Guest guest Posted April 2, 2011 Report Share Posted April 2, 2011 What does Labcorp say? While we are on this topic, yesterday my Quest rep called back very sadly saying that they will not do the interface for me, because my volume is too low. We are not talking they won't pay for it; we are talking they won't do it even if I pay the $500 to Amazing Charts. We've gone back and forth and the higher management of our region at Quest apparently says it costs them more then $500 to set up (not what I hear from AC) and they can't subsidize really low volume practices. So that is sad.SharonSharon McCoy MDRenaissance Family Medicine10 McClintock Court; Irvine, CA 92617PH: (949)387-5504 Fax: (949)281-2197 Toll free phone/fax: www.SharonMD.com -- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2011 Report Share Posted April 2, 2011 While we are on this topic, yesterday my Quest rep called back very sadly saying that they will not do the interface for me, because my volume is too low. We are not talking they won't pay for it; we are talking they won't do it even if I pay the $500 to BTW, I wouldn't worry too much about this. As part of meaningful use, I suspect all the labs will be compelled to offer interfaces eventually... though it may not happen this year. -- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2011 Report Share Posted April 2, 2011 Maybe we need IMP regional co-ops where we can negotiate with better leverage? Not sure how that would work legally,,Anne While we are on this topic, yesterday my Quest rep called back very sadly saying that they will not do the interface for me, because my volume is too low. We are not talking they won't pay for it; we are talking they won't do it even if I pay the $500 to Amazing Charts. We've gone back and forth and the higher management of our region at Quest apparently says it costs them more then $500 to set up (not what I hear from AC) and they can't subsidize really low volume practices. So that is sad.SharonSharon McCoy MDRenaissance Family Medicine10 McClintock Court; Irvine, CA 92617PH: (949)387-5504 Fax: (949)281-2197 Toll free phone/fax: www.SharonMD.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2011 Report Share Posted April 3, 2011 Maybe we need IMP regional co-ops where we can negotiate with better leverage? Not sure how that would work legally,,AnneI can't see how that would be illegal. You're just forming a group to make it easier for Quest to deal with you. In fact this would tie in nicely with some free HL7 routing software I wrote the other day. Say 100 or so of you get together to form a cooperative. You could then approach Quest, LapCorp etc as a group, and with this software, they only have to then send all of your group's results to a single " mailbox " which then routes it automatically to your own mailbox. The main economic burden for Quest, Labcorp is to setup their software for each doc .. for some it's not economic. But if they only have to setup the one bit of software for the whole group .. everyone wins. -- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2011 Report Share Posted April 3, 2011 I believe the term you are looking for is "Stakeholders"???? To: Sent: Sat, April 2, 2011 10:21:12 AMSubject: RE: Re: Newbie here I thought all EMRs were above average J The ads say they are. From: [mailto: ] On Behalf Of Sent: Saturday, April 02, 2011 9:00 AMTo: Subject: Re: Re: Newbie here THIS is the key point ALL emrs are mediocre AND since we all do not have the SAME one we all spend all our time on our own.Oh we prasie E-MDs - for $10,000 OH we praise AC and have to get it to connect to billing and the labs place OH we praise LAbquest interfaces IF we can get it and on and on and on. Power Med Office Ally Welford chart notes Pf We are nuts. Somewhere along long time ago we missed the fork in the road that would have taken us to a sensible functional workplace.ONE EMR like it or not grow up docs and deal with i t That is what I understand the dutch and the australains do probably everyone else(I would like t o know)MU would have been far better to take the 44,000 and pay off docs who invested in emrs and put us all ALL on ONE system Imagine just imagine. if you could talk to ONE kind of tech support and you could have had labs come ina nd go out and reports to consultants go out and see cts from the 100mi away BIg Hospital etc Imagine. But now there is no mammogram report "we are waiitng ot see the old one taken in Calfirnia last year" can anyone say Americans are stupid. argh What do you use? Because I have to tell you that I have been through a whole bunch of models – Nextgen, Cerner, e-MDs, eClinicalworks, Amazing Charts, Medinotes, Alteer, etc… and they all have their issues…. At lease with Practice Fusion, you are not suffering in your pocket… Can you tell me that you are a 100% happy with your emr…you have absolutely no issues? Because if you can, then you are very lucky…. I am not totally happy with Practice Fusion, but they are getting better. However, I am totally satisfied with