Case Study: Stuart Cardiology Group eliminates 2,800+ monthly billing tasks and streamlines revenue cycle with NextGen Healthcare’s Charge Review Rules Engine

Stuart Cardiology Group - Customer Case Study

Stuart Cardiology Group, a multi‑service cardiology practice in Stuart, Florida, struggled with an inefficient in‑house billing process—about 10 billers manually reviewed hundreds of encounters daily, generating a high volume of claim edits and administrative overhead that slowed operations and obscured root causes of billing errors.

Partnering with NextGen Healthcare’s RCM team, the practice implemented and configured the NextGen Charge Review Rules Engine using billing‑team knowledge and EHR data points. The automated rules resolved the majority of routine claim issues, cutting more than 2,800 billing tasks per month, freeing and redistributing 1.9 FTEs, reducing on‑site billing headcount, enabling growth without added billing staff, and improving access to billing metrics, training, and cost control.

Stuart Cardiology Group

Alex Suarez

Informatics Specialist