Verify. Streamline. Monitor.

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1 NextGen Real-time Transaction Server Verify. Streamline. Monitor. Streamline office operations. Speed payments. Improve care decision making. Your one-stop automated solution to create revenue efficiencies and simplify operations.

2 Create revenue cycle efficiencies. 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. 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.

3 Simplify operations. Speed payment. NextGen Real-time Transaction Server.

4 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.

5 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

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

7 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.

8 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 Manager Utah Gastroenterology, PC

9 New certification empowers better healthcare decisions 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.

10 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.

11 A smart partner for proven results NextGen 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 36.4% REDUCED A/R DAYS 98 % NET COLLECTIONS

12 Take the Next Step To find out how your practice can simplify operations and speed payment with NextGen Real-time Transaction Server, contact your NextGen Healthcare Regional Sales Consultant, or call toll free: nextgen.com NextGen Healthcare Information Systems, LLC 795 Horsham Road, Horsham, PA 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. SB20-14