HealthFusion EHR ยท Billing & RCM support

Billing support built inside HealthFusion EHR

A2Z Billings handles claims, coding, payment posting, and follow-up directly inside your HealthFusion or NextGen Office account, using the platform's own tools instead of a separate system layered on top.
A2Z Billings is an independent billing partner for HealthFusion EHR users. We are not NextGen Healthcare and hold no vendor affiliation.

Years in medical billing and RCM 80+
1 +
Certified coders and billers on staff
1 +
Specialties actively supported
1 %
Clean claims rate on first submission
1 +

Built as MediTouch, run today as HealthFusion / NextGen Office

HealthFusion Inc. was founded in Solana Beach, California, in 1998 by two family medicine physicians who built MediTouch, a cloud-based EHR and practice management system designed to run on a tablet before that was common. Quality Systems Inc., the parent company of NextGen Healthcare, bought HealthFusion in January 2016 for $165 million in cash. In March 2018, the product was renamed NextGen Office, and it's still marketed to independent and small-group practices under that name. Many practices, and a lot of internal documentation, still call it HealthFusion. A2Z Billings works inside the account under whichever name is on the login screen.

Who we are. A2Z Billings is an independent medical billing and revenue cycle company. Practices bring their own HealthFusion or NextGen Office license; we don’t sell, install, or resell the software.

1998

HealthFusion was founded in Solana Beach, California. MediTouch EHR and practice management software is built for use on tablets.

2016

Quality Systems Inc., parent of NextGen Healthcare, acquires HealthFusion for $165 million.

2018

MediTouch and HealthFusion are rebranded as NextGen Office for small and independent practices.

Today

A2Z Billings supports accounts under either name, with no gap in service tied to the rebrand.

Where HealthFusion accounts quietly lose revenue

None of these stop the software from running. They just sit there until someone notices the pattern in the numbers.

A fee schedule that never got updated

When a payer renegotiates a contracted rate and nobody updates the schedule inside HealthFusion, every claim under that code posts wrong until someone catches it.

Eligibility checked too far in advance

A plan verified two weeks before a visit can lapse before the appointment happens, and the claim still goes out against coverage that no longer exists.

A portal balance that was never reconciled

Patients see one number in the online payment portal and the billing ledger holds another, and the gap sits there until someone matches the two.

What we handle inside a HealthFusion account

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Account setup & templates

Chart and billing templates are configured to match how the practice actually documents, not the default library.

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Charge entry & coding review

Charges are pulled from the encounter and checked against CPT and ICD-10 edits before a claim exists.

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Claim scrubbing & submission

Claims run the platform's scrub rules for missing modifiers and mismatched NPIs before they go out.

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Denial & rejection management

Rejections and denials are read against the remit code, corrected, and either resent or appealed.

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Payment posting

ERAs post automatically and get checked against contracted rates; paper EOBs are posted the same day they arrive.

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Patient billing & portal

Statements go out once insurance finishes paying its share, and portal balances are checked against the ledger weekly.

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Credentialing & payer enrollment

CAQH profiles, payer applications, and re-credentialing dates are tracked so a lapse doesn't hold up a claim.

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Reporting & account reviews

Monthly production and denial reports are reviewed with the practice, not just emailed and filed.

We log in, we don't build around it

A2Z Billings doesn't run a separate billing system next to HealthFusion. Every claim, note, and payment we touch happens inside the account the practice already uses, on the same login the front desk uses. That matters because HealthFusion was built as one connected system in 1998, not several products stitched together later. Eligibility checks, coding edits, claim scrubbing, and remittance posting all sit inside the same platform, so nothing has to be re-typed or exported into a second tool. When a step happens outside HealthFusion instead, the two records eventually stop matching, and reconciling them becomes its own project.

A coding edit inside the claim. The platform flags a mismatched modifier before a claim leaves the building. We fix the code in the same screen instead of exporting the claim, correcting it elsewhere, and re-uploading it.

A statement that waits for the right moment. Instead of running patient statements on a fixed monthly batch, we send them once a claim finishes adjudication, so the balance a patient sees already reflects what insurance actually paid.

Built-in features we put to work

Tablet-native charting

Built for tablets from the start, so a provider who prefers to chart at the bedside can, without a separate app.

Templates that adjust to the visit

Documentation templates change based on visit type instead of forcing every note into the same layout.

Integrated e-prescribing

Prescriptions route from the chart to the pharmacy without a second login or a separate e-prescribing service.

Built-in clearinghouse connection

Claims submit through the platform’s own clearinghouse link, so there’s no separate submission portal to manage.

Automated remittance posting

ย Electronic remittances post against the claim automatically; we check each one against the contracted rate before it’s accepted.

Patient portal & online payment

Patients view balances and pay online, and we check that balance against the ledger every week.

Eligibility verification at scheduling

ย Coverage is checked when the visit is booked, using the connection built into HealthFusion, not the morning of the appointment.

