Case Study: CommUnityCare achieves an 80% reduction in pending charges and boosts monthly collections to $1.5M with NextGen Healthcare

Overcoming Claims Errors And Payment Delays

CommUnityCare Health Centers is a federally qualified health center with 24 locations in Travis County, Texas, serving more than 98,000 patients across roughly 360,000 appointments annually. Using a legacy city billing system, the organization faced persistent claims errors and payment delays, with a holding tank of 45,000–55,000 pending charge line items and encounter ages up to 90 days—equivalent to about a month’s worth of claims.

After a year of evaluation, CommUnityCare implemented NextGen Financial Suite and reengineered billing roles with a strong emphasis on staff training, coding accuracy, and improved clinical documentation. The changes increased monthly collections from $1.0M to $1.5M, cut pending charges to under 11,000 line items, reduced accounts receivable days by 49%, and shortened encounter ages to 4–14 days.

CommUnityCare

Sarah Ortiz

Revenue Cycle Manager