NextGen


Eligibility Verification Report

    Are your 'insurance benefits' statements looking jumbled and inexplicable ?

    Patient Insurance Eligibility Verification is the top of hospitals bolt-on RCM solution shopping list." says CapSite Sr. VP and GM, Gino Johnson.

    Most EHR solutions are really challenging the decipherability of the insurance benefit statements due to the toting up of some unnecessary data, in an attempt to build a bizarre outlook. But, our NexGen's software system is designed to present you detailed information on your patients' insurance benefits in an easy-to-read format. The details include patient name, payer name, policy number, patient balance, eligibility status, provider status, effective and term dates, pre-authorization, pre-existing and any comments (eg: preauthorization tenure)

    See BillingParadise in Action

    Schedule an online demo with one of our knowledgable associates to see how our integration with your EHR can help you automate the patient eiligibility verification process.

    How could I trim down my patient's 'no-pays' at the time of service?

    Our NextGen software determines the co-pay amounts, deductibles, and benefit coverage prior to the time of service. Thus, you could reduce "no-pays" with our automated time-cutback features.



Quick Inquiry Form

Track RCM data stored in your NextGen EHR using a mobile app

  • Consolidate, categorize and manage billing data
  • Get vital revenue cycle reports straight into your smartphone
  • View RCM reports under a single glass pane instead of navigating various tabs
  • Be assured of 100% data security and compliance
  • The RCM data stored in your EHR is securely extracted
  • Set alerts and communicate with billing teams easily

Is your EHR system HETS 270/271 Compatible?

The data input fields of our EHR system is a clean companion of HETS (HIPAA Eligibility Transaction System) 270/271 and other eligibility transaction systems. This feature would mainly benefit the large volume providers who frequently perform patient eligibility checking for Medicare. Besides, it permits the release of secure patient eligibility data to Medicare Providers, or their authorized billing agents to organize an accurate claim, determining in beneficiary liability or eligibility for specific services.

NextGen EHR platform creates a hindrance-free workflow through our automated formulary checks and insurance eligibility screens, so as to reduce your work load and to get precise information on your patient's coverage. Our system is advanced and amicable to you, so that you could view the comprehensive patient details at a single point.

Our system allows the release of patient's appointment, payment and eligibility data to authorized practices, payers or billing agencies through a highly secure conduit. To accomplish 100% claim acceptance rate, our system assists your front desk to perform electronic eligibility screening prior to the claim creation process.

 Want To know How Dr. Patrick of California Transformed his NextGen EHR in to a profit making Tool ?

Your Benefits:

  • Electronic eligibility verification
  • Well secured conduit
  • Real time scrutiny
  • Reduce 'no-pays' on your patient ingress.

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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Coding

Coding

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

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

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

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%

Service Suite Tailored To Your Needs

Skilled Personnel

BillingParadise employs trained personnel to manage your claim auditing needs. All claims are thoroughly audited and quality checked before the bills are sent for reprocessing. Batches of claims are diligently checked for incorrect codes/errors/missing information before sent for processing.

Foolproof System

At BillingParadise we have designed our audit workflow that produces quality centric audit reports the fastest way possible. Auditing and recovery occur simultaneously, and reports are produced based on your necessity. Every flaw is flagged & rectified in tandem. The entire workflow is streamlined and optimized.

State-of-the-art Tech

BillingParadise provides you the most optimized and cost effective software.The ClaimBridge is a turnkey software solution. The software is automated and analyzes claims in batches. Easily deployable, seamlessly scalable & can be maintained & updated. Our tech helps you conserve your valuable resources and boosts your revenue.

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

Service Suite Tailored To Your Needs

Skilled Personnel

BillingParadise employs trained personnel to manage your eligibility denials. This service is made available for you to avoid such denials. Verifications are done by our specialists prior to services rendered. Every criteria from pre-certification to patient due is checked and thoroughly verified.

Foolproof System

At BillingParadise we have designed our eligibility verification workflow to be streamlined and highly productive. We ensure that all information regarding your patients current eligibility status is made available to you the instant you require it. Eligibility checks are done in batches and are also made available to you on demand.

State-of-the-art Tech

BillingParadise provides you the most optimized and cost effective software. The software can cross-integrate across payor systems and offers you complete interoperability for you to keep track of your patients eligibility status. Eligibility checks are done on demand or through scheduled batches. Hire us and avoid eligibility denials permanently.

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.