their payment model….and if you have ever used it, you would know that their ad space is minimal and does not significantly interfere with patient flow…. JMHO…. From: [mailto: ] On Behalf Of theNeighborsSent: Friday, April 01, 2011 2:50 PMTo: Subject: RE: Re: Newbie here You don’t incur any cost until you try to put all the pieces together. Add in premium internet service, billing, getting rid of ads that decrease usable screen space, and add-on that have yet to be priced in – you can bet they are coming. Looks like it’s way more expensive than what I use already. Now, find someone running a busy practice that finds it meets their needs. No doubt it demos well. Add two seconds to every screen refresh and in a few months it will drive you crazy. Let’s hear from someone that sees 25 to 30 patients a day that’s still happy after a couple of months with PF. Practices grow and switching EMRs is seldom easy. Plan for the long term. Perhaps someone that previously used an office server base EMR and switched to Practice Fusion will offer the comparative review we are looking for. From: [mailto: ] On Behalf Of H. KimSent: Friday, April 01, 2011 9:54 AMTo: Subject: RE: Re: Newbie here Anne, I would look at Practice Fusion as an alternative….. I think it is good place to start since it is has a model where you do not incur any costs from the use of their EMR…..go to www.practicefusion.com and check them out…they too along with everyone else it seems are probably working on a patient portal…. From: [mailto: ] On Behalf Of Anne WalchSent: Friday, April 01, 2011 6:29 AMTo: Subject: Re: Re: Newbie here Hi , I'm a Physician Assistant --PA,,,, I don't live or practice in PA but in NC. Fortunately, physician assistants in NC can incorporate and practice as long as we have a "supervising physician".I quickly browsed your site >> Hello everyone,> And thank you for this forum and the opportunity to discuss alternative practice models.> > I'm actually a PA, practicing 25 years and ready to try a minimalist solo practice. I'm parting ways with the doc I worked with for 13 years. We were a Medicare opt out, cash only practice and that's how I intend to proceed. > > I will be part-tim e (I have another p/t job) at least to begin with. I expect to work 16 hours a week and will prob only see 16-20 pts/week. I will be a consultative practice vs a primary care. > > I expect to charge about 30% less than what my patients are now charged at my current employment. I expect I can generate at least $150/hr and that's before any extra revenue from labs, or procedures. Anticipating at full schedule to gross approx $2000 to 2500/week.> > I am pretty sure I can find a space for $350/month -- so overhead won't be too bad in the rent dept.> > Where I would most appreciate guidance is wrt EHR systems. I have looked at PracticeFusion and eClinicalWorks a little bit. Has anyone used these and can your comment about their pros and cons?> > Not sure if any EHR has these features but I'd like a system that allows the following: patients to make their own appts online and the system messages them reminders; patients can P AY online with credit cards or paypal BEFORE the visit; the ability to dictate at least the HPI (or Dragon); generates bills so pts can file on their own with their insurance; the ability for HIPA safe email messaging with pts; linkage to Labcorp/Quest so labs are integrated into their files; tests and referrals reports come back into the EHR system; and the other typical services.> > Does such a system exist? and is it affordable for such a small practice?> > With many thanks in advance, Ann> -- MD ph fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2011 Report Share Posted April 3, 2011 Does PF meet all the meaningful use expectataions? What do you use? Because I have to tell you that I have been through a whole bunch of models – Nextgen, Cerner, e-MDs, eClinicalworks, Amazing Charts, Medinotes, Alteer, etc… and they all have their issues…. At lease with Practice Fusion, you are not suffering in your pocket… Can you tell me that you are a 100% happy with your emr…you have absolutely no issues? Because if you can, then you are very lucky…. I am not totally happy with Practice Fusion, but they are getting better. However, I am totally satisfied with their payment model….and if you have ever used it, you would know that their ad space is minimal and does not significantly interfere with patient flow…. JMHO…. From: [mailto: ] On Behalf Of theNeighbors Sent: Friday, April 01, 2011 2:50 PMTo: Subject: RE: Re: Newbie here You don’t incur any cost until you try to put all the pieces together. Add in premium internet service, billing, getting rid of ads that decrease usable screen space, and add-on that have yet to be priced in – you can bet they are coming. Looks like it’s way more expensive than what I use already. Now, find someone running a busy practice that finds it meets their needs. No doubt it demos well. Add two seconds to every screen refresh and in a few months it will drive you