Family Practice Billing Services

NextGen Billing Solution helps increase revenue while reducing the stress of managing complex billing processes. With our expertise, your FQHC can focus on patient care without worrying about claims and coding. Contact us today to see how NextGen Billing Solution can support your practice’s success.

The Results Will Amaze You

First Pass Clean Claims Rate
0 %
Reduction in A/R
0 %
Collection Ratio
0 %

Struggling with Out-of-Network Billing? NextGen Billing Solution Can Help

NextGen Billing Solution provides complete support by enrolling your practice with both in-network and out-of-network insurance payers, ensuring you receive full and timely reimbursement for every service you deliver.

Comprehensive Family Practice Medical Billing Services

NextGen Billing Solution streamlines billing for family practices, including behavioral health, therapy, psychiatric care, skilled nursing, home visits, and assisted living—ensuring timely reimbursements and stable revenue.

Our Winning Formula for Revenue Cycle Management

The financial health of your family practice depends on efficient billing workflows and timely reimbursements—both core elements of a strong revenue cycle strategy. With NextGen Billing Solution, your family practice can reduce coding errors, resolve denied claims quickly, and maintain a streamlined, fully optimized revenue cycle for consistent cash flow and improved practice performance.

Precise and Accurate Coding

If you provide services to Medicare patients, it’s crucial to understand that consultation CPT codes 90241 to 99248 are accepted by commercial payers but will face denials with Medicare.For family practitioners conducting office visits and making same-day surgical decisions, we use modifier 57. This essential step ensures you receive the reimbursement you are entitled to for those surgical decisions.Common codes in family practice include 99202-99205 and the established codes 99212-99215. According to CMS guidelines, the 99213 code can be added for stable chronic conditions.Additionally, when utilized correctly, E&M modifiers 24, 25, and 57 can lead to 100% reimbursement for additional services rendered alongside office visits. We significantly enhance your revenue by up to 35% with the accurate and precise use of these codes and modifiers.

Efficient Claim Denials Management

Inaccurate coding, incomplete documentation, or failure to follow payer guidelines can quickly increase denial rates—delaying payments and placing added pressure on your administrative team.NextGen Billing Solution uses a structured IMMP workflow—Identify, Manage, Monitor, and Prevent—to tackle claim denials effectively. First, we pinpoint the underlying causes of each denial. Then, we pursue timely appeals to recover lost reimbursements. Finally, we strengthen your billing operations by improving internal processes and offering targeted staff retraining, reducing the likelihood of future denials.

Streamlined Patient Payment Responsibilities

With the rising prevalence of high-deductible health plans—including HSAs, catastrophic policies, EPOs, PPOs, and marketplace options—many practices face increasing challenges in collecting patient payments. These gaps can quickly impact cash flow and highlight the need for strong communication and effective collection strategies.

NextGen Billing Solution supports family practices by ensuring patients clearly understand their financial responsibilities from the start. Complex insurance terms and deductibles are explained in simple, transparent language so patients know what to expect. In addition, the system’s intelligent software tracks balances in real time and automates reminders, allowing for consistent and efficient follow-up.

Complying with Regulatory and Payer Policy Changes

With NextGen Billing Solution, your family practice benefits from a team that stays fully updated on essential regulations impacting family medicine billing, including MACRA, HIPAA, and ACA requirements. This ensures your practice remains compliant, efficient, and safeguarded from regulatory pitfalls. We also assist family practices in transitioning toward value-based care models such as Patient-Centered Medical Homes (PCMHs), Shared Savings Programs, and Pay-for-Performance, helping you achieve stronger outcomes and improved financial performance.

What Our Clients Say About Working With Us

Why Choose Us As Your Family Practice Billing Services Provider?

Partnering with a trusted family practice billing team through NextGen Billing Solution can transform the way your practice operates. It streamlines daily workflows, frees up essential time for patient care, and strengthens overall cash flow.

Here are the benefits you can expect from our comprehensive family practice medical billing services:

Increase Your Practice Revenue by Up to 35%!

With NextGen Billing Solution, family practices can streamline their billing workflow and boost revenue by as much as 35%. Our tailored services ensure accurate coding, timely claim submission, and proactive follow-up—so you get paid faster and more consistently. If you have any questions or need support, simply fill out the contact form or call us during business hours. Our team is always ready to assist!

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