Meaningful-use reporting history

The platform carries its original meaningful-use certification, and we use its reporting tools for current MIPS submissions.

Denial defense tools

Denial reason codes and appeal templates are built into the claims module; we use them instead of drafting appeals from scratch.

Eligibility verification at scheduling

ย Coverage is checked when the visit is booked, using the connection built into HealthFusion, not the morning of the appointment.

Mobile access for providers

Charts and schedules are available from the mobile app, so a provider covering a second location isn’t tied to one desktop.

Patient portal & online payment

ย Denial defense tools

How a claim moves through HealthFusion, step by step

23 steps across six phases, from the first eligibility check to the reports that show whether the account is actually collecting what it should.

01

Demographics entry

Patient details are entered into the intake screen and checked against the existing chart for duplicates.

02

Eligibility check

Coverage is verified through the built-in payer connection before the appointment date, not after.

03

Scheduling confirmation

The visit is placed on the calendar with the verified plan attached, so front-desk staff see it at check-in.

04

Charge capture

Charges from the encounter are pulled into the billing module once the note is closed.

05

Code review

CPT and ICD-10 codes are checked against payer-specific edits before the claim is built.

06

Claim assembly

The claim is built inside the practice management screen and matched to the correct fee schedule.

07

Scrub pass

The claim runs through the built-in scrubbing rules for missing modifiers, mismatched NPIs, and format errors.

08

Submission

Clean claims go out through the platform's connected clearinghouse in the same batch.

09

Status tracking

Claim status is pulled daily, so a claim sitting unworked past the payer's normal turnaround gets flagged.

10

Rejection handling

Clearinghouse rejections are corrected and resent, usually within a day of the report.

11

Denial review

Denied claims are read against the remit code, corrected, and appealed with supporting documentation.

12

Payment posting

ERAs post automatically; each one is checked against the contracted rate before it's accepted.

13

Manual payment entry

Paper EOBs and patient payments are posted by hand the same day they arrive.

14

Patient statements

Statements go out through the patient portal once insurance has finished paying its share.

15

Account follow-up

Aged accounts are worked in the order they're most likely to be collectible.

16

Aging review

30/60/90-day aging reports are checked weekly to catch accounts before they pass timely filing.

17

Financial reporting

Monthly reports break down collections by provider, payer, and CPT code.

18

Dashboard checks

Production dashboards are reviewed against the prior month, so a drop gets caught early.

19

Workflow adjustments

Recurring bottlenecks, a specific payer or a specific code, get flagged and the process around them gets adjusted.

20

Credentialing upkeep

CAQH profiles and payer enrollments are kept current so claims aren't held for a lapsed credential.

21

Authorization tracking

Prior authorizations are logged and checked against the visit date before the claim goes out.

22

Documentation review

Chart notes are checked for supporting documentation before high-dollar or audit-prone codes are billed.

23

Capacity planning

As a practice adds providers or a location, billing volume and staffing are reviewed to keep pace.

Benefits for Healthcare Practices

What a practice actually notices

Faster payment turnaround

Claims move from submission to payment in fewer days once scrubbing and eligibility checks happen before submission, not after a rejection.

Fewer denials

Coding and eligibility problems get caught inside the platform before a claim goes out, instead of coming back as a denial three weeks later.

Less staff time on billing

Front-desk and clinical staff answer fewer billing questions because the account is actively managed, not checked once a week.

Coding that holds up under review

Codes are checked against documentation before submission, so an audit doesn’t turn up surprises.

A clear monthly financial picture

Production, collections, and denial trends are reported by provider and payer, not buried in a single total.

Continuity through credentialing changes

Re-credentialing dates and payer enrollments are tracked ahead of time, so claims don’t get held for a lapsed profile.

Room to add providers

Billing keeps pace when a practice adds a provider or a second location, without needing a new system.

Re-credentialing dates and payer enrollments are tracked ahead of time, so claims don’t get held for a lapsed profile.

Why A2Z Billings?

An independent billing partner, not a reseller

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We don't sell the software

Practices already own their HealthFusion license; our fee is for the billing work, not a software markup.

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One account manager, not a queue

The same person who set up your account still answers when something breaks.

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Specialty-specific coding depth

Coders are assigned by specialty, not by whoever happens to be free that day.

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Comfortable in both the old system and the new one

Some charts still say HealthFusion internally even though the login screen says NextGen Office; we work in both without missing a step.

Questions practices usually ask

No. Practices bring their own license; we work inside the account they already have.

No. We're an independent billing partner, not a reseller or vendor representative.

Yes. Both names point to the same platform, and we work in it either way.

Most practices are fully set up within two to three weeks, depending on payer enrollment status.

Both. Credentialing and payer enrollment are part of the standard service.

Mostly independent and small group practices, the segment HealthFusion EHR was originally built for.

Yes. We review open claims and aging accounts first, then transition submissions without a gap.