crazy. Let’s hear from someone that sees 25 to 30 patients a day that’s still happy after a couple of months with PF. Practices grow and switching EMRs is seldom easy. Plan for the long term. Perhaps someone that previously used an office server base EMR and switched to Practice Fusion will offer the comparative review we are looking for. From: [mailto: ] On Behalf Of H. Kim Sent: Friday, April 01, 2011 9:54 AMTo: Subject: RE: Re: Newbie here Anne, I would look at Practice Fusion as an alternative….. I think it is good place to start since it is has a model where you do not incur any costs from the use of their EMR…..go to www.practicefusion.com and check them out…they too along with everyone else it seems are probably working on a patient portal…. From: [mailto: ] On Behalf Of Anne Walch Sent: Friday, April 01, 2011 6:29 AMTo: Subject: Re: Re: Newbie here Hi , I'm a Physician Assistant --PA,,,, I don't live or practice in PA but in NC. Fortunately, physician assistants in NC can incorporate and practice as long as we have a " supervising physician " . I quickly browsed your site >> Hello everyone,> And thank you for this forum and the opportunity to discuss alternative practice models.> > I'm actually a PA, practicing 25 years and ready to try a minimalist solo practice. I'm parting ways with the doc I worked with for 13 years. We were a Medicare opt out, cash only practice and that's how I intend to proceed. > > I will be part-tim e (I have another p/t job) at least to begin with. I expect to work 16 hours a week and will prob only see 16-20 pts/week. I will be a consultative practice vs a primary care. > > I expect to charge about 30% less than what my patients are now charged at my current employment. I expect I can generate at least $150/hr and that's before any extra revenue from labs, or procedures. Anticipating at full schedule to gross approx $2000 to 2500/week. > > I am pretty sure I can find a space for $350/month -- so overhead won't be too bad in the rent dept.> > Where I would most appreciate guidance is wrt EHR systems. I have looked at PracticeFusion and eClinicalWorks a little bit. Has anyone used these and can your comment about their pros and cons? > > Not sure if any EHR has these features but I'd like a system that allows the following: patients to make their own appts online and the system messages them reminders; patients can P AY online with credit cards or paypal BEFORE the visit; the ability to dictate at least the HPI (or Dragon); generates bills so pts can file on their own with their insurance; the ability for HIPA safe email messaging with pts; linkage to Labcorp/Quest so labs are integrated into their files; tests and referrals reports come back into the EHR system; and the other typical services. > > Does such a system exist? and is it affordable for such a small practice?> > With many thanks in advance, Ann> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2011 Report Share Posted April 3, 2011 Sharon, Jon Bertman has contracts with these guys if I'm not mistaken. This should be a deal set-up on a national level. Have you spoke with or email Jon personally? I'm sure he would not be pleased to hear about this. Perhaps his leverage as the fastest growing, number one installed small practice Approved and Certified EMR might shake a few things loose at the Quest home office to make your folks out there back down.... Oh, and the Hamster on a Wheel you sent me is a big hit at the office. I have it on my check-out encounter desk with a little sign on it that says. "Dr. Von Trapped at Mega Practice".... Thanks so much To: Sent: Sat, April 2, 2011 5:47:27 PMSubject: Re: Re: Newbie here Maybe we need IMP regional co-ops where we can negotiate with better leverage? Not sure how that would work legally,,Anne While we are on this topic, yesterday my Quest rep called back very sadly saying that they will not do the interface for me, because my volume is too low. We are not talking they won't pay for it; we are talking they won't do it even if I pay the $500 to Amazing Charts. We've gone back and forth and the higher management of our region at Quest apparently says it costs them more then $500 to set up (not what I hear from AC) and they can't subsidize really low volume practices. So that is sad. Sharon Sharon McCoy MDRenaissance Family Medicine10 McClintock Court; Irvine, CA 92617PH: (949)387-5504 Fax: (949)281-2197 Toll free phone/fax: www.SharonMD.