Outsource Medical Billing Services
With over 10 years of experience in healthcare revenue cycle management, NextGen Billing Solution leverages expert medical billing professionals to optimize workflows and boost collection rates. Our end-to-end billing services streamline revenue for practices of all sizes. Seamless integration with electronic data interchange (EDI) and electronic claims processing simplifies billing, enhances efficiency, and improves cash flow for healthcare providers.
- 50+ Specialties Served
- 30% Faster Reimbursements
- 99% First-Pass Claims
Get Paid Faster with AI
Automation & Cloud
Billing
Advanced Medical Billing Services You Can Trust
Our dedicated team streamlines your medical billing and manages the entire Revenue Cycle Management (RCM) process. With automated denial tracking, NextGen Billing Solution can boost your revenue growth by up to 35%.
End-to-End Medical Billing Services
NetGen Billing Solution stays ahead by continuously updating medical coding and billing processes. Accurate coding ensures timely reimbursements and full regulatory compliance. With secure, two-way electronic connections to Availity, Change Healthcare, and all major payers—including Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna, and Humana—you receive real-time updates on every claim from submission to payment.
Hospital Billing Services
NextGen Billing Solution offers comprehensive medical billing services, including hospital RCM, AR recovery, advanced EHR/EMR integrations, practice management, and patient engagement solutions. Our outsourced billing services provide healthcare providers with a cost-effective way to reduce operational burdens and enhance efficiency through advanced technology.
AR Follow-up & Recovery
NextGen Billing Solution uses proactive Accounts Receivable (AR) recovery strategies to reduce outstanding balances by up to 35%. Our expert team tracks pending payments from patients and insurance payers to ensure faster collections. With a proven record of recovering revenue from aged AR reports—including accounts over 120 days old—we help healthcare providers improve cash flow and financial performance.
Physician Billing Services
NextGen Billing Solution delivers top-notch physician revenue cycle management services at competitive rates through a team of expert medical billers. Our deep knowledge of payer reimbursement strategies ensures transparency, operational efficiency, and maximum reimbursement for independent medical practices.
Medical Credentialing
Get result-oriented healthcare credentialing solutions with NextGen Billing Solution. Our expert credentialing team streamlines the payer enrollment process, ensuring your practice joins premium payer networks to maximize reimbursements while maintaining full compliance. With a proven 95% success rate, our results speak for themselves.
Denial Management
NextGen Billing Solution offers a disciplined, data-driven Denial Management process designed to identify, analyze, and resolve payer rejections at their root cause. By combining certified coders with real-time analytics, we transform write-offs into revenue, reduce AR days, and maintain HIPAA compliance throughout the revenue cycle — ensuring sustainable financial performance.
Medical Billing Audit
NextGen Billing Solution helps you supercharge revenue integrity with comprehensive Quarterly Medical Audits. We benchmark every chart against national standards to uncover hidden revenue leaks, minimize fraud risk, and provide clear, actionable feedback. Our process enhances quality scores, strengthens payer confidence, and ensures your practice captures every dollar it deserves.
Claim Submission (Electronic/paper)
NextGen Billing Solution ensures accurate and compliant claim submission through a fault-tolerant gateway that validates every CPT, ICD-10, and NPI before dispatch. With built-in payer edits, batch tracking, and instant acknowledgments, our system minimizes rework, accelerates reimbursements, and guarantees full compliance with ANSI 837 and CMS clean-claim rules — every time.
Eligibility Verification
NextGen Billing Solution helps you get faster payments and happier patients with our advanced Eligibility Verification service. We perform real-time, automated checks to confirm coverage, benefits, and pre-authorizations before appointments—eliminating billing surprises, reducing claim rejections, and boosting cash flow while keeping your practice 100% payer-compliant.
Payment Posting
NextGen Billing Solution posts payments, adjustments, and denials in real time to ensure accurate account reconciliation and instantly detect underpayments. This process accelerates revenue recognition, minimizes errors, improves financial reporting, and enhances overall practice performance while keeping your records clean and precise.
Benefits of Outsourcing Medical Billing
Increased Revenue (25-35%)
Boost revenue by up to 35% with NextGen Billing Solutions. Outsourced billing reduces errors, saves costs, ensures accurate claims, and provides expert support.
Faster Reimbursements
With NetGen Billing Solution, process 75,000+ error-free claims daily using our innovative medical billing automation technology, ensuring faster reimbursements and accurate revenue management.
Descreased Claim Denials (97-98.5% Clean Claims)
NetGen Billing Solution offers tailored and scalable healthcare billing services customized to your specialty. We ensure accurate billing for every service and help prevent revenue leakage.
Reduced Operations Cost (up to 50%)
With NetGen Billing Solution, there’s no need to hire and train in-house staff, reducing recruitment and payroll costs by up to 50%. Our automated, efficient billing solutions cut overall billing costs and help medical practices optimize financial performance and streamline administrative workflows.
Advanced Reporting
NetGen Billing Solution gives you real-time access to your practice’s revenue trends, billing, claim status, and collections, empowering you to maximize revenue and make informed financial decisions.
