Medical Billing Services on NextGen

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.

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 Posting and Resolution

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.

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.