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.
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Just send us a message in the form below with any questions you may have
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Track RCM data stored in your NextGen EHR using a mobile app
Finally, a revenue cycle data analytics app built from the ground up for your NextGen EHR
- 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.
Read More
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.
Read More
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!
Read More
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.
Read More
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.
Read More
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.
Read More
+
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!
Read MoreEMR 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.
Read MoreOld 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.
Read MoreRCM 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.
Read More
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
Speak to a NextGen Consultant
One of our NextGen RCM specialists will contact you for a personalized demonstration of
BillingParadise's 24/7 NextGen Billing Process.
888
-571-9069
Helpful resources
Find resources to help you run a more successful practice
Are you in the weeds regarding denials
Insurer specific denial report. Track denial patterns easily. Simple, engaging and data rich template
Track and measure individual physician productivity metrics
Know monthly work RVUs. Monitor productivity ratio. Track visits per workday
Want to know who your top paying insurers are?
Insurer specific collection breakdowns. Know payment TAT of every insurer
Improve patient flow and streamline your appointment schedule
Track appointment counts. Customization and integration options. Reduce your no show percentage
Are you in the dark about your claims TAT?
Know your average reimbursement TAT. Access insurer wise payment details. Gain actionable insights
Super-charge your financial decision-making with our practice analysis report
Net Collections by DOS and several other financial KPIs no smart practice can do without!
Denial Management Best Practices Explained
5 Important denial management metrics that your tool should track. Figure out preventable denials
RCM Best Practices For Medical Groups
Areas where group practices can minimize cost. How to manage your financial challenges
Know How an Underpaid Anethesiology Practice increased Cash Flow by working with BillingParadise
Incorrect physical status modifiers. Inefficient coding process. Dwindling collections
Fixing the fractured billing cycle of an Seattle based orthopedic clinic
Inability to keep pace with regulatory changes. Unstructured billing workflow processes
Know how we increased the collections of a cardiology practice by 40%
Inefficient insurance eligibility verification process. Kareo EHR + PracticeFusion Integration Issues
Find out how an orthopedic hospital reduce denials by 98%
Improper documentation caused 16% of denials. Erroneous codes led to 70% of denials
Know how an office manager of a Family practice experienced difference in net collections after working BillingParadise
Sharp increase in clearinghouse rejection rate. Difficulties in billing for secondary claims
Learn how a primary care physician managed to recover his lost revenue
Inexperienced staff handling the billing department. Most claims went unpaid
Phased resolution the golden tool to upsurge obstetrics and gynecology practice
With Billingparadise's collaboration, female patient's tranforming acuity about Obstetrics and Gynecology practice.
Read how a spine care practice got rid of an inefficient revenue cycle
No periodic follow-up on denied claims. Haywire appointment schedules. Frequent patient billing errors
Know How We Helped an Urology Clinic in Minnessota improve their documentation
Every medical billing firm they'd approached over the last few months had scared them off with exorbitant rates.
Learn What Revenue Cycle Strategies Worked for a Medicar Podiatry Practice
A Medicare podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
See how an urgent care centre zeroed down on unbilled encounters
An urgent care centre based in Florida found it an everyday struggle to remain financially stable. Learn how...
Learn What Revenue Cycle Strategies Worked for a Podiatry Practice
A podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
Unlocking the potential in payer contracts
Anesthesiology revenue cycle and contract management is incredibly complex. See how..
Revamping the AR Process of Texas Healthcare System
Revamping the AR Process of Texas Healthcare System..
Profitable Practice Indicators (KPIs)
The Practice Profitability KPI template is a must-download template that will give you a clear picture of your practice’s key performance indicators.
How to Track Your Time of Service Collections with This Template
As patient payment responsibilities rise, tracking Time of Service collections is now more important than ever.
Medicare Recovery Audit Contractor Template
Protect your healthcare organization from RAC audits. This free template provides state-specific contact details of RAC contractors. Download.
Medicare Evaluation Management Tool
Evaluation and Management Tool designed by BillingParadise helps providers come up with the code that best represents the leve...
Incident to Self Service Tool
The Incident to self-service tool designed by BillingParadise helps providers understand the CMS Part-B incident...
OLD AR Calculator
OLD AR Calculator | Calculate your huge aging AR backlog and collect more...
Payer Group A/R Assessment Tool
Payer group A/R assessment tool serves the purpose of analyzing the impact of most common payers across healthcare organizations.
The ACI performance category sets two options based on your EHR
Advancing Care Information Objectives and Measures and 2017 Advancing Care Information Transition Objectives and Measures are available to add and download now..
Are you aware of the 271 Quality Measures
Review and select up to six measures which best fits your practice. You can add the measures which best fit your practice.
Improvement Activities has 92 measures to review and select
This performance category deals with care focused on care coordination, beneficiary engagement and patient safety.
Did you check your MIPS score?
Compare your total Part-B Medicare revenue per year with the payment adjustments starting 2019.
Practice Sale Executive Summary | Sample purchase agreement
Sample Practice Sale Executive Summary and 2018 Sales Compensation Trends Survey Executive Summary
Revenuecycle Workflow Transparency and Efficiency Management
Revenuecycle Workflow Transparency and Efficiency Management...
Presentation of the Risk Adjustment and RADV Audits Webinar
CRC certified experts Holly Cassano and Kim Dues discuss all things risk adjustment....
MACRA & MIPS - TOP 10 TO KNOW FOR 2017 FORWARD AND WHO WILL BE IMPACTED
Industry experts Kim Dues and Holly Cassano share useful information and shed the much needed light on MACRA and MIPs...
Risk Adjustment Fraud! Is your Practice at Risk?
CRC certified experts Holly Cassano and Kim Dues discuss all things risk adjustment. In this webinar they discuss....