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2011 Report Share Posted April 3, 2011 Sorry, new here,,,,, " the fastest growing, number one installed small practice Approved and Certified EMR " ...this is which system? and who is Jon Bertram? thanks~ Anne Sharon, Jon Bertman has contracts with these guys if I'm not mistaken. This should be a deal set-up on a national level. Have you spoke with or email Jon personally? I'm sure he would not be pleased to hear about this. Perhaps his leverage as the fastest growing, number one installed small practice Approved and Certified EMR might shake a few things loose at the Quest home office to make your folks out there back down.... Oh, and the Hamster on a Wheel you sent me is a big hit at the office. I have it on my check-out encounter desk with a little sign on it that says. " Dr. Von Trapped at Mega Practice " .... Thanks so much To: Sent: Sat, April 2, 2011 5:47:27 PMSubject: Re: Re: Newbie here Maybe we need IMP regional co-ops where we can negotiate with better leverage? Not sure how that would work legally,,Anne While we are on this topic, yesterday my Quest rep called back very sadly saying that they will not do the interface for me, because my volume is too low. We are not talking they won't pay for it; we are talking they won't do it even if I pay the $500 to Amazing Charts. We've gone back and forth and the higher management of our region at Quest apparently says it costs them more then $500 to set up (not what I hear from AC) and they can't subsidize really low volume practices. So that is sad. Sharon Sharon McCoy MDRenaissance Family Medicine10 McClintock Court; Irvine, CA 92617PH: (949)387-5504 Fax: (949)281-2197 Toll free phone/fax: www.SharonMD.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2011 Report Share Posted April 3, 2011 We are 90% happy with e-MDS. Still want a little better customer service response the one time a year that we need it. And would love to have patients be able to access and pay their bill through the portal. Steve wants the notes to look a little cleaner, i.e. a better font. So little stuff... What do you use? Because I have to tell you that I have been through a whole bunch of models – Nextgen, Cerner, e-MDs, eClinicalworks, Amazing Charts, Medinotes, Alteer, etc… and they all have their issues…. At lease with Practice Fusion, you are not suffering in your pocket… Can you tell me that you are a 100% happy with your emr…you have absolutely no issues? Because if you can, then you are very lucky…. I am not totally happy with Practice Fusion, but they are getting better. However, I am totally satisfied with their payment model….and if you have ever used it, you would know that their ad space is minimal and does not significantly interfere with patient flow…. JMHO…. From: [mailto: ] On Behalf Of theNeighborsSent: Friday, April 01, 2011 2:50 PMTo: Subject: RE: Re: Newbie here You don’t incur any cost until you try to put all the pieces together. Add in premium internet service, billing, getting rid of ads that decrease usable screen space, and add-on that have yet to be priced in – you can bet they are coming. Looks like it’s way more expensive than what I use already. Now, find someone running a busy practice that finds it meets their needs. No doubt it demos well. Add two seconds to every screen refresh and in a few months it will drive you crazy. Let’s hear from someone that sees 25 to 30 patients a day that’s still happy after a couple of months with PF. Practices grow and switching EMRs is seldom easy. Plan for the long term. Perhaps someone that previously used an office server base EMR and switched to Practice Fusion will offer the comparative review we are looking for. From: [mailto: ] On Behalf Of H. KimSent: Friday, April 01, 2011 9:54 AMTo: Subject: RE: Re: Newbie here Anne, I would look at Practice Fusion as an alternative…..I think it is good place to start since it is has a model where you do not incur any costs from the use of their EMR…..go to www.practicefusion.com and check them out…they too along with everyone else it seems are probably working on a patient portal…. From: [mailto: ] On Behalf Of Anne WalchSent: Friday, April 01, 2011 6:29 AMTo: Subject: Re: Re: Newbie here Hi , I'm a Physician Assistant --PA,,,, I don't live or practice in PA but in NC. Fortunately, physician assistants in NC can incorporate and practice as long as we have a "supervising physician".I quickly browsed your site >> Hello everyone,> And thank you for this forum and the opportunity to discuss alternative practice models.> > I'm actually a PA, practicing 25 years and ready to try a minimalist solo practice. I'm parting ways with the doc I worked with for 13 years. We were a Medicare opt out, cash only practice and that's how I intend to proceed. > > I will be part-tim e (I have another p/t job) at least to begin with. I expect to work 16 hours a week and will prob only see 16-20 pts/week. I will be a consultative practice vs a primary care. > > I expect to charge about 30% less than what my patients are now charged at my current employment. I expect I can generate at least $150/hr and that's before any extra revenue from labs, or procedures. Anticipating at full schedule to gross approx $2000 to 2500/week.> > I am pretty sure I can find a space for $350/month -- so overhead won't be too bad in the rent dept.> > Where I would most appreciate guidance is wrt EHR systems. I have looked at PracticeFusion and eClinicalWorks a little bit. Has anyone used these and can your comment about their pros and cons?