Case Study: Palmetto Retina Center achieves 95% of claims paid within 60 days with NextGen Healthcare

How Palmetto Retina Center Gets 95% of Claims Paid within 60 Days

Palmetto Retina Center, a multi-location retinal specialty practice in South Carolina, was facing a decline in collections after its revenue cycle management (RCM) vendor changed ownership. Slow reimbursement—especially for costly retinal medications and surgical services—led to delayed cash flow and avoidable write-offs, prompting leadership to seek a new solution.

The practice migrated to NextGen RCM Services (leveraging NextGen Enterprise EHR, PM, and Financial Analytics), gaining specialty-specific, team-based support and increased automation across the revenue cycle. Results included denials falling from 8.67% to 6.13%, DSO dropping from the 30s to the low 20s, 95% of claims paid within 60 days, and a 13.85% increase in charges, along with clearer financial KPIs and ongoing performance collaboration.

Palmetto Retina Center

David Gavin

Chief Executive Officer