At 5 Star Billing Services, we combine deep NextGen Healthcare expertise with AI-powered revenue cycle intelligence to help practices achieve consistent, predictable cash flow. Our certified billing specialists proactively reduce denials, accelerate claim turnaround, and optimize reimbursement accuracy—ensuring fewer revenue leaks and stronger financial stability. With transparent reporting, compliance-first processes, and data-driven optimization, we turn your NextGen billing operations into a reliable, growth-focused revenue engine.
Designed to support complex, specialty-specific workflows and documentation requirements.
Unified clinical, scheduling, and billing data for faster, cleaner claim processing.
Built to adapt to regulatory changes, payer rules, and multi-location practice growth.
NextGen Healthcare is a leading, enterprise-grade EHR and practice management platform designed to support complex clinical workflows, regulatory compliance, and value-based care models across ambulatory and specialty practices. Trusted by thousands of healthcare organizations in the U.S., NextGen enables seamless documentation, integrated billing, population health management, and interoperability with payers and clearinghouses. Its robust architecture, specialty-specific configurations, and data-driven capabilities make it a powerful system—when managed correctly—for improving clinical efficiency, financial performance, and long-term practice scalability.
5 Star Billing Services delivers specialized NextGen Healthcare Billing Services that transform complex revenue cycle operations into a predictable, high-performing system. Our NextGen-certified billing experts combine payer-compliant workflows with AI-driven automation to reduce denials, accelerate reimbursements, and improve overall collections. By working directly within your existing NextGen environment, we ensure coding accuracy, financial transparency, and regulatory compliance—helping your practice achieve sustainable cash flow while your team stays focused on patient care.
5 Star Billing Services provides structured, compliant, and insight-led billing support to help NextGen-powered practices operate efficiently and grow confidently.
Accurate, real-time verification for patient coverage, deductible status, prior authorizations, and benefits.
Certified coders ensure documentation accuracy, compliant coding, and reduced denial rates across all specialties.
Every claim is thoroughly reviewed, scrubbed, and optimized before submission to avoid costly errors.
NextGen rules engine + our billing expertise = faster approvals and fewer rejected claims.
Accurate payment posting to keep your financial reports clean, transparent, and audit-ready.
We identify the root cause of denials, correct them quickly, and submit appeals with strong supporting documentation.
Dedicated teams work your aging claims daily to recover missed revenue and maintain a healthy AR cycle.
Friendly patient statements, payment reminders, and support to ensure steady incoming payments.
Credentialing with Medicare, Medicaid, and all commercial payers to ensure you stay compliant and active.
Monthly and weekly reports on collections, denials, claims status, and KPIs to help you make better decisions.
From eligibility to payment posting, each process is built to reduce denials and improve cash flow.
We securely integrate your NextGen Healthcare EHR with our billing workflows.
No claims move forward until all clinical documentation is verified.
We use Athena's rules engine + our custom checks to eliminate errors before submission.
More clean claims = faster payments and fewer delays.
Every payment is accurately posted and analyzed for underpayments.
Daily follow-ups + weekly performance reviews for all pending claims.
Regular financial analytics, denial insights, and efficiency recommendations.
Intelligent workflows designed to strengthen compliance, accelerate reimbursements, and protect revenue.
High-quality claims = faster reimbursements.
Our denial management process reduces your denial rate to industry-best levels.
Most practices see improvement within the first 30–60 days.
Your team can focus on patient care instead of billing tasks.
No need to hire or train an in-house billing team.
We maintain strict standards of security and confidentiality.
One point of contact for reporting, updates, and assistance.
Transparent performance dashboards & reports.
Our certified coders specialize in medical billing coding services that support diverse healthcare specialties. From complex surgical coding to behavioral health documentation, we tailor our medical coding service for every provider type.
AI-driven processes and expert oversight that strengthen your revenue cycle.
Our clean claim submission process minimizes rejections and accelerates reimbursements — helping you get paid faster with fewer follow-ups.
We follow strict data security measures — encrypted communications, limited access, and full HIPAA adherence.
Through continuous claim tracking, automated reminders, and payer-specific workflows, we ensure quicker payment cycles and improved cash flow.
By identifying missed charges, underpayments, and coding errors, our audit-backed billing process boosts your overall collections.
We ensure claims are processed within 1–2 business days after receiving the patient encounter data — reducing delays and denials.
We work with major systems like AdvancedMD, Athenahealth, Epic, Tebra, and DrChrono — no need to switch platforms.
Our team follows the latest CPT, ICD-10, and HCPCS updates to maintain coding accuracy and compliance with payer rules.
From cardiology and allergy to behavioral health and urgent care — we understand each specialty’s coding and billing nuances.
Every client gets a single point of contact to ensure personalized support, clear communication, and faster issue resolution.
From patient eligibility verification to AR follow-up, denial management, and payment posting — we handle the entire revenue cycle.
We conduct periodic internal audits and follow CMS, OIG, and payer compliance guidelines to minimize regulatory risks.
Flexible engagement — scale up or pause anytime. We earn your trust through results, not lengthy commitments.
Double-verification at every stage ensures precise data entry, claim validation, and payment posting accuracy.
We understand payer variations across all 50 U.S. states — including Medicaid, Medicare, and commercial insurance carriers.
Monthly or weekly performance reviews keep you informed about KPIs like collection rates, denial ratios, and revenue growth.
How providers across the U.S. improve revenue with our NextGen billing expertise.
Holmes Chiropractic
Medical Director
Medical Director, Pulmonary & Sleep Associates of Marin
From EHR integration to compliance standards, our billing services operate seamlessly within NextGen Healthcare.
Your data is protected, confidential, and handled with the highest compliance standards.
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