NextGen gives health centers wide control over billing setup, from encounter rate billing to sliding fee schedules on the patient chart or a single encounter. But a schedule in the wrong place or a rule written for an old rate costs money on every visit. The Medcor Group holds NextGen superuser designation and keeps that setup right while our team works your claims.
Where Revenue Slips In NextGen
- 1Patient Chart
- 2Charge Entry
- Claim
- 3Denial Work
Sliding Fee Schedules In The Wrong Place
A schedule on the encounter overrides the one on the patient chart, so one wrong setting changes what the patient owes and what reaches your UDS report.
Charge Rules Built For A Different Year
Rules set up years ago may no longer match your current PPS rate, payer mix or sliding fee scale.
Denials Worked One Claim At A Time
Fixing denials without finding the setting behind them means the same claims keep coming back.
Superuser NextGen support, working inside the system you already own.
How Medcor Works In NextGen
Our superusers work directly in your NextGen system, reviewing charge rules and building the logic for encounter rate billing, wrap payments and sliding fee discounts with your finance and IT leads. We review every denied and unpaid claim, track denial trends and appeal the denials that need it, and we tell you what’s causing them.
Because superuser access lets us work in the setup itself, a denial that traces back to a rule or schedule gets fixed at the cause instead of claim by claim. If enrollment is behind some of your denials, our credentialing team works alongside billing, and our FQHC billing page covers the rest of what we do for health centers.
The Support Your Team Gets
Billing support should feel like part of your own staff. Here is what working with Medcor includes, on top of the claims work itself.
A Dedicated Team With A Supervisor And Lead
Your health center gets its own Medcor team, led by a supervisor and a lead who learn your payers, your sites and your history.
A Month-End Report Card
Each month you get your KPIs against benchmarks, with the analysis behind them and a plan for anything that slipped.
Service Hours That Match Your Clinics
Our team works the same hours your health center is open, so billing questions get answered while your clinics are running.
Front Desk And Provider Training
We train your front desk on eligibility and registration in NextGen, and we give providers coding feedback as trends show up.
A Patient Billing Line Answered By Medcor
Patients call a toll-free line staffed by our team, and we handle their billing questions the way your own staff would.
HRSA Site Visit And UDS Support
We answer revenue cycle questions during HRSA operational site visits and pull the billing data your UDS tables need.
How Switching To Medcor Works
Most health centers go live with Medcor in about 90 days. We hold weekly implementation meetings with your team while we set up billing workflows in NextGen, train your staff and plan the handoff, so collections keep moving during the transition.
- Before Kickoff
Billing Assessment
We review how your billing runs today, including payers, programs and aged accounts.
- About 90 Days
Kickoff And Setup
Weekly implementation meetings while we train your staff and set up billing workflows in NextGen.
- At Go-Live
Go-Live Support
Daily check-ins with your team for the first one to two weeks after go-live.
- Month One And Beyond
Ongoing Reviews
An onboarding review at one month, then monthly check-ins and quarterly reviews.
Get A Second Look At Your NextGen Setup
Bring your top denial reasons and your A/R over 90 days to a 30-minute call, and we’ll tell you which settings we’d check first.
Frequently Asked Questions
Does Medcor Support Encounter Rate Billing In NextGen?
Yes. Our team sets up and checks encounter rate billing for Medicare and Medicaid, including the rate codes your payers require, along with PPS, wrap and sliding fee logic.
What Does NextGen Superuser Designation Mean For Us?
It means our team can work in the setup itself, the charge rules, schedules and mappings behind your claims, rather than only working claims after they deny. When a denial traces back to a setting, we fix the cause.
Can Medcor Take Over Billing From Our Current Billing Company?
Yes. We plan the handoff with your team over about 90 days, set up workflows in NextGen and train your staff before go-live, so collections keep moving during the transition.
Do Our Providers Have To Change Anything?
No. Medcor bills inside your existing NextGen system, so your providers and front desk keep the workflows they know.
What Do We Get Each Month?
A month-end report card with your KPIs against benchmarks and the analysis behind them, plus support with the data your finance staff need for UDS reporting and the Medicare cost report.
Who Will We Work With Day To Day?
A dedicated Medcor team with a supervisor and a lead, working the same hours your health center is open, plus a toll-free line your patients can call with billing questions.
Using a different EHR? See our OCHIN Epic billing and eClinicalWorks billing pages.
NextGen is a trademark of its owner. The Medcor Group is not affiliated with or endorsed by NextGen Healthcare.