Health Thrive Billing

NextGen EMR Medical Billing Services to Maximize Practice Revenue

We streamline your revenue cycle by integrating directly into NextGen for seamless billing, faster reimbursements, and zero workflow disruption.

Specialized Medical Billing for NextGen EHR Users

NextGen EMR offers robust clinical tools; but billing success depends on more than just software. You need billing experts who know how to work inside NextGen, optimize documentation, scrub claims, and drive collections without slowing your team down.

With our NextGen medical billing services, you get a full-service RCM solution designed to reduce denials, shorten your A/R cycle, and increase profitability — all while staying compliant with the evolving payer landscape.

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Why Our NextGen Billing Experts Stand Out

  • 100% NextGen-integrated billing processes
  • 30–40% A/R reduction in 90 days
  • 5–10% revenue increase within 3 months
  • 24–48 hour TAT on all claims
  • 98%+ first-pass clean claims rate

Full-Service NextGen Revenue Cycle Management Includes

Claims Scrubbing & Submission

  • Medical necessity checks built into workflows
  • ICD-10, CPT, HCPCS coding accuracy
  • Specialty-specific modifiers (e.g., global surgical packages)

Denial Management & Appeals

  • Root-cause analysis of denials from NextGen RCM reports
  • Custom appeals for each payer
  • Resubmissions tracked in NextGen workflow tools

Payment Posting & ERA Management

  • Auto-posting for ERA through NextGen
  • EOB reconciliation with payer remits
  • Secondary claim filing & patient balance transfers

Patient Eligibility & Benefit Verification

  • Real-time checks inside NextGen PM
  • Copay, deductible & prior auth confirmation
  • Automated alerts for expired insurance

Charge Capture & Encounter Coding

  • Medical necessity checks built into workflows
  • ICD-10, CPT, HCPCS coding accuracy
  • Specialty-specific modifiers (e.g., global surgical packages)

Claims Scrubbing & Submission

  • Claims validated with payer rules before submission
  • Direct clearinghouse integration for fast filing
  • 98%+ clean claims on first pass

A/R Management & Collections

  • Insurance & patient follow-up via NextGen dashboard
  • 30/60/90+ day aging reports tracked and actioned
  • Collection workflows aligned with your specialty

ICANotes Revenue Cycle Analytics & Insights

Gain visibility into key financial metrics that matter most:

98.6% First-Pass Claims Rate
36 Hours Avg. Claim Processing Time
40% Denial Rate Reduction
98% First Pass Rate
25 Days A/R Days Reduced To
Up to 25% Revenue Uplift

Our NextGen Billing Workflow

ERA Payment Posting & Reconciliation
Denial Management & Appeals
A/R Reporting & Follow-up
Weekly/Monthly KPI Reports via NextGen Analytics
Patient Onboarding & Insurance Verification
Encounter Documentation & Charge Capture
Claim Scrubbing via NextGen PM Rules Engine
Claim Submission & Tracking

NextGen Billing Services for All Practice Sizes & Specialties

Whether you’re an independent provider, a mid-sized specialty group, or a multi-site
FQHC, our team scales with you.

We serve providers across:

  • Family Medicine & Internal Medicine
  • Cardiology, Oncology, Urology
  • Orthopedics & Surgery Centers
  • Pediatrics, OBGYN, Neurology
  • Pain Management & PT/OT
  • Behavioral Health & Psychiatry

NextGen EMR Billing Support

Our team works directly inside your NextGen PM and EHR system. We do not require any third-party software or duplicate entry.

We’ve supported 30+ specialties including cardiology, orthopedics, pediatrics, pain management, and behavioral health on NextGen.

Yes! We handle initial enrollments, revalidations, CAQH management, and insurance paneling inside and outside NextGen.

We configure and deliver custom RCM reports through NextGen Analytics so you can track financial health in real time.

Absolutely. Our certified coders and billers are trained continuously on NextGen features and payer compliance guidelines.

Ready to Optimize AthenaHealth Medical Billing?

Let our team take over the heavy lifting. Experience peace of mind, clean claims, faster payments, and better insights — all through your AthenaHealth EMR. Save up to $2,000 with our detailed AthenaHealth billing health check — uncover missed revenue and broken workflows.