> > Not sure if any EHR has these features but I'd like a system that allows the following: patients to make their own appts online and the system messages them reminders; patients can P AY online with credit cards or paypal BEFORE the visit; the ability to dictate at least the HPI (or Dragon); generates bills so pts can file on their own with their insurance; the ability for HIPA safe email messaging with pts; linkage to Labcorp/Quest so labs are integrated into their files; tests and referrals reports come back into the EHR system; and the other typical services.> > Does such a system exist? and is it affordable for such a small practice?> > With many thanks in advance, Ann> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2011 Report Share Posted April 3, 2011 You don't need the lab interface for stage 1, so maybe they will reconsider in a couple of years when Medicare tells them that they have to. While we are on this topic, yesterday my Quest rep called back very sadly saying that they will not do the interface for me, because my volume is too low. We are not talking they won't pay for it; we are talking they won't do it even if I pay the $500 to BTW, I wouldn't worry too much about this. As part of meaningful use, I suspect all the labs will be compelled to offer interfaces eventually... though it may not happen this year. -- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2011 Report Share Posted April 3, 2011 Re: Quest refusing to do my Amazing Charts inferface because of low volume,I was in communication with the controller and a tech guy at Amazing Charts. You are probably right, I will try to contact Jon Bertman. ,Amazing Charts does offer the interfaces; Quest of course does also on their end, they just won't do it in my case because of low volume.Anne, was talking about Amazing Charts, certainly worth considering if you haven't yet. From their website: Amazing Charts was founded in 2001 by Bertman, MD, FAAFP, a practicing family physician in Rhode Island. Around 1999, Dr. Bertman wanted his office to go paperless. He researched dozens of EMR/EHR products, but found they only frustrated him and slowed office flow. Making the Decision to Build an EHR Dr. Bertman wanted an EHR to manage his entire medical practice – from scheduling to intraoffice messaging to charting, and even billing. It had to be easy to install, learn, and use. Plus, he wanted it for a reasonable price – not tens of thousands of dollars. Finding none that came even close to his requirements, he decided to build it himself. Disclosure: I am a paying customer of Amazing Charts. Sharon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2011 Report Share Posted April 3, 2011 The EMR we and Sharon use AC, Amazing Charts. And Jon Bertman is Dr. Jon Bertman owner and president of AC. AC has like 4,000 using providers or installs or something like that... We loved it back before he felt forced to put in so much of the extra Crap for the gov't. It is still pretty much the easy to use and learn AC that we first feel in love with, Just jumping from Pre CCHIT 3.7 to Post CCHIT "New and Improved???" 5.0 took a little bit of getting used to I think. But it really still looked and felt the same for the most part. Jon understood it seemed not to mess too much with his successful model. Much like a Mustang and a Challenger look a heck of a lot like the originals even though they are clearly modern beasts underneath. Most of the new bells and whistles are not in your way but there if you want them. The main user interface was pretty much left untouch which I would say is a credit to all who worked on the project. They listened to their users and it still feels like AC when you get in and turn on the ignition. Use it for a day and you'll use it for a lifetime... It really is that simply and yet just what you need for the most part.... Supposedly Jon is unveiling a working Beta version of the Practice Management Module at the ACUC in Providence this year (Spring or Summer I believe like in June perhaps???). Was hoping to attend if we can make it and afford it. I would love to meet in person finally after all these years and to see the Beta of the PM Module too.... To: Sent: Sat, April 2, 2011 10:23:01 PMSubject: Re: Re: Newbie here Sorry, new here,,,,," the fastest growing, number one installed small practice Approved and Certified EMR"...this is which system? and who is Jon Bertram? thanks~ Anne Sharon, Jon Bertman has contracts with these guys if I'm not mistaken. This should be a deal set-up on a national level. Have you spoke with or email Jon personally? I'm sure he would not be pleased to hear about this. Perhaps his leverage as the fastest growing, number one installed small practice Approved and Certified EMR might shake a few things loose at the Quest home office to make your folks out there back down.... Oh, and the Hamster on a Wheel you sent me is a big hit at the office. I have it on my check-out encounter desk with a little sign on it that says. "Dr. Von Trapped at Mega Practice".... Thanks so much To: Sent: Sat, April 2, 2011 5:47:27 PM Subject: Re: Re: Newbie here