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Medical Billing Services on NextGen

All-In-One NextGen Medical Billing Solution

Nextgen billing services

Accelerate Your Revenue with NextGen Billing Experts

With GroupOne's all-in-one revenue cycle managment services, your practice can focus more on caring for patients and worry less about getting paid. With studies indicating as much as 6-7% underpayment for physicians, partnering with medical coding and billing experts has never been more critical.

  • Decrease A/R days
  • Increase revenue
  • Modernize workflows


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Why You'll Love GroupOne

We eliminate the hassles of medical billing...

Medical billing is a complicated and time consuming process. Many practices simply don't have the time or resources to take on the challenges of revenue cycle management that exist today. We help practices using the Allscripts EHR software overcome some of the most difficult medical billing challenges. 

and transform your revenue cycle results.

We know what it takes to get your practice paid quickly and accurately. Our advanced business intelligence reporting provides actionable data that helps us target the areas of your revenue cycle that are under performing. The results? Fewer denials, increased productivity, and higher revenue. 

Charge Review

As a provider, it is important to be paid for the services delivered to the patient. This requires a staff of highly-qualified coding and billing professionals to make sure claims are accurate before being processed for payment. Our charge review processes, team members, and technology help prevent errors that could lead to unnecessary delays in payment.

Claims Review

Certified Professional Coders

Our CPCs review all charges in NextGen prior to submission. Your Certified Professional Coder will also work closely with providers to offer advice and recommendations for proper codes and modifiers.

3 Layers of Claim Scrubbing

With 3 layers of claim scrubbing, we help your practice avoid denials. We also check your codes against billing rules in NextGen to make sure a claim is billed accurately the first time. 

ICD-10 Success

Avoid unnecessary denials because of ICD-10 codes and poor documentation. Our ICD-10 Certified Coders helped hundreds of healthcare providers prepare for ICD-10 and have a successful transition.

Denial Management

Denial Posting and Resolution

MGMA reports that 50% to 65% of denials are never worked. Our proactive and reactive claim follow-up and denial appeal specialists have a robust library of state, payor, and issue appeal letters to make sure your denials are handled quickly. Our 70% success rate at overturning denials can dramatically improve your practice's bottom line.
 

Contract Payment Variance

MGMA estimates that payers underpay U.S. practice on average by 7% to 11%. Our contract payment variance tool analyzes payments from third party payers and compares actual payment to expected payment based on applicable contract.

Denial Management Reports

We monitor, evaluate, measure and analyze your practice's denials with advanced denial management reports and dashboards. Our advanced denial management reports give you insight into the top codes being denied and which payers are denying most of your payments.

Integrated Patient Insurance Eligibility

Invalid or incorrect patient insurance eligibility data is one of the most common reasons for front-end claim denials. GroupOne's integrated patient insurance eligibility verification is done on upcoming patient appointments to confirm patient coverage before services are provided.

Practice Performance Analytics

With increased difficulties in reimbursement, enhanced analytics have never been more critical to creating a profitable practice. Gain daily, insightful performance overviews of your most important processes. Our practice performance analytics save you time from manually compiling reports. Instead, receive scheduled reports right to your inbox on E&M coding, profitability, productivity, and more.

Advanced Healthcare Analytics

Payer Mix

Understand shifts that may be happening in your payer mix and how they affect your bottom line with a dashboard specifically for payer mix. View your payer mix easily and quickly and  see how that mix has shifted over time.

Matched A/R

View a dashboard of matched accounts receivables to find out where AR is located, who the AR belongs to, and possibly identify why it is sitting in AR. Quickly visualize and identify significant non contractual adjustments.

Mobile Scorecard

Select your most important Key Performance Indicators and receive them on the go. The Mobile Scorecard is composed of all your configured KPIs. View the KPI value, goal, trend summary, percent of goal, and a trend arrow.

NextGen Billing Services

"Starting a new practice is difficult without strong partners.

I find my partnership with GroupOne as one of the best decisions I made when I started my new practice. I am highly satisfied with their professional and reliable service. For a small practice such as mine, having access to their resources and excellent staff, makes me feel confident that my practice will continue to grow in an ever changing healthcare landscape." 
 
Dr. Nonna Ebalo, South Boston Pediatrics

Take the Next Step

Ask a Question

Give us a call at 800.769.5288. Speak with our EHR and RCM experts to learn how we help practices overcome some of the most difficult EHR and billing challenges.
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Request a Demo

Schedule a demo of GroupOne's RCM services. Learn how we can help you increase your revenue and overcome declining reimbursement.
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Don't take our word for it. Our customers range from solo practices to enterprise groups. See what our customers are saying about GroupOne's services.
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