NexteliFin

In today’s challenging environment, healthcare organizations must find new ways to maximize revenue and manage costs

The business of healthcare is under constant cost pressures created by reduced reimbursements, revenue leakage and resource shortages. NexteliFin unbundles the revenue chain and is committed to helping your team increase efficiency, enhance patient care and add new, recurring revenue streams to your bottom line.

Revenue Cycle Management
NexteliFin delivers is an end-to-end revenue cycle solution that manages your entire billing operation: claim creation, quick submission, aggressive follow-up, denial management, appeals and payment posting. We optimize revenue by streamlining your entire workflow and minimize overhead costs.

  • 5 to 10% increase in collections
  • 98% of claims get paid on first submission
  • Significant reductions in A/R days and denials
  • Increase revenue through accurate coding

Operational management services

  • Revenue cycle management
  • Operational assessment studies
  • MACRA /MIPS Reporting
  • Supply chain management

Information is power
NexteliFin focuses on getting you paid the first time, that’s why 96.23 percent of claims submitted by our RCM clients are successfully adjudicated on the first submission.
With NexteliFin managing your revenue cycle, you can count on a company that has delivered results. We stay current on all regulations, we constantly review all practice metrics and ensure that your practice is being paid for every service performed. Think of us as a consultant sub specialist with a unique expertise that supports your practice.

Additional revenue maximization solutions

  • Credentialing
  • Payer contracting and negotiating
  • Workflow optimization
  • Information technology system selection
Denials Recovery
Denials can eat up 10–15% of revenues. NexteliFin attacks the problem two ways: identifying faulty processes that cause denials and accelerating re-submissions. Our proprietary technology automatically matches the initial claim with all subsequent claims and remits, eliminating duplicates and accurately calculating denied dollars and recoveries.

Our solution requires no new fixed costs. NexteliFin only gets paid after the denial is recovered and in your bank.

  • Performs a denials assessment that identifies recovery and prevention opportunities at no cost
  • Provides a comprehensive dashboard to track key performance indicators (KPIs)
  • HFMA MAPKey and HIPAA compliant

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