Network contract negotiation strategies for orthopedic surgeons
Orthopedic surgeons are underpaid. This free webinar on contract negotiation strategies to improve reimbursement for ortho surgeons will help....
How OBGYN Increased Profits for Medical Practice
Know How BillingParadise increased 60% revenue for an OB/GYN Center
Helpful resources
Find resources to help you run a more successful practice
Are you in the weeds regarding denials
Insurer specific denial report. Track denial patterns easily. Simple, engaging and data rich template
Track and measure individual physician productivity metrics
Know monthly work RVUs. Monitor productivity ratio. Track visits per workday
Want to know who your top paying insurers are?
Insurer specific collection breakdowns. Know payment TAT of every insurer
Improve patient flow and streamline your appointment schedule
Track appointment counts. Customization and integration options. Reduce your no show percentage
Are you in the dark about your claims TAT?
Know your average reimbursement TAT. Access insurer wise payment details. Gain actionable insights
Super-charge your financial decision-making with our practice analysis report
Net Collections by DOS and several other financial KPIs no smart practice can do without!
Denial Management Best Practices Explained
5 Important denial management metrics that your tool should track. Figure out preventable denials
RCM Best Practices For Medical Groups
Areas where group practices can minimize cost. How to manage your financial challenges
Know How an Underpaid Anethesiology Practice increased Cash Flow by working with BillingParadise
Incorrect physical status modifiers. Inefficient coding process. Dwindling collections
Fixing the fractured billing cycle of an Seattle based orthopedic clinic
Inability to keep pace with regulatory changes. Unstructured billing workflow processes
Know how we increased the collections of a cardiology practice by 40%
Inefficient insurance eligibility verification process. Kareo EHR + PracticeFusion Integration Issues
Find out how an orthopedic hospital reduce denials by 98%
Improper documentation caused 16% of denials. Erroneous codes led to 70% of denials
Know how an office manager of a Family practice experienced difference in net collections after working BillingParadise
Sharp increase in clearinghouse rejection rate. Difficulties in billing for secondary claims
Learn how a primary care physician managed to recover his lost revenue
Inexperienced staff handling the billing department. Most claims went unpaid
Phased resolution the golden tool to upsurge obstetrics and gynecology practice
With Billingparadise's collaboration, female patient's tranforming acuity about Obstetrics and Gynecology practice.
Read how a spine care practice got rid of an inefficient revenue cycle
No periodic follow-up on denied claims. Haywire appointment schedules. Frequent patient billing errors
Know How We Helped an Urology Clinic in Minnessota improve their documentation
Every medical billing firm they'd approached over the last few months had scared them off with exorbitant rates.
Learn What Revenue Cycle Strategies Worked for a Medicar Podiatry Practice
A Medicare podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
See how an urgent care centre zeroed down on unbilled encounters
An urgent care centre based in Florida found it an everyday struggle to remain financially stable. Learn how...
Learn What Revenue Cycle Strategies Worked for a Podiatry Practice
A podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
Unlocking the potential in payer contracts
Anesthesiology revenue cycle and contract management is incredibly complex. See how..
Revamping the AR Process of Texas Healthcare System
Revamping the AR Process of Texas Healthcare System..
Profitable Practice Indicators (KPIs)
The Practice Profitability KPI template is a must-download template that will give you a clear picture of your practice’s key performance indicators.
How to Track Your Time of Service Collections with This Template
As patient payment responsibilities rise, tracking Time of Service collections is now more important than ever.
Medicare Recovery Audit Contractor Template
Protect your healthcare organization from RAC audits. This free template provides state-specific contact details of RAC contractors. Download.
Medicare Evaluation Management Tool
Evaluation and Management Tool designed by BillingParadise helps providers come up with the code that best represents the leve...
Incident to Self Service Tool
The Incident to self-service tool designed by BillingParadise helps providers understand the CMS Part-B incident...
OLD AR Calculator
OLD AR Calculator | Calculate your huge aging AR backlog and collect more...
Payer Group A/R Assessment Tool
Payer group A/R assessment tool serves the purpose of analyzing the impact of most common payers across healthcare organizations.
The ACI performance category sets two options based on your EHR
Advancing Care Information Objectives and Measures and 2017 Advancing Care Information Transition Objectives and Measures are available to add and download now..
Are you aware of the 271 Quality Measures
Review and select up to six measures which best fits your practice. You can add the measures which best fit your practice.
Improvement Activities has 92 measures to review and select
This performance category deals with care focused on care coordination, beneficiary engagement and patient safety.
Did you check your MIPS score?
Compare your total Part-B Medicare revenue per year with the payment adjustments starting 2019.
Practice Sale Executive Summary Sample purchase agreement
Sample Practice Sale Executive Summary and 2018 Sales Compensation Trends Survey Executive Summary
Revenuecycle Workflow Transparency and Efficiency Management
Revenuecycle Workflow Transparency and Efficiency Management...
Presentation of the Risk Adjustment and RADV Audits Webinar
CRC certified experts Holly Cassano and Kim Dues discuss all things risk adjustment....
MACRA & MIPS - TOP 10 TO KNOW FOR 2017 FORWARD AND WHO WILL BE IMPACTED
Industry experts Kim Dues and Holly Cassano share useful information and shed the much needed light on MACRA and MIPs...
Risk Adjustment Fraud! Is your Practice at Risk?
CRC certified experts Holly Cassano and Kim Dues discuss all things risk adjustment. In this webinar they discuss....
Network contract negotiation strategies for orthopedic surgeons
Orthopedic surgeons are underpaid. This free webinar on contract negotiation strategies to improve reimbursement for ortho surgeons will help....
How OBGYN Increased Profits for Medical Practice
Know How BillingParadise increased 60% revenue for an OB/GYN Center
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.