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NextGen Office (NextGen Office) support

Your billers know NextGen Office. That's the whole point.

A2Z Billings staffs the billing side of the NextGen Office (NextGen Office) account your practice already runs: charge entry, coding review, claim edits, remittance posting, denials, and A/R. The system doesn't change, Who's working it every day does.

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Watch a claim move end to end
Your account, unchangedWe log into the NextGen Office account you already have. No new software to roll out.
Nothing gets moved Fee schedules, templates and payer setups stay exactly where your team left them.
Trained billing staffCoders and billers work the queues the system flags but doesn't resolve on its own.
Access stays controlled Role-based permissions and a signed BAA, set up before anyone opens a chart.
Why this happens

NextGen Office doesn't lose money. Practices do.

NextGen Office is a capable system. It scrubs claims, posts remittances, and flags rejections on its own. What it can't do is decide which flagged item matters today, which denial is worth an appeal, or which balance is about to age out. That gap isn't a software problem. It's a staffing one.

front-end queue

A rejection isn't a denial yet

The built-in clearinghouse flags a bad payer ID or an inactive plan within minutes. If nobody checks that queue for a week, the claim ages the same as if it had never been touched.

auto-posting

Auto-posted doesn't mean fully paid

ERA auto-posting closes out a remittance the moment it lands. A partial short-pay on one line closes right along with it, unless someone reads the individual lines.

aging report

The 90-day bucket doesn't send reminders

Aging reports sit in the system waiting to be pulled. Nothing inside NextGen Office pings a biller when a balance is about to cross into timely-filing risk.

enrollment

A correct claim can still deny

Codes right, modifiers right, documentation right, and it still bounces because a provider's payer enrollment inside the system lapsed months ago.

The platform, in plain terms

What we actually work with

NextGen Office was built by HealthFusion in 1998 as a cloud-first system for small and mid-size practices, designed to run natively on an iPad rather than bolted onto older desktop software. NextGen Healthcare (then Quality Systems, Inc.) bought the company for $165 million in a deal that closed in January 2016, and the product was renamed NextGen Office around 2018. A lot of practices, and a lot of billers, still just call it NextGen Office.

One suite, several modules

EHR, practice management, billing, and a built-in clearinghouse ship as one system, not tools stitched together after the fact.

Rejections and denials live apart

A clearinghouse rejection and a post-adjudication denial land in two different queues inside the account, and both need daily attention.

Professional claims only

NextGen Office generates CMS-1500 claims for office and outpatient visits, not UB-04 hospital claims. If that's a mismatch for your practice, we'll say so before we start.

Stage by stage

Where we sit in your revenue cycle

A claim moves through several stages before it turns into cash. Here's each one inside NextGen Office, and what we're watching for at each point.

01
Before the first claim

Intake Eligibility, scheduling & authorization

Insurance verification Real-time eligibility Referral tracking Prior auth requests
Where money leaks A lapsed policy or a missing authorization surfaces only after the visit, when it's too late to fix without a call to the patient.
Our moveCoverage and authorization confirmed against the payer before the appointment, not after the claim bounces.
02
At the point of care · documentation

Charge capture & code selection

Encounter review CPT/HCPCS selection ICD-10 linkage Modifier accuracy
Where money leaks A service documented in the note but never converted into a charge line simply disappears. Nothing flags work that was never billed.
Our move Every note reconciled against the charges it generated, so documented work becomes a billable line every time.
03
Before it leaves the building · submission

Scrubbing, edits & clearinghouse submission

Claim edits Payer-specific rules Held-claim review Batch submission
Where money leaks A scrubber that clears a claim isn't the same as a payer that will pay it. Edits get overridden just to push volume out the door.
Our move Held claims worked against the documentation and corrected before release, so the first submission is the one that gets paid.
04
After it's out · tracking

Rejections, remittance posting & denials

Clearinghouse rejections ERA/EFT posting Denial review Appeals
Where money leaks A rejection sitting untouched in the work queue and a denial buried inside a bulk-posted remittance cost the same money, on different timelines.
Our move The rejection queue cleared daily. Every remittance posted line by line, so a short-pay gets caught the week it happens.
05
Getting to zero · collections

Patient balances, A/R & reporting

Patient statements Aging by payer Write-off review Monthly financials
Where money leaks A balance that ages past the timely-filing window is gone for good, and most practices don't notice until the write-off report runs itself.
Our move Aging worked by payer and by age before deadlines close, with a monthly report that shows where the money actually is.
What we run for you

The billing work we take off your plate

This is what our team runs inside your NextGen Office account, day in and day out.

Charge entry & encounter review

Every documented visit turned into a complete, accurate charge before it reaches a payer.

Coding review & modifier checks

CPT, ICD-10-CM and HCPCS codes checked against the note, not just against each other.

Claim edits & submission

Scrubber flags resolved against documentation, then released through the built-in clearinghouse.

Rejection queue management

Clearinghouse rejections worked the day they land, before timely filing becomes the issue.

Denial review & appeals

Each denial traced to a cause, then corrected and resubmitted, or appealed, not just resent as-is.

Remittance posting (ERA/EFT)

Payments posted line by line, so a partial payment gets flagged instead of filed away.