Maybe we need IMP regional co-ops where we can negotiate with better leverage? Not sure how that would work legally,, Anne While we are on this topic, yesterday my Quest rep called back very sadly saying that they will not do the interface for me, because my volume is too low. We are not talking they won't pay for it; we are talking they won't do it even if I pay the $500 to Amazing Charts. We've gone back and forth and the higher management of our region at Quest apparently says it costs them more then $500 to set up (not what I hear from AC) and they can't subsidize really low volume practices. So that is sad. Sharon Sharon McCoy MDRenaissance Family Medicine10 McClintock Court; Irvine, CA 92617PH: (949)387-5504 Fax: (949)281-2197 Toll free phone/fax: www.SharonMD.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2011 Report Share Posted April 3, 2011 Now with regard to PF, patient data is HIPAA protected but how comfortable are you with having your information sold to the pharmaceutical companies or whomever they wish? That’s seems to be the cost of free! There've been a couple of recent blogs on this subject as a result of the Walgreens suit. See http://onhealthtech.blogspot.com/2011/03/unjust-enrichment.html Basically docs input the data at a significant cost to themselves .. but someone else benefits. Not fair. -- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2011 Report Share Posted April 3, 2011 Sharon,What about RelayHealth? Or the quest desktop version? It costs them more money to send you labs via fax or paper than electronic. I would escalate it within Quest. All of our labs go to as structured data to RelayHealth (provided to us at no charge from our IPA), but we still get faxes from the labs so that they go into our emr. At least having the labs as structured data in the chart isn't required for meaningful use-it's a menu set item. And even though you are too small right now, they might be required to provide it to all providers in the not too distant future, regardless of size. Re: Quest refusing to do my Amazing Charts inferface because of low volume,I was in communication with the controller and a tech guy at Amazing Charts. You are probably right, I will try to contact Jon Bertman. ,Amazing Charts does offer the interfaces; Quest of course does also on their end, they just won't do it in my case because of low volume.Anne, was talking about Amazing Charts, certainly worth considering if you haven't yet. From their website: Amazing Charts was founded in 2001 by Bertman, MD, FAAFP, a practicing family physician in Rhode Island. Around 1999, Dr. Bertman wanted his office to go paperless. He researched dozens of EMR/EHR products, but found they only frustrated him and slowed office flow. Making the Decision to Build an EHR Dr. Bertman wanted an EHR to manage his entire medical practice – from scheduling to intraoffice messaging to charting, and even billing. It had to be easy to install, learn, and use. Plus, he wanted it for a reasonable price – not tens of thousands of dollars. Finding none that came even close to his requirements, he decided to build it himself. Disclosure: I am a paying customer of Amazing Charts. Sharon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2011 Report Share Posted April 3, 2011 Broader question?Does any EMR meet meaningful use? Has anyone started seeing checks yet? From: [mailto: ] On Behalf Of Sent: Saturday, April 02, 2011 5:27 PMTo: Subject: Re: Re: Newbie here Does PF meet all the meaningful use expectataions? What do you use? Because I have to tell you that I have been through a whole bunch of models – Nextgen, Cerner, e-MDs, eClinicalworks, Amazing Charts, Medinotes, Alteer, etc… and they all have their issues…. At lease with Practice Fusion, you are not suffering in your pocket… Can you tell me that you are a 100% happy with your emr…you have absolutely no issues? Because if you can, then you are very lucky…. I am not totally happy with Practice Fusion, but they are getting better. However, I am totally satisfied with their payment model….and if you have ever used it, you would know that their ad space is minimal and does not significantly interfere with patient flow…. JMHO…. From: [mailto: ] On Behalf Of theNeighborsSent: Friday, April 01, 2011 2:50 PMTo: Subject: RE: Re: Newbie here You don’t incur any cost until you try to put all the pieces together. Add in premium internet service, billing, getting rid of ads that decrease usable screen space, and add-on that have yet to be priced in – you can bet they are coming. Looks like it’s way more expensive than what I use already. Now, find someone running a busy practice that finds it meets their needs. No doubt it demos well. Add two seconds to every screen refresh and in a few months it will drive you crazy. Let’s hear from someone that sees 25 to 30 patients a day that’s still happy after a couple of months with PF. Practices grow and switching EMRs is seldom easy. Plan for the long term. Perhaps someone that previously used an office server base EMR