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NextGen billing services

NextGen billing services from Remitwright put a dedicated biller inside your NextGen practice management system: encounter and charge review, claim edits and submission, clearinghouse rejections, ERA posting, denial and A/R follow-up through the worklists, and the reports.

See where claims are getting stuck. No patient data needed.

NextGen describes a Waystar connection for claims and remittances on NextGen Enterprise and a built-in clearinghouse on NextGen Office. You keep the one you have; we bring the person. See the full list of billing software we work in, by type.

Independent: Remitwright is not affiliated with or endorsed by NextGen Healthcare. NextGen is a trademark of its owner, named here to describe the system we work in.

Last reviewed by the Remitwright billing team. Editorial policy

  • EHR and practice management

Every day

What your biller does in NextGen every day

  • Review encounters and charges so visits become claims with the right provider, place of service, codes and modifiers
  • Clear the In-Line Edits NextGen raises at the encounter, before the claim is created, and trace repeat edits back to the setup that causes them
  • Release claim batches and work the clearinghouse rejections as they come back, turning repeat reasons into claim edits or registration fixes
  • Post electronic remittances, reconcile each ERA to the deposit, review the exceptions, and route denials to the worklists with the reason attached
  • Work denials and aging from the worklists by payer and bucket, with every touch noted on the account
  • Run the standard accounts receivable, denial and payment reports and build the weekly one-page report
  • Keep fee schedules, payer records and provider setups current so claims carry the right prices and identifiers

Access

Access and security

Your data, your systems

Patient data stays in your systems. Your biller works inside your own software, clearinghouse and payer portals and never exports, downloads or stores claim files, remittances or patient lists on Remitwright devices or systems.

  • BAA signed before any access
  • A user you create and can remove
  • MFA on every login that supports it
  • No claim files or patient lists exported
How access works

In NextGen

  • You keep your NextGen license and your data; the biller is a user you create with the billing permissions the work needs
  • Multi-factor authentication on the login, with access visible to you and removable at any time
  • No exports to systems of ours; the work and the reports stay inside your system

Where the biller steps in

What NextGen does not do, and the biller does

  • NextGen's claim edits can be customized, but someone has to write the payer-specific ones; the biller builds and maintains them for your payers

  • Underpayments are found by comparing paid amounts to loaded contracted rates; the biller loads and compares them

  • Appeals, records requests, peer-to-peer scheduling and payer portal work happen outside the system

  • Group practices need provider and location reporting set up deliberately; we define those views with you

Questions

Questions about billing in NextGen

NextGen Enterprise or NextGen Office?

Both. NextGen Office is the cloud system NextGen offers independent practices with fewer than 10 providers, and NextGen Enterprise is its enterprise-level platform. The screens differ and the billing work is the same; the biller works in whichever you run.

Can you work alongside our in-house billing staff in NextGen?

Yes. Scope is written down so both sides know who owns charge entry, submission, posting, denials and follow-up, and the weekly report covers the whole cycle either way.

Which clearinghouse do you use with NextGen?

The one connected to your system. For Enterprise, NextGen describes a Waystar integration that exchanges claim and remittance information with its platform; NextGen Office includes a clearinghouse of its own. The biller works the rejections, acknowledgements and remittances in whichever you have, and if it is causing problems we cannot fix at the root, we will say so.

Do we need NextGen's own billing service to use you?

No. NextGen offers RCM services alongside its software, and they are a separate purchase. Remitwright works inside the software you already license, as your dedicated biller, without any change to your agreement with the vendor.

What access do you need?

A billing user in the system, access to the clearinghouse and the payer portals you use, and a signed BAA first.

Do you handle reporting for a multi-location group on NextGen?

Yes, by provider and by location wherever the claim records them, with the definitions written once so the numbers mean the same thing from one report to the next.

Next step

See where claims are getting stuck. No patient data needed.

Three quick questions. No patient data. A billing specialist reads every request and replies in writing, with notes on how the work would run inside NextGen.

  • Three questions, about two minutes
  • No patient data, no software to buy
  • A written reply from a biller, not a sales deck

What happens next

  1. You answer three questions

  2. A billing specialist reads them

  3. A written reply by email

Prefer email? sales@remitwright.com

Get a billing review

See where claims are getting stuck. No patient data needed.

Step 2 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing
Get a billing review
Billing review

Get a billing review

See where claims are getting stuck. No patient data needed.

Step 1 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing

BAA signed before any access, a user you create, MFA on. Patient data stays in your systems. How access works