Claims Scrubbing Services

NextGen Claim Scrubbing Process with BillingParadise

NextGen EHR's claim scrubbing system is an ideal tool that meticulously reviews every word of each claim and alerts/modifies the errors that outlaw the payer specific rules. Our claim scrubbing design is based on the verity, "if you 'stand for' your payer rules, they will sanction your reimbursement as full and as early as possible.

NextGen's Claim Scrubbing Features:

  • Medical Necessity Edits (MNE) – LCD/LMRP and NCD edits
  • NCCI editss
  • Medicaid edits
  • CPT-4/ HCPCS edits
  • CPT/ICD-9 crosswalk

  • ICD-9-CM edits

Quick Inquiry Form

Your Benefits:

  • ICD-9-CM edits
  • Physician/provider-based edits
  • Hospital Outpatient Prospective Payment System (OPPS) Edits
  • Claim-Level Technical Edits
  • Optimizing revenue via RVU sequencing
  • E&M level of service
  • Customized Edits
  • Precise coding by certified coding veterans
  • No missed charges
  • Augment the possibilities of claim approval

End-to-end Complete NextGen
Revenue Cycle Management

Specialized Support

An answer for your every need

Billing & Collections

BillingParadise has helped several NextGen users brush aside their billing hurdles and run a more profitable practice, inline, with regulatory guidelines.

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Medical coding is becoming increasingly complex. An average coder, who assigns codes without in-depth analysis can do your practice more harm than good. NextGen users can now code right!

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EMR Support

We take care of your front end and back end revenue cycle processes. Right from appointment scheduling and eligibility verification to claim analysis and denial resolution, our NextGen revenue cycle management services, have you covered. We help you leverage and extract the most out of the staff, technology and workflow of your medical practice.

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Old AR

AR calling is more than just making calls to insurers and leaving home at six. You need AR callers who are persistent, informed and quick.We work with NextGen users every single day and offer flexible, practice specific support.

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RCM Services

Optimize the many moving parts of your revenue cycle with BillingParadise’s NextGen revenue cycle management services. Our certified revenue cycle specialists will improve the compliance and performance of your NextGen RCM processes.

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Specialty Focused RCM Services

We have specialized teams of medical billers and coders who hold speciality specific certifications to handle your billing and coding tasks

Service Suite Tailored To Your Needs

Skilled Personnel

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BillingParadise employs trained personnel to manage your claim denials. All claim reworks are done in the fastest way and are always inspected by our in house quality auditors before resubmission.

Foolproof System

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At BillingParadise we have designed our Denial Management Operation workflow to be streamlined and highly productive. We ensure that your denials are reworked correctly and on time.

State-of-the-art Tech

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BillingParadise provides you the most optimized and cost effective software.The DenialBridge is a turnkey software solution. Easily deployable, seamlessly scalable & can be maintained & updated.

Hire one/combination of services/all, we at BillingParadise will meet your needs 100%

Get paid Three times faster with our 24/7 medical billing services.

Work with medical billers who understand your EHR's billing process backwards and forwards

Avail Free RCM Audit Worth $2,000! Check out 19 different KPI reports that stops your cash flow.