JSON twin: https://www.healthaidb.com/software/nextgen-rcm.json
NextGen Healthcare
https://www.nextgen.com/solutions/revenue-cycle-management/rcm-for-mid-enterprise-practices
NextGen RCM is an end-to-end revenue cycle management solution and service suite that combines billing software, AI-driven automation, and expert-managed services to reduce denials, accelerate collections, and optimize financial performance for ambulatory practices.
NextGen RCM provides configurable full‑cycle RCM software and outsourced services (claims management, payment posting, coding, credentialing, AR recovery, eligibility verification, call center and patient statement services) integrated with NextGen EHR/PM, analytics dashboards, and proprietary automation to improve collections and reduce days in A/R.
yes
1974
US-based hosting via NextGen managed cloud (regional hosting options via managed services)
P1122
2025-09-07
commercial, proprietary
Contact vendor for custom pricing and service tiers; request demo/trial via NextGen sales.
enterprise_quote
1974
product
1.0
{
"company_name": "NextGen Healthcare",
"company_url": "https://www.nextgen.com",
"company_offices": [
"United States",
"India",
"United Kingdom"
],
"company_founding": "1974",
"product_url": "https://www.nextgen.com/solutions/revenue-cycle-management/rcm-for-mid-enterprise-practices",
"categories": [
"administrative",
"revenue cycle management",
"practice management",
"clinical",
"patient-facing",
"interoperability",
"analytics"
],
"market_segment": [
"enterprise",
"small-medium business"
],
"links": [
"https://www.nextgen.com/solutions/revenue-cycle-management/rcm-for-mid-enterprise-practices",
"https://www.nextgen.com/solutions/revenue-cycle-management/rcm-for-small-practices",
"https://www.nextgen.com/trust",
"https://www.nextgen.com/api",
"https://www.nextgen.com/company/about-us",
"https://www.g2.com/products/nextgen-healthcare-ehr/reviews",
"https://www.capterra.com/p/31268/NextGen-Ambulatory-EHR/",
"https://klasresearch.com/vendor-ratings/nextgen-healthcare/61233",
"https://www.sec.gov/ix?doc=/Archives/edgar/data/708818/000156459020027880/nxgn-10k_20200331.htm"
],
"summary": "NextGen RCM is an end-to-end revenue cycle management solution and service suite that combines billing software, AI-driven automation, and expert-managed services to reduce denials, accelerate collections, and optimize financial performance for ambulatory practices.",
"description": "NextGen RCM provides configurable full‑cycle RCM software and outsourced services (claims management, payment posting, coding, credentialing, AR recovery, eligibility verification, call center and patient statement services) integrated with NextGen EHR/PM, analytics dashboards, and proprietary automation to improve collections and reduce days in A/R.",
"target_users": [
"practice administrators",
"billing staff",
"medical coders",
"revenue cycle managers",
"clinicians",
"health system finance teams",
"patients (billing/payment experience)"
],
"specialties": [
"Primary Care",
"Behavioral Health",
"Cardiology",
"Gastroenterology",
"Neurology",
"Ophthalmology",
"Orthopedics",
"Podiatry",
"Pulmonology",
"Rheumatology",
"Urology",
"Multi-specialty",
"FQHC / CHC / Tribal",
"Oncology",
"OB/GYN",
"Pediatrics"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for custom pricing and service tiers; request demo/trial via NextGen sales.",
"license": "commercial, proprietary",
"deployment_model": [
"cloud/SaaS",
"managed_cloud",
"services/outsourced_RCM"
],
"os_platforms": [
"Web"
],
"features": [
"claims submission and management",
"payment management and posting",
"A/R recovery and collections",
"denial prevention and management",
"credentialing services",
"medical coding services",
"eligibility verification automation",
"financial and operational analytics dashboards",
"customizable KPIs and reporting",
"clearinghouse / EDI processing",
"patient statement management",
"call center / patient billing support",
"staff augmentation and managed services",
"specialty-specific RCM workflows",
"proprietary automation tools and AI rules engine"
],
"optional_modules": [
"A/R recovery",
"Eligibility services",
"Analytics with consultative services",
"Payment posting",
"Credentialing",
"Coding services",
"Call center services",
"Patient statement services"
],
"integrations": [
"Mirth Connect integration engine",
"NextGen Enterprise EHR",
"NextGen Office",
"NextGen Practice Management",
"NextGen Share",
"NextGen® Share Diagnostic Hub (725+ labs)",
"Clearinghouse / EDI services",
"API Marketplace / Developer Program"
],
"data_standards": [
"HL7 v2",
"FHIR",
"X12/EDI"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA",
"HITECH",
"SOC 2"
],
"certifications": [],
"security_features": [
"encryption (data in transit and at rest)",
"role-based access control (RBAC)",
"SSO/SAML support",
"audit logging and activity trails",
"multi-factor authentication (2FA)"
],
"privacy_features": [
"BAA available",
"consent management",
"data anonymization/pseudonymization options"
],
"data_residency": "US-based hosting via NextGen managed cloud (regional hosting options via managed services)",
"customers": [
"Vision Care of Maine",
"Retina Consultants of Houston",
"First Care Clinic",
"Eye Specialty Group",
"Newport Orthopedic Institute",
"Jackson Heart Clinic",
"Reno Sparks Tribal Health Center",
"Karing Hearts Cardiology",
"North Texas Urology Clinics"
],
"user_reviews": [
"It's a decent system if set up correctly — out of the box it isn't very good.",
"NextGen as a software is poor compared to eClinicalWorks and even Practice Fusion in some workflows.",
"The team fights harder — not just for low-hanging fruit but for harder-to-collect items; we've made more money since using their RCM services.",
"Support and client administration are strong; continual improvements but learning curve is significant.",
"The EMR looks old and clunky in places, but it can be more functional than competitors depending on configuration.",
"Posting 835s and handling claim errors can be time consuming — some issues require IT escalation and aren't always quickly resolved.",
"Good for specialty billing and FQHC work — they stood out because they provide a fully integrated medical record with specialized billing support."
],
"ratings": [
"G2: category scores reported for NextGen Healthcare EHR (examples from G2 comparisons: Workflow ~7.8, Interoperability ~8.5, RCM/Compliance ~8.3)",
"KLAS: NextGen products appear in KLAS vendor ratings and specialty reports (population health product highlighted with high satisfaction in some KLAS reports)",
"Capterra: NextGen Office listed with user reviews on Capterra"
],
"support_channels": [
"email",
"phone",
"live chat",
"ticketing",
"client community / Success Community",
"learning center / on-demand resources"
],
"training_options": [
"documentation / public API documentation",
"on-demand webinars",
"live online training",
"onsite training (professional services)",
"learning center resources / certification paths"
],
"release_year": "1974",
"integration_partners": [
"Mirth (Mirth Connect)",
"Innovaccer",
"Informatica",
"Perficient",
"Google Cloud (customer implementation story)",
"Third‑party clearinghouses / EDI partners",
"API Marketplace partners (various third-party vendors)"
],
"id": "P1122",
"slug": "nextgen-rcm",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/nextgen-rcm.json"
}
}