NextGen Enterprise Reviews & Pricing

Key Features

• SOAP Notes: Record reasons to visit, social, family and diagnostic histories, vitals, physical exams, assessments/plans, and medications using the SOAP format. Use HPI (history of present illness) templates to document the patient's reason for visit, including onset, duration, severity, associated symptoms, and aggravating/relieving factors.
• Templates: Use pre-built templates for patient visits, progress notes, procedures, patient intake, consent forms and letters. Tailor these or create new ones to perfectly fit your specific workflows.
• Billing: Auto-generate charges based on documented services. Automatically post payments from ERAs (electronic remittance advice) to patient accounts. Compare charges against standards set by Medicare, Medicaid and various private payers.
• Ambient Assist: Use smart AI technology to listen in on your patient conversations, capturing key information and automatically creating notes in your system.
• Mobile App: Review and sign documents, view schedules and see high-level patient overviews (medications, allergies, past medical histories, etc.) Document patient visits using voice-to-text functionality. Save and prescribe frequently used medications with a few clicks.
• Order Entry: Order labs, diagnostics and immunization from the CPOE bar on the patient’s chart. Click on order search to see your common orders.
• Regulatory Reporting: Automate MIPS/MACRA data collection and reporting to demonstrate quality measures, improve outcomes and earn incentives. Collect and submit Uniform Data System (UDS) reports for FQHCs and eligible providers to track clinical quality measures and other HRSA-required data.
• E-Prescribing: Launch the state-run Prescription Drug Monitoring Program (PDMP) database with a single click. Verify formulary coverage and benefits while writing the prescription. Initiate prior authorization requests directly from the prescribing window with pre-populated information. Securely transmit prescriptions to pharmacies nationwide through the Surescripts network.
• Population Health: Collect patient data from EHRs, lab results, claims and health information exchanges. Use AGC, HCC or ASCVD risk algorithms to sort patients into different risk categories based on their health conditions, demographics and other factors. Analyze this data to look for anything that might be missing or doesn't quite add up. It could be a lab test that wasn't done, a prescription that wasn't filled or a recommended screening that was missed.
• Automation: Streamline repetitive tasks by creating automated workflows. For example, when you register a new patient, the system automatically triggers tasks such as insurance eligibility verification, appointment scheduling and patient reminder notifications.
• Eligibility Verification: Verify insurance eligibility and benefits in real time during patient registration, scheduling or check-in. Obtain detailed information about patient coverage including co-pays, deductibles, co-insurance and out-of-pocket maximums. Schedule automatic batch eligibility checks at specific intervals (e.g., daily, weekly).
• Credit Card Processing: Offer alternative payment methods such as ACH (eCheck) payments and HSA/FSA cards to accommodate patient preferences and needs. Give patients the flexibility to split payments across multiple cards or payment methods, making it easier for them to manage their healthcare expenses.
• Claims Scrubbing: Automatically identify errors such as missing or invalid information, coding mismatches and inconsistencies between diagnosis and procedure codes. Check each claim against specific payer rules and requirements.
• Claims Submission and Tracking: Automatically generate and submit claims based on patient encounter data including diagnosis codes and provider information. Track claim status in real time, including whether it has been accepted, rejected or pending processing by the payer. Track and categorize claim denials by reason to gain insights into common issues.
• Cost Estimation: Generate detailed, patient-specific cost estimates for scheduled services. Manage fee schedules for different payers and contract types, ensuring accurate calculation of patient responsibility. Create compliant Good Faith Estimates (GFEs) for uninsured or self-pay patients, including detailed breakdowns of expected charges and potential out-of-network costs.
• Financial and Operational Analytics: Gain a visual overview of key performance indicators (KPIs) such as revenue, expenses, productivity and claims status. Compare performance across different periods, locations, providers or payers to reveal areas of strength and weakness.

• Online Appointment Scheduling: Schedule appointments by choosing your preferred provider, location or appointment type (virtual, office, prosthetics, orthotics or annual eye exam). Select a date and time and provide insurance details to confirm your booking. Reschedule or cancel appointments from within the portal.
• Medication Refills: Click on the “Medications” icon, select your preferred location and provider, choose a pharmacy, and confirm the required medications from the list to request refills.
• Lab Results: See your health record information (lab results summaries, active medications and anything that occurred during your provider encounter).
• Online Payments: Make full or partial payments via credit cards. Add and store a new credit card if needed.
• Provider Messaging: Communicate with your healthcare team through the "Ask a Question" feature — select the recipient (e.g., counselor, nurse, physical therapist), enter the subject, type your message and attach any relevant images.
• Smart Waitlists: Book an early appointment by signing up for the waitlist. Automatically receive notifications as soon as an earlier appointment becomes available. (P.S. This is an add-on module).

Approach to Common EHR Challenges

• Struggling to Track Patient No-Shows and Cancellations: The system’s behavioral health templates allowed Arizona Youth and Family Services to document client visits quickly and in detail. The platform also tracked real-time metrics like cancellation and no-show rates, helping staff identify patterns and follow up with clients before missed care became a larger issue.
• Keeping Up With Prior Authorizations: Dealing with payer approvals can stall patient treatment and create extra administrative work. NextGen Enterprise integrates electronic approval tools like CoverMyMeds into your workflow, reducing paperwork and speeding up patient care.

Cost of Ownership

Limitations

• Doesn’t support ACH payments from patients’ bank accounts
• Doesn’t send push notifications to your mobile devices.
• Doesn’t offer direct integrations with Apple Pay or Google Pay for digital payments.

Training Resources

• Success Community: This online platform provides articles, videos, webinars and discussion forums. Users can access information on specific features, troubleshoot issues and connect with other NextGen Enterprise users.
• Learning Center: This subscription-based service offers online courses and certifications for various NextGen products, including NextGen Enterprise. The courses cover topics from basic navigation to advanced features, catering to users of different skill levels.
• Live Demos: These demonstrate NextGen's functionality, providing a clear understanding of its interface and workflows. Q&A sessions with experts ensure attendees leave with their questions answered and concerns addressed.

FAQs