Case Study: Surgery Partners achieves 30% faster billing and dramatically reduced denials with NextGen Healthcare Clearinghouse

Electronic Clearinghouse Speeds Billing 30%, Reduces Denials Feeds Growth

Surgery Partners, a national leader managing more than 60 ambulatory surgical centers across 30 states, was constrained by an in-house, paper-based reimbursement process and a paper clearinghouse that couldn’t electronically submit uniform billing (UB) claims. The slow, disconnected workflow led to delayed billing, high denial rates, and limited reporting—impeding growth and profitability.

Moving to NextGen Clearinghouse alongside NextGen Ambulatory EHR and Practice Management digitized their claims process, produced cleaner claims, and sped billing by about 30%. Results include a 1–3 week reduction in DSO, sharply lower denial rates, faster remittance and reporting (including consolidated Medicare processing with custom edits), responsive support, and measurable revenue gains across their sites.

Surgery Partners

Tammie Swanson

Billings System Support Specialist