Case Study: Retina Consultants of Houston achieves faster payments, improved KPIs, and a 15–20% increase in cash per encounter with NextGen Healthcare

Retina Consultants of Houston Improves KPIs and Increases Profits

Retina Consultants of Houston is the largest retina-only ophthalmology practice in Texas, with 14 locations and leading retinal research centers. Rapid growth exposed weaknesses in their revenue cycle management—an outdated billing system, poor communication and transparency, frequent inappropriate write-offs, and slow denial notification—prompting the COO to seek a new RCM partner.

They implemented NextGen Enterprise Financial Suite Pro and engaged NextGen Healthcare’s RCM team to standardize SOPs, improve charge entry, payment posting, A/R follow-up, documentation/coding for complex oncology visits, and pursue copay assistance funds. The practice saw faster payments (14 days to pay on average; 24 days in A/R), 96% of net collected in under 60 days, a ~3.5% denial rate, an estimated 15–20% increase in cash per encounter, fewer drug write-offs, and reduced >90-day credits.

Retina Consultants of Houston

Shawn Harkey

Chief Operating Officer