and switched to Practice Fusion will offer the comparative review we are looking for. From: [mailto: ] On Behalf Of H. KimSent: Friday, April 01, 2011 9:54 AMTo: Subject: RE: Re: Newbie here Anne, I would look at Practice Fusion as an alternative…..I think it is good place to start since it is has a model where you do not incur any costs from the use of their EMR…..go to www.practicefusion.com and check them out…they too along with everyone else it seems are probably working on a patient portal…. From: [mailto: ] On Behalf Of Anne WalchSent: Friday, April 01, 2011 6:29 AMTo: Subject: Re: Re: Newbie here Hi , I'm a Physician Assistant --PA,,,, I don't live or practice in PA but in NC. Fortunately, physician assistants in NC can incorporate and practice as long as we have a " supervising physician " .I quickly browsed your site >> Hello everyone,> And thank you for this forum and the opportunity to discuss alternative practice models.> > I'm actually a PA, practicing 25 years and ready to try a minimalist solo practice. I'm parting ways with the doc I worked with for 13 years. We were a Medicare opt out, cash only practice and that's how I intend to proceed. > > I will be part-tim e (I have another p/t job) at least to begin with. I expect to work 16 hours a week and will prob only see 16-20 pts/week. I will be a consultative practice vs a primary care. > > I expect to charge about 30% less than what my patients are now charged at my current employment. I expect I can generate at least $150/hr and that's before any extra revenue from labs, or procedures. Anticipating at full schedule to gross approx $2000 to 2500/week.> > I am pretty sure I can find a space for $350/month -- so overhead won't be too bad in the rent dept.> > Where I would most appreciate guidance is wrt EHR systems. I have looked at PracticeFusion and eClinicalWorks a little bit. Has anyone used these and can your comment about their pros and cons?> > Not sure if any EHR has these features but I'd like a system that allows the following: patients to make their own appts online and the system messages them reminders; patients can P AY online with credit cards or paypal BEFORE the visit; the ability to dictate at least the HPI (or Dragon); generates bills so pts can file on their own with their insurance; the ability for HIPA safe email messaging with pts; linkage to Labcorp/Quest so labs are integrated into their files; tests and referrals reports come back into the EHR system; and the other typical services.> > Does such a system exist? and is it affordable for such a small practice?> > With many thanks in advance, Ann> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2011 Report Share Posted April 3, 2011 Medicaid folks are already getting checks already but then they have a very low threshold to cross – basically just buy an EMR that’s certified. Medicare applicants haven’t had time to demonstrate use and do the attestations yet – takes 90 days in 2011. Should be soon. From: [mailto: ] On Behalf Of H. KimSent: Sunday, April 03, 2011 11:04 AMTo: Subject: RE: Re: Newbie here Broader question?Does any EMR meet meaningful use? Has anyone started seeing checks yet? From: [mailto: ] On Behalf Of Sent: Saturday, April 02, 2011 5:27 PMTo: Subject: Re: Re: Newbie here Does PF meet all the meaningful use expectataions? What do you use? Because I have to tell you that I have been through a whole bunch of models – Nextgen, Cerner, e-MDs, eClinicalworks, Amazing Charts, Medinotes, Alteer, etc… and they all have their issues…. < /span>At lease with Practice Fusion, you are not suffering in your pocket… Can you tell me that you are a 100% happy with your emr…you have absolutely no issues? Because if you can, then you are very lucky…. I am not totally happy with Practice Fusion, but they are getting better. However, I am totally satisfied with their payment model….and if you have ever used it, you would know that their ad space is minimal and does not significantly interfere with patient flow…. JMHO…. From: [mailto: ] On Behalf Of theNeighborsSent: Friday, April 01, 2011 2:50 PMTo: Subject: RE: Re: Newbie here You don’t incur any cost until you try to put all the pieces together. Add in premium internet service, billing, getting rid of ads that decrease usable screen space, and add-on that have yet to be priced in – you can bet they are coming. Looks like it’s way more expensive than what I use already. Now, find someone running a busy practice that finds it meets their needs. No doubt it demos well. Add two seconds to every screen refresh and in a few months it will drive you crazy. Let’s hear from someone that sees 25 to 30 patients a day that’s still happy after a couple of months with PF. Practices grow and switching EMRs is seldom easy. Plan for the long term. Perhaps someone that previously used an office server base EMR and switched to Practice Fusion will offer the comparative review we are looking for. From: [mailto: ] On Behalf Of H. KimSent: Friday, April 01, 2011 9:54 AMTo: @... mSubject: RE: Re: Newbie