization.
We automate charge capture, reducing manual data entry errors by 75% through NextGen EHR workflow optimization.
Our coders use NextGen rule libraries and add payer-specific CPT & ICD-10 edits to prevent underpayments.
We leverage NextGen Financial Analytics dashboards to track denial trends and refine rule sets in real time.
We streamline billing using AI-driven rules between the NextGen EMR system and Practice Management modules.
We activate live denial alerts in NextGen software and use custom analytics for faster revenue recovery.
With our experienced NextGen RCM billers, there’s no need to retrain staff or worry about turnover risks.
MedCare MSO has a proven track record of delivering practices with NextGen billing services that provide:
First-Pass Clean Claim Rate
Reduction in A/R Days
Increase in Cash Collections
Improved Practice Efficiency
Reduction in Claim Denials
Let MedCare MSO take over your NextGen RCM tasks so you spend more time on patient care and less chasing unpaid claims.
We verify benefits early and apply COB checks before visits to prevent denials, submission, and clean-claim readiness.
We audit encounter data and promise precise charge capture with CPT/ICD‑10 accuracy powered by the AI Rules Engine.
We scrub claims using payer logic via the Clearinghouse & EDI hub to ensure timely submissions and faster reimbursement.
We post ERA/EOBs and reconcile payments daily, adjusting PLB logic and clearing unapplied balances with a detailed audit log.
We monitor rejection trends and tune claim logic via denial management tools to appeal quickly and preserve revenue.
We deliver AR aging and KPI dashboards to track payer mix, denial trends, and forecast revenue for proactive follow-up.
With a decade of serving healthcare providers with NextGen billing services, we reduce errors with expertise like:
We generate audit-ready claim logs and retention files matching provider-level taxonomy and snapshot reports for compliance reviews.
By tuning rule sets quarterly, we make sure billing logic adapts to complex payer changes and avoids systemic denial triggers.
Using in-line edits during charge capture, we catch coding conflicts or missing modifiers before claims hit the clearinghouse.
We manage routing rules within clearinghouse or EDI interfaces (837/835) to maximize transaction success and reduce rejects.
We monitor NextGen charge feeds via Mirth or Rosetta, validating HL7 sync for uninterrupted encounter-to-billing workflow.
We customize charge-capture templates and modifier logic by specialty (e.g., neurology, behavioral) inside NextGen fields.
We reconcile ERA line items against contracted payer rates, flagging underpayments and generating priority recoverability reports.
From NextGen EMR to Interoperability, we have expertise across all NextGen software modules.
MedCare MSO manages eligibility, claims processing, denial tracking, and cash performance using NextGen RCM tools to optimize revenue cycle efficiency.
We align clinical templates and voice‑generated notes in NextGen EHR to minimize downstream billing edits and support clean, accurate charge entry.
Our team manages NextGen PM for demographic flow, scheduling, real‑time eligibility, and automated statements to prevent coding gaps and streamline charge capture.
We utilize NextGen Patient Portal features, including secure messaging, appointment scheduling, and lab result access to enhance patient engagement.
We regularly tune NextGen’s rules engine, adjusting CPT/ICD logic and modifier settings, to eliminate repetitive denials and boost first‑pass claim success.
Our experts validate and monitor charge traffic between systems using HL7/FHIR through Mirth Connect, ensuring encounter data translates correctly into claims.
We are the leading name when it comes to medical billing services for NextGen because we are:
Chief Operating Officer, MAKO MEDICAL LABORATORIES
Chief Executive Officer, CARE NOW CLINIC
Chief Operations Officer, ION DIAGNOSTICS
Co-Founder, AW Care
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
Practice Owner, F&A Clinic
We have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage.
President/CEO, RLT
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When we take over your NextGen software billing process, aging claims are automatically routed for follow-up via Financial & Operational Analytics dashboards. Inline edits prevent denials upfront, and live dashboards flag receivables for immediate resolution, cutting A/R days by over 30%.
NextGen AI Rules Engine applies payer and specialty-specific CPT/ICD edits before claims are formed, catching missing modifiers, code bundling issues, and authorization mismatches early in the cycle.
Built-in logic in NextGen PM intercepts claim mismatches like invalid code combinations, expired authorizations, and incorrect patient eligibility before submission. When denials do occur, NextGen’s denial management enables a single-click correction and resubmission without leaving the platform.
NextGen’s integrated Clearinghouse & EDI hub creates ANSI X12 batches, such as 837, 270/271, and 835, from within the PM interface. Claims are automatically scrubbed based on payer rules, then transmitted via submitter profiles and route logic to specified partners.
Yes, NextGen billing software includes Mirth Connect and Rosetta for HL7 charge feeds. MedCare MSO validates all inbound messages, optimizes channel setups, and maps data to messages. We make sure that each lab or drive-through charge orders get posted smoothly into the PM charge queues without disruption.
Batch invoices and roll-up billing are ideal for Medicaid, FQHC, or bundled ambulatory services. The enterprise NextGen PM supports batch processing and specialty billing types like encounter-rate or roll‑up claims, compressing multiple line items into a single bundled CPT or revenue-line format.
When test or lab results feed via HL7 ORU interfaces (or manual LIS entries), MedCare validates CPT/LOINC mappings, ensures correct procedure codes and charges hit the charge-posting queues. Afterwards, the PM processes them through the inline scrub to make sure no lab services are lost or undercoded in final claim submissions.
Achieve a 98% clean-claim rate with NextGen billing services and get faster reimbursement with MedCare MSO.
F&A Clinic
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
I would like to take time to recognize two members of MedCare MSO specifically. Moses for his exceptional support and dedication. He is always responsive, and knowledgeable, and goes above and beyond to ensure smooth operations. His professionalism and commitment make a huge difference in our day-to-day workflow. George also for his quick feedback and recognition of what is needed most. He is extremely efficient and always available for clarification and to share his knowledge and expertise.
I highly recommend MedCare MSO to any healthcare provider looking for a reliable and efficient billing partner.
RLT
Hello,
I am writing this email to express our appreciation of the MedCare MSO’s team and all they have done for our business at RLT. In the past year, we have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage. We went from having over $100k in uncollected/billed claims to now reaching near $100k in collection some months.
We are also happy to express our thankfulness that MedCare MSO is now helping us acquire new contracts with different insurance companies. This will in effect benefit everyone involved, allowing us to expand our services and provide more resources for our staff/business partners.
Please note special appreciation for the following:
David Lucas
Mario Ortega
Ambrose William
