NextGen Real-time Transaction Server

Verify. Streamline.Monitor.

Your one-stop automated solution to create revenue efficiencies and simplify operations.

Streamline office operations.

Speed payments.

Improve care decision making.

Create revenue cycle efficiencies.

NextGen® Real-time Transaction Server, an interactive data transaction

system, streamlines a wide range of office operations with a one-stop

automated solution. It reduces errors, improves information access,

and speeds payment time, resulting in:

• Fewer A/R days

• More effective staff management

• Better overall patient care

Working seamlessly with NextGen® Practice Management

(NextGen PM), NextGen Real-time Transaction Server facilitates

transactions with payers, clearinghouses, and other third-party partners.

With easily accessible patient insurance coverage data, specialist referral

approvals, and claims status reports, you save time and money with

streamlined operations—without needing to access third-party applications.

Plus, use NextGen Real-time Transaction Server to archive transactions

and generate on-demand custom reports.

Healthcare providers face greater financial pressures than ever before. Between rising healthcare delivery costs and lower reimbursements, they need automated solutions to create revenue cycle efficiencies.

Simplify operations. Speed payment.

NextGen Real-time Transaction Server.

VERIFY patient eligibility.Enable more effective care delivery. Eliminate inefficient phone-based insurance confirmations. Ensure that you— and your patients—know exactly what type of visits, procedures, and treatments insurance will cover, even before a patient’s scheduled appointment.

Use NextGen Real-time Transaction Server to send data automatically (or on demand) to any connected payer. Get rapid responses detailing coverage limitations and patient deductibles for improved transparency. Empower yourself, and your patients, to understand financial liabilities up front.

Use NextGen Real-time Transaction Server to:

• Prevent costly miscommunication

errors between patients and insurers

• Pinpoint potential problems early so

you can address them before the visit

or procedure

• Obtain complete and accurate data

to ensure clean, accurate claims

• Gain a streamlined solution

that automatically runs off the

appointment scheduler

• Easily access results for better

reporting and tasking via a fully

integrated solution

It can take significant time and effort to refer your patients to authorized specialists. Remove the guesswork and speed referrals. To ensure snag-free referrals, NextGen Real-time Transaction Server:

• Obtains a payer’s referral number based on various criteria, including CPT-4 codes, ICD-9 codes (ICD-10 ready), date ranges, and provider lists

• Makes it easy to enter separate numbers/co-payments for various individuals on a single policy using policy override functionality

• Streamlines referral authorizations for patients under a spouse’s insurance plan

STREAMLINE the referral process

Tap into NextGen Real-time Transaction Server for better compliance with the HIPAA Administrative Simplification Act, which requires practices to standardize common data formats.

MONITOR Claim Status

Get insight into anticipated revenue, reduce claim turnaround time, and improve cash flow.

Using NextGen Real-time Transaction Server, verify that claims are

accurate and reimbursable before payment—and easily check on

the status of live claims. Don’t wait for a denial code to show up.

Get alerts regarding rejected claims right away. When there’s

a problem with an unpaid claim (i.e., it exceeds a specified

time threshold), NextGen Real-time Transaction Server

can assign it to appropriate staff for follow-up.

“After implementing NextGen Real-time Transaction Server, we have had fewer denials on our claims and we’re saving time. We’ve eliminated re-billing due to ineligibility or incorrect policy numbers by correcting insurance information prior to patient appointments.”

Brenda Blake, EPM ManagerUtah Gastroenterology, PC

NextGen PM achieved Phase II “CORE®” certification by

The Council for Affordable Quality Healthcare (CAQH®)

Committee. CAQH is a non-profit alliance of health plans and

trade associations.

CAQH launched CORE (Committee on Operating Rules for

Information Exchange) to give providers consistent access to

patient coverage information before or at the time of service

for any patient or health plan.

With our latest certification, providers using NextGen PM get the help they need to reduce unnecessary

healthcare administrative burdens, while becoming more efficient and responsive to patient concerns.

How? By giving providers access to a richer set of consistent and accurate electronic administrative data, such as

eligibility, benefits, and patient financial information—all of which empower better healthcare decision-making.

New certification empowers better healthcare decisions

Achieve ongoing, peak efficiency

Get the functionality and results you need to ensure your revenue cycle operates at peak efficiency. Choose NextGen Real-time Transaction Server to:

AUTOMATE eligibility, referrals, and claim status inquires.

BATCH AND SUBMIT payments automatically or on demand.

EASILY RETRIEVE and view claim processing results, which are stored

electronically and appended to patient charts.

SPEED CLAIM RESOLUTION and payment by automatically delegating tasks

to select staff when issues arise, such as when insurance coverage expires

before a patient’s scheduled appointment.

FORWARD TRANSACTION RESULTS to NextGen PM for tasking, reporting,

and historical data.

A smart partner for proven resultsNextGen Real-time Transaction Server builds

on our results-driven solutions, providing

the automated functionality and intelligence

needed to ensure a strong bottom line. But

with NextGen Healthcare you also get a proven,

stable healthcare IT solutions partner. One that

delivers the functionality and support you need

to succeed today and in the future. One whose

clients get results.

In fact, our clients average a 97% first pass

clean claim rate, typically improve collections

by 9%, reduce A/R days by 36.4%, and see net

collections of 98%.

Like you, NextGen Healthcare understands the

importance of patient-centered, value-based

medicine.

97%

FIRST PASS CLEAN CLAIM RATE

9%

IMPROVED COLLECTIONS

98%

NET COLLECTIONS

36.4%

REDUCED A/R DAYS

Take the Next StepTo find out how your practice can simplify

operations and speed payment with NextGen

Real-time Transaction Server, contact

your NextGen Healthcare Regional Sales

Consultant, e-mail sales@nextgen.com,

or call toll free: 855-510-6398.

nextgen.com

NextGen Healthcare Information Systems, LLC 795 Horsham Road, Horsham, PA 19044

Copyright© 2014 NextGen Healthcare Information Systems, LLC All rights reserved. NextGen is a registered trademark of QSI Management, LLC, an affiliate of NextGen Healthcare Information Systems, LLC. All other names and marks are the property of their respective owners. Patent pending.

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