NEXACC — quick answers

Direct answers to the questions people ask most, each linked to the page it comes from.

What does NEXACC do?

NEXACC is a Phoenix, Arizona finance back office for businesses and medical practices: bookkeeping and accounting, payroll, tax planning and preparation, fractional CFO work, medical billing and revenue cycle management, provider credentialing and business consultancy. Source: Services

Where is NEXACC located and does it serve clients outside Arizona?

NEXACC is based in Phoenix, Arizona (4750 S 44th Pl, Suite 120) and serves clients nationwide, including multi-state payroll and sales tax compliance. Source: Home page FAQ

How much does NEXACC charge for bookkeeping?

Monthly accounting plans start at $450/month (Essentials), with Growth at $850, Scale at $1,650 and Advisory+ from $2,800 per month. You get an exact number in writing before you commit. Source: Pricing

How much does NEXACC charge for payroll?

Payroll is $85 per month plus $12 per employee per month. Source: Pricing

How much does NEXACC charge for medical billing?

Medical billing is a percentage of what NEXACC collects, never a flat fee: 5% for single-specialty practices and 6% for multi-provider or multi-location groups, with a $950/month minimum. Source: Medical billing

How much does business tax preparation cost?

The business tax subscription is $195 per month as an add-on to any accounting plan, covering quarterly estimates, entity and state returns, and help responding to IRS and state notices. Source: Pricing

How much does a fractional CFO from NEXACC cost?

Fractional CFO engagements are published at $1,850, $2,500 and $3,200 per month, depending on scope. Source: Pricing

What does it cost to catch up books that are months behind?

Catch-up is a one-time project at $375 per month behind, with a $1,500 minimum, kept separate from your monthly fee. Source: Pricing

Does NEXACC do AHCCCS billing and credentialing?

Yes. NEXACC works Arizona Medicaid (AHCCCS) claims and denials by root cause, and handles credentialing with AHCCCS managed-care plans, RBHAs and ALTCS plans, plus revalidation calendars. Source: AHCCCS credentialing guide

Does NEXACC bill for dental practices?

Yes. NEXACC bills for general dentistry, orthodontics and oral surgery: insurance verification, CDT claims, appeals and dental-medical cross-billing, at 5% of collections with a $950/month minimum. Source: Dental billing

Does NEXACC bill for ABA and behavioral health practices?

Yes. NEXACC provides billing and credentialing for ABA and behavioral-health providers, including authorization tracking, CPT 97151–97158 and H-code billing, telehealth, and BCBA/RBT credentialing with insurance and managed-care plans. Source: ABA & behavioral-health billing

Does NEXACC do provider credentialing?

Yes. NEXACC handles payer enrollment and credentialing for clinicians and groups: CAQH, Medicare, Medicaid and commercial panels, managed through approval and revalidation. Source: Credentialing

Is NEXACC a CPA firm?

No. NEXACC is not a licensed CPA firm; it does not sign attest reports. Any compilation, review or audit report is issued by an independent licensed accounting firm. Source: Firm partnerships

How fast is the monthly close?

NEXACC closes the books by business day 5 each month, on a fixed calendar agreed during onboarding, and delivers statements with a written summary. Source: Bookkeeping

How do I get started with NEXACC?

Book a free 30-minute consultation. NEXACC scopes your needs and gives you an exact price in writing before you commit to anything. Source: Schedule a call

Is there a long-term contract?

No. NEXACC works month-to-month with 30 days' notice. Source: Pricing FAQ

What happens if I want to leave NEXACC?

Give 30 days' notice in writing. There is no exit fee, and your QuickBooks file, logins and admin access are handed back within 5 business days of your last paid month. Source: Home page FAQ

Is there a setup or onboarding fee?

No. Standard onboarding is included; historical cleanup or a software migration is quoted separately as a one-time project. Source: Pricing FAQ

Does NEXACC bill hourly for questions?

No. Calls and email questions inside your scope are part of the monthly fee; distinct projects are quoted before starting. Source: Pricing FAQ

What accounting software does NEXACC use?

NEXACC builds on QuickBooks Online and also works in Xero and other platforms clients already run; you usually don't have to switch. Source: Core accounting

Do we have to change our EHR or practice management system for medical billing?

No. NEXACC works inside the system you already use. Source: Medical billing

How long does a medical billing transition take?

Typically two to four weeks from signed agreement to first claims submitted, depending on clearinghouse setup and payer access. Source: Medical billing

How fast does NEXACC appeal a denied claim?

Denials are worked within 5 business days of the remit posting, and always inside the payer's appeal window, categorized by cause so the same denial stops repeating. Source: Medical billing

How does NEXACC protect patient data?

NEXACC signs a Business Associate Agreement before any protected health information is exchanged; PHI is encrypted in transit and at rest, access is restricted to assigned staff, and document actions are written to an append-only audit log. Source: HIPAA compliance