NextGen Enterprise Reviews & Pricing

Key Features

NextGen Enterprise EHR

• 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.
• 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.

NextGen Enterprise PM (Practice Management)

• 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.
• 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.
• 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.

NextGen PxP (Patient Experience)

• 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 Challenges

• Interoperability Challenges: Adhere to industry standards like HL7 and FHIR, facilitating data exchange with other healthcare systems and providers. Gain access to a national caregiver directory. This allows you to easily find and connect with caregivers for their patients.
• Physician Burnout: Features like AI-powered speech-to-text technology, customizable templates and pre-populated forms streamline data entry and reduce administrative workload.
• Data Safety Concerns: AWS's robust security infrastructure protects your sensitive patient data with physical security measures, network security and advanced threat detection. Multiple availability zones ensure secure data backups and seamless access to your EHR data, even during outages or disasters.
• Maintenance Issues: NextGen Enterprise offers routine software updates, maintenance and technical support to keep the system up-to-date and running smoothly.

Cost of Ownership

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