Case Study: Lansing Ophthalmology cuts unexpected denials and boosts revenue cycle awareness with NextGen Healthcare's InSight Reporting™

Lansing Ophthalmology Increases Revenue Cycle Awareness with InSight Reporting

Lansing Ophthalmology, a 10-office eye care practice in mid‑Michigan with 17 ophthalmologists, 13 optometrists and 175 staff, sought to strengthen revenue‑cycle awareness to identify what was driving claim denials, payment delays and cash‑flow disruptions. The practice needed a way to track high‑volume low‑dollar and high‑value surgical claims, surface coding and payer errors, and prioritize fixes before they hit the bottom line.

They deployed InSight Reporting (SaaS) integrated with NextGen Practice Management to get drill‑down analytics, denial‑by‑procedure views, benchmarking and automated “Insights.” The tool quickly uncovered a payer network data error and coding/modifier problems, enabling corrections that reduced unexpected denial rates from 4.7% to 1.6%, sped up payer follow‑up, improved cash flow and made revenue‑cycle issues easier to monitor and resolve.

Lansing Ophthalmology

Susan Lupo

Account Receivable Manager, Lansing Ophthalmology