Case Study: Retina Consultants of Houston achieves faster payments and 15–20% increase in cash per encounter with NextGen Healthcare

Achieve Better KPIs to Increase Profits

Retina Consultants of Houston is the largest retina-only ophthalmology practice in Texas and a leading retinal research center with 14 locations. As the practice grew, its administrative team outgrew the existing revenue cycle vendor: an antiquated billing system, poor communication and front-end charge verification, rising write-offs, and declining RCM support were hurting collections and operational transparency.

They engaged NextGen Healthcare’s RCM team and Enterprise Financial Suite Pro to implement SOPs, improve charge entry, payment posting and A/R follow-up, tighten documentation/coding for complex oncology visits, and capture copay-assistance and research-related revenue. Results included faster payments and A/R (14 days to pay, 24 days in A/R on average), 96% of net collected in under 60 days, a 15–20% increase in cash per encounter, a 3.5% denial rate, and fewer >90-day credits.

Retina Consultants of Houston

Shawn Harkey

Chief Operating Officer