here Anne, I would look at Practice Fusion as an alternative…..I think it is good place to start since it is has a model where you do not incur any costs from the use of their EMR…..go to www.practicefusion.com and check them out…they too along with everyone else it seems are probably working on a patient portal…. From: [mailto: ] On Behalf Of Anne WalchSent: Friday, April 01, 2011 6:29 AMTo: Subject: Re: Re: Newbie here Hi , I'm a Physician Assistant --PA,,,, I don't live or practice in PA but in NC. Fortunately, physician assistants in NC can incorporate and practice as long as we have a " supervising physician " .I quickly browsed your site >> Hello everyone,> And thank you for this forum and the opportunity to discuss alternative practice models.> > I'm actually a PA, practicing 25 years and ready to try a minimalist solo practice. I'm parting ways with the doc I worked with for 13 years. We were a Medicare opt out, cash only practice and that's how I intend to proceed. > > I will be part-tim e (I have another p/t job) at least to begin with. I expect to work 16 hours a week and will prob only see 16-20 pts/week. I will be a consultative practice vs a primary care. > > I expect to charge about 30% less than what my patients are now charged at my current employment. I expect I can generate at least $150/hr and that's before any extra revenue from labs, or procedures. Anticipating at full schedule to gross approx $2000 to 2500/week.> > I am pretty sure I can find a space for $350/month -- so overhead won't be too bad in the rent dept.> > Where I would most appreciate guidance is wrt EHR systems. I have looked at PracticeFusion and eClinicalWorks a little bit. Has anyone used these and can your comment about their pros and cons?> > Not sure if any EHR has these features but I'd like a system that allows the following: patients to make their own appts online and the system messages them reminders; patients can P AY online with credit cards or paypal BEFORE the visit; the ability to dictate at least the HPI (or Dragon); generates bills so pts can file on their own with their insurance; the ability for HIPA safe email messaging with pts; linkage to Labcorp/Quest so labs are integrated into their files; tests and referrals reports come back into the EHR system; and the other typical services.> > Does such a system exist? and is it affordable for such a small practice?> > With many thanks in advance, Ann> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2011 Report Share Posted April 3, 2011 I would prefer a world where our personal data is not sold or shared unless it is with our permission, but my point is that I do not consider what Practice Fusion is doing to be unusual. I find it preferable that they tell me up front that they can/will use the data in a legal manner, rather than have them do it without any notice whatsoever. I wonder how many EMR companies out there are selling data without any express notification to their users? Does your EMR license agreement say anything about the use of data and whether or not they will or will not share/sell data to third parties? SetoSouth Pasadena, CAI agree that this has to be done with permission. I presume that all of you using hosted EMRs where you have accepted that the vendor is selling your de-identified patient data have first obtained your patients' permissions, and have given them the option to opt out. -- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2011 Report Share Posted April 4, 2011 Yes. There are plenty of EMR's that are certified. We are upgrading to the certified version on the 15th and will then go 90 days and see if we can achieve MU in the first 90 days of being on the certified version. CMS doesn't mail you a check until you attain the maximum benefit, so since we likely won't reach the maximum in 90 days ( or even the entire year ), I anticipate that we will get our check around this time next year. The first official check went to an e-MDs user in January. Broader question?Does any EMR meet meaningful use? Has anyone started seeing checks yet? From: [mailto: ] On Behalf Of Sent: Saturday, April 02, 2011 5:27 PMTo: Subject: Re: Re: Newbie here Does PF meet all the meaningful use expectataions? What do you use? Because I have to tell you that I have been through a whole bunch of models – Nextgen, Cerner, e-MDs, eClinicalworks, Amazing Charts, Medinotes, Alteer, etc… and they all have their issues…. At lease with Practice Fusion, you are not suffering in your pocket… Can you tell me that you are a 100% happy with your emr…you have absolutely no issues? Because if you can, then you are very lucky…. I am not totally happy with Practice Fusion, but they are getting better. However, I am totally satisfied with their payment model….and if you have ever used it, you would know that their ad space is minimal and does not significantly interfere with patient flow…. JMHO…. From: [mailto: ] On Behalf Of theNeighborsSent: Friday, April 01, 2011 2:50 PMTo: Subject: RE: Re: Newbie here You don’t incur any