# HEDIS / Quality Measure Tracking for Medical Office Managers with NextGen

> AI tracks every measure gap in real time from athenahealth, schedules outreach for overdue patients, and reports attainment monthly — practices hit bonus thresholds instead of missing them. Purpose-built for teams running NextGen — uses the native API or agent integration so nothing leaves the system of record.

- **Tool:** [NextGen](https://calish.com/workflows/tool/nextgen/)
- **Role:** [Medical Office Manager](https://calish.com/workflows/for/medical-office-manager/)
- **Specialty:** Primary Care
- **Category:** Reporting & Analytics
- **Canonical URL:** https://calish.com/workflows/with/hedis-quality-measure-tracking-for-medical-office-manager-with-nextgen/

## The Problem

Value-based contracts tie revenue to HEDIS measures, but most Primary Care practices only realize they're off-target at year-end when it's too late to fix.

## What We Build in NextGen

AI tracks every measure gap in real time from athenahealth, schedules outreach for overdue patients, and reports attainment monthly — practices hit bonus thresholds instead of missing them. Purpose-built for teams running NextGen — uses the native API or agent integration so nothing leaves the system of record.

## NextGen Integration Approach

1. **Audit your NextGen configuration.** We map the specific NextGen objects, custom fields, and workflows the automation needs to touch for your primary care practice.
2. **Build on the NextGen API or agent.** Integration happens inside NextGen — no data leaves the system, no parallel tool for your team to learn, no license changes.
3. **Human-in-the-loop handoff.** Every automation routes exceptions back to a human in NextGen with full context — AI handles the 80%, your team owns the judgment calls.

## About This Workflow

- [HEDIS / Quality Measure Tracking for Medical Office Managers](https://calish.com/workflows/hedis-quality-measure-tracking-for-medical-office-manager/)
- AI tracks every measure gap in real time from athenahealth, schedules outreach for overdue patients, and reports attainment monthly — practices hit bonus thresholds instead of missing them.

## Other NextGen Automations

- [Prior Authorization Submission for Orthopedic Practice Managers](https://calish.com/workflows/with/prior-authorization-submission-for-orthopedic-practice-manager-with-nextgen/)
- [Surgical Case Scheduling for Orthopedic Practice Managers](https://calish.com/workflows/with/surgical-case-scheduling-for-orthopedic-practice-manager-with-nextgen/)
- [Claim Denial Appeal for Orthopedic Practice Managers](https://calish.com/workflows/with/claim-denial-appeal-for-orthopedic-practice-manager-with-nextgen/)
- [Referral Management & Loop Closure for Orthopedic Practice Managers](https://calish.com/workflows/with/referral-management-and-loop-closure-for-orthopedic-practice-manager-with-nextgen/)
- [No-Show Reduction & Recall for Orthopedic Practice Managers](https://calish.com/workflows/with/no-show-reduction-and-recall-for-orthopedic-practice-manager-with-nextgen/)
- [Chart Closure & Encounter Documentation for Orthopedic Practice Managers](https://calish.com/workflows/with/chart-closure-and-encounter-documentation-for-orthopedic-practice-manager-with-nextgen/)
- [Coding & CDI Quality Check for Orthopedic Practice Managers](https://calish.com/workflows/with/coding-and-cdi-quality-check-for-orthopedic-practice-manager-with-nextgen/)
- [Insurance Eligibility Verification for Orthopedic Practice Managers](https://calish.com/workflows/with/insurance-eligibility-verification-for-orthopedic-practice-manager-with-nextgen/)

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