Case Study: Foot & Ankle Surgical Associates achieves faster collections, reduced claim denials and 100% staff retention with NextGen Healthcare

Foot & Ankle Surgical Associates Finds Strength in a Billing Partner

Foot & Ankle Surgical Associates, founded by Terrence Hess, DPM in 2002, grew to six Washington locations with 10 providers and 77 staff. After adopting NextGen Office in 2016 to resolve server issues, the practice struggled to keep up with billing denials, audits and the demands of rapid growth, prompting a decision to seek scalable revenue cycle management (RCM) support.

They partnered with NextGen Office RCM Services and kept internal staff by reallocating duties (prior authorizations, patient collections) while the RCM team worked side‑by‑side with billing staff. The collaboration reduced billing errors and claim denials, rapidly cleaned out accounts receivable during COVID‑19, preserved 100% of staff jobs, and enabled continued patient care via NextGen e‑visits and curbside treatment, stabilizing cash flow and operations.

Foot & Ankle Surgical Associates

Joelene Gioulis

Chief Executive Officer