Case Study: Graybill Medical Group achieves $1M+ ROI and higher pay-for-performance reimbursements with NextGen Healthcare

Leveraging Pay for Performance and Medicare Advantage

Graybill Medical Group needed to boost quality‑based reimbursement and Medicare Advantage revenue while addressing undercoding that left its Risk Adjustment Factor (RAF) low (0.38). The practice required a single, integrated system to help clinicians see care gaps at the point of care, capture accurate diagnoses, and manage pay‑for‑performance metrics for its senior population.

By deploying NextGen’s integrated EHR and practice‑management solution, Graybill improved coding accuracy (RAF rose from 0.38 to 0.676), gained instant clinical prompts and tasking workflows, and engaged patients via the portal. Results include reaching the 75th percentile and more than $200,000 in the first year (with a target of the 90th), nearly $1 million from Medicare Advantage, reduced administrative costs, improved patient satisfaction and quality outcomes, and an ROI about $1 million above expectations.

Graybill Medical Group

Leslie Chapman

CFO