Medical Billing Solution
Smarter billing workflows for cleaner claims and faster reimbursements.
Nexus Medical Billing is cloud-based medical billing software for ambulatory and outpatient medical practices. It supports revenue cycle workflows including real-time insurance eligibility verification, charge capture, claim creation and submission, ERA posting, accounts receivable follow-up, patient payments, self-pay workflows, and billing reports. The billing module is integrated with Nexus EHR, Practice Management, and Patient Engagement.
Key Features
Take complete control of your financial growth by using the latest features offered by our Nexus Medical Billing Solution, streamline your workflow so you can focus on increasing revenue and decreasing operational costs.
Real-time Eligibility Checks
Effortless and Efficient Coding
Easy Claim Filing
Online Payment Collection
Customized
Billing Reports
Unified with Nexus EHR, PM, and Patient Engagement
Medical billing features for managing the revenue cycle
Flexible Claim Management Process
- Single-click to send charges from EHR to Billing
- File claims with easy steps
- Automated batch transfers to clearing house
- Simple workflow for posting ERAs and Patient payments
- Easy management of self-pay claims
Online Patient Payment Collection
- Collect patient payments using online card processing
- Collect online payments using the Nexus Patient Portal
AR with Operational Billing Reports
- Claim status reports
- Payer and patient due reports
- Collection reports
- Easy detection of missing information
- Appointment tracking reports
- On-demand customized reports
Up-To-Date Billing Codes
Nexus provides up-to-date CPT, HCPCS and ICD-10 codes to help you adhere with current billing guidelines.
Efficient Claims Processing
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Nexus Medical Billing Solution allows you to: Configure your superbill, commonly used ICD-10 codes, and fee schedules to generate claims efficiently.
Medical Billing Workflow
Take complete control of your financial growth by using the latest features offered by our Nexus Medical Billing Solution, streamline your workflow so you can focus on increasing revenue and decreasing operational costs.
01
Check eligibility before visit or real-time
02
Collect copay/dues at check-in and print receipt
03
Select service codes and diagnosis during encounter
04
Send charges to billing with a single click
05
Review charges and submit claims
06
Close transaction when all charges are paid
Salient Features of Nexus Medical Billing
A more efficient way to manage your practice billing.
- Biller Dashboard
- One click transfer of charges from EHR to billing
- Extensive billing reports
- Integrated eligibility checks
- Cash billing
- Integrated card payments and POS machine
- Statements and receipts
- Collect payment from Patient Portal
- Paywall for Telehealth
- Easy claim management
- ERA Posting
- Denial Management
- Collections Management
Frequently Asked Questions
What are the features of medical billing solution?
A medical billing software includes features to manage end-to-end revenue cycle management for a healthcare practice. This includes insurance eligibility, claim processing, ERA posting, Patient payment collections, statements and other features. The medical billing solution also includes a comprehensive reporting suite, which helps provider offices to track their revenues, dues and collections and other billing-related information and take appropriate actions to increase revenues.
Nexus Medical Billing Solution is integrated with Nexus EHR and PM to handle full revenue cycle activities from real-time insurance eligibility check, claim filing, ERA posting, and AR follow-ups and online patient payment collection. Due to its integration with Nexus EHR, the transition of charges from clinical to billing workflow is seamless. Nexus Billing module also includes a comprehensive billing suite, where new reports that are necessary for billing workflows may be requested if they are not already covered in our existing reporting suite.
How does Nexus billing help my practice to streamline revenues?
Nexus Billing is integrated with Nexus EHR and PM, which streamlines workflows like eligibility checks to patient check-in, and payment collection to charge capture and transfer to claim management. This reduces claim-filing errors and denials by tying documentation directly to coding at the point of care. The Nexus Patient Engagement module also allows provider offices to collect payments online from patient portals.
Our integrated telehealth module includes a paywall option, enabling payment collection before virtual visits. Customers have the option to collect payments online by saving cards on file or to use our POS device integration to collect payments from patients at the front desk.
How does Nexus billing help in managing cash only patient visits?
Nexus Billing module supports both insurance-based claims and self-pay patient workflows without much difference in workflows. For insured patients, it manages eligibility checks, claim submission, ERA posting, and payer follow-up.
For self-pay accounts, staff can collect payments at check-in using the integrated online payment processing, and patients can also pay outstanding balances through the Nexus Patient Portal from their home.
What billing reports are available to manage my practice?
A billing module needs to have reports that help practices to monitor their payment collection from patients and payers. Claim management related reports, AR reports, Daily/Weekly/Monthly collection reports. It should also include reports that help in fine tuning workflows of a provider office like common rejection reasons, denial reasons, CPT performance, payer, provider performance etc.
Nexus Billing module includes this comprehensive set of reports and we also add custom reports based on specific requests given by medical practices.
Featured Articles
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