24/7 Support/HIPAA Compliance
With NetGen Billing Solution, a dedicated medical billing account manager provides live phone support at every step, ensuring smooth operations and full HIPAA compliance.
Advanced AI Keeps You Compliant with 2025 Billing Standards
- We build No Surprises Act dispute-resolution steps into every out-of-network claim, stopping surprise bills before they reach patients.
- When Medicare’s 2025 fee schedule drops the conversion factor by 2.83%, our platform updates your rates automatically no manual edits required.
- MIPS “MVP” quality data is captured at charge entry and sent to CMS for you, cutting out extra reporting work.
- Our FHIR-based prior-authorization link meets the new CMS-0057-F rule and replaces slow fax requests with instant, secure API calls.
MAXIMUS—Our Advanced AI Medical Billing Software
Say goodbye to billing headaches with MAXIMUS, our AI-powered medical billing software under NextGen Billing Solution. It simplifies claims processing, patient data management, scheduling, instant eVerification, and payment tracking—seamlessly integrating with your existing systems. By optimizing the healthcare revenue cycle, it boosts billing efficiency and collections.
Automated Appointment Scheduling & Billing – Reduce admin work and eliminate human errors.
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EHR Integration & Billing Synchronization – Connect patient data and billing workflows seamlessly.
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Automated Eligibility Verification – Real-time checks for faster approvals.
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Advanced Reporting & Analytics – Detailed revenue insights for informed decision-making.
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Smart Denial Management – 98.5% clean claims rate, fewer denials, faster reimbursements.
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Secure Cloud-Based Access – Manage billing anytime, anywhere, while focusing on patient care.
Real-Time Analytics for Smarter Practice Decisions
NextGen Billing Solution leverages advanced AI and automation to optimize your medical billing:
AI Denial-Prediction Engine – Built from 2.5 million past claims, it flags risky submissions in under a third of a second so errors can be fixed before submission.
Automated Prior Authorization – Software “bots” handle approvals, reducing payer turnaround time by 42%.
FHIR Bulk Export – Sends clean, structured billing data directly into your EHR and quality dashboards—no manual uploads needed.
Real-Time Dashboards – Track net collection rate, cost-to-collect, and payer mix optimization in real time.
Full Setup & EDI Implementation – We manage system setup, documentation, and process coordination, with no software installation costs.
With NextGen Billing Solution, outsourcing billing does not mean losing control. Online reporting and analytics give your practice complete financial visibility anytime, anywhere, while streamlining revenue cycle management.
Power Your Billing with a 3 Million-Rule Knowledge Base
NextGen Billing Solution uses a powerful system with over 3 million rules to ensure accurate ICD-10, CPT, and HCPCS coding. It detects claim issues before submission, achieving a 98.5% clean claim rate.
Key Features:
- All-in-One Platform
- AI-Powered Software
- 4M+ Rules Engine
- Secure Data Transmission
- Instant Claim Submission
- Claim Follow-up & Resolution
- Patient Verification
- KPI Dashboard
- E-Super Bill
- Advanced Reporting
- Financial Audit
- Easy Data Migration & Auto ERA Posting
Specialty Billing with Expertise in 50+ Specialties
Our NextGen Billing Solution delivers complete billing services for all medical specialties, from insurance verification to payment posting,
ensuring accuracy, faster reimbursements, and improved revenue for practices of any size.
Psychology
DME
Dental Billing
Ambulatory Surgery
Neurosurgery
Thoracic Surgery
Pathology
Dermatology
To explore the spectrum of our specialties, including tailored billing services for various medical niches, please click the button below.
Why Outsourcing Medical Billing Makes Sense for Your Practice
- 20–35% increase in collections
- Fewer A/R days and denials
- 98.5% first-pass claim rate
- Timely patient statements
- Full revenue transparency
- No ICD-10 or CPT code errors
Looking for a reliable US-based medical billing company? Our NextGen Billing Solution streamlines billing, reduces denials, and boosts revenue.
What Our Clients Says About Working With US
NextGen billing solution did a great job with our billing and helping clean up old AR. Regular updates and good communication were very appreciated.
NextGen billing solution has been and continues to be critical to the success of Ion Diagnostics. As our medical billing company, they consistently meet our needs for compliance and dedicated, responsive client service. They excel in revenue cycle management and truly feel like a partner.
I am impressed with NextGen billing solution promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases.
I am very thankful to NextGen billing solution because they rectified all the mistakes which were done by my previous medical billing partner. They are so fast and efficient.
NextGen billing solution, as our medical billing company, has reduced our claim denials by up to 20% and resolved all of our billing challenges, including prior authorization and credentialing. We have regularly scheduled weekly meetings with them, and they have been very responsive and courteous during the calls
Our experience with NextGen billing solution is great. They help us to increase our revenue with their quality medical billing and customer support services. Always recommend them to others.
We have experienced tremendous improvements within our billing and claims department that we have entrusted NextGen billing solution to manage.
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