Patient statements & portal follow-up

Balances communicated clearly and followed up on, not just left on a statement run.

A/R follow-up by payer & age

Every bucket worked in order, not just the balances that are easy to collect.

Aging & collections reporting

Reports read and turned into a weekly follow-up list, not left as a file nobody opens.

Credentialing & payer enrollment

Providers linked correctly to payers inside the system before claims start going out.

Prior authorization tracking

Authorizations requested, logged and checked, so an approved service doesn't get denied on a technicality.

Eligibility & benefits checks

Coverage confirmed before the appointment, not discovered after the claim comes back.

Discipline, not software

How our billers actually run these queues

Anyone can log in. The difference is what gets checked every single day.

intake

Verify coverage before the appointment, not after.

A policy that lapsed last week can still show active in a stale eligibility check. We re-verify close to the visit date, so a bad plan gets caught before the claim, not after the denial.

posting

Open every remittance line, not just the total.

A bulk ERA can post a large remittance in one click. We read the individual lines inside it, so a short-pay on one service doesn't get absorbed into a total that looks fine on the surface.

aging

Work the aging report by deadline, not by size.

The biggest balance isn't always the most urgent one. We sort by how close a claim is to its timely-filing cutoff, so nothing ages out just because it looked small.

enrollment

Check payer enrollment before it becomes a pattern.

One denied claim tied to a lapsed enrollment is a mistake. Ten denied claims from the same provider is a pattern that should have been caught after the first one. We track enrollment status directly, not just the denials it causes.

One rule we don't bend: we code from what's documented, never to a higher-paying code than the note supports. Coding is done and reviewed by trained staff; the treating provider stays responsible for the clinical record.

Features, put to work

What NextGen Office already gives you, and what we do with it

Real-time eligibility
Checked ahead of the appointment, so a lapsed plan or a high deductible doesn't surprise anyone at checkout.
Encounter-to-charge conversion
Reconciled against the note, so documented services become billed charges every time.
Claim scrubbing & edits
Worked against documentation before release, instead of overridden to hit a submission deadline.
Built-in clearinghouse
Rejection queue cleared daily, so claims don't sit unclaimed between the practice and the payer.
ERA/EFT auto-posting
Reconciled line by line to catch underpayments the auto-post alone would file away.
Patient portal & statements
Paired with active follow-up, so a balance moves instead of sitting on a portal page.
Aging & productivity reports
Turned into a working list with deadlines attached, not left as a report nobody opens.
Dashboards
Watched for the numbers that predict a cash problem early: clean-claim rate, days in A/R, denial rate.
What this changes

What actually gets better

Not marketing language. Just what tends to happen once the queues get worked properly, every day.

Fewer rejections at the door The demographic and eligibility errors that cause them get caught before submission, not after.
Cleaner first-pass claims Scrubber edits get resolved against the note instead of brushed past to hit a deadline.
Payments that match what's owed Remittances get read line by line, not just totaled and filed.
A/R that actually moves Aging gets worked on a schedule, not whenever there's spare time.
Fewer write-offs from missed deadlines Timely-filing dates get tracked before they become the problem.
A record you can hand to an auditor Every touch on a claim is logged inside the account itself.
Providers who aren't chasing claims at night That work has a dedicated team during the day.
Billing that doesn't stop for a sick day The work isn't tied to one person's login.

We don't publish made-up percentages. Every practice's specialty, payer mix and starting point are different, so the honest comparison is your own MediTouch reports, before and after. That's what the initial review shows you, not a number on a slide.

Why A2Z Billings

Why this isn't generic billing support

01

We stay inside your system

No export, no side database, nothing new for your providers to learn. You keep the account. We run the billing side of it.

02

We know where it actually gets tricky

The rejection-versus-denial split, how ERA auto-posting behaves, what CMS-1500 does and doesn't cover. That's specific to this platform, not generic billing knowledge.

03

Nothing happens where you can't see it

Every claim, payment and follow-up note lives in the same account you already log into.

04

We don't cut corners on documentation

PHI stays protected, codes come from what's actually written in the note, and we don't inflate a claim to chase a bigger number.

05

We show the work before you commit

The relationship starts with a look at your real claims and aging, not a pitch deck.

06

We say when something's out of scope

If part of your billing needs a different setup, like facility claims, we'll tell you directly instead of stretching what MediTouch can do.

Who this is for

Where our MediTouch experience applies

Primary care
Internal medicine
Family medicine
Pediatrics
Cardiology
Questions we get first

Questions we get asked first

No. We work inside the account you already have.

Yes. Access is role-based, so a provider's own view doesn't change.

We audit the existing rejection and denial queues first, then clear the backlog before taking on new claims.

We handle statements and portal follow-up. Calls that need a clinical answer stay with your front desk.

Role-based permissions and a signed BAA are in place before anyone touches a chart.

NextGen Office is built for CMS-1500 professional claims. If you also bill UB-04, we'll flag that mismatch and talk through options before starting.

Free, no obligation

Get the other half of what you're already paying for

We'll look at a sample of your recent claims and A/R aging, point out exactly where things are stuck, and lay out a plain-English plan to fix it. No commitment required to see that.

Book your free billing review Talk to our team

Or call us to talk through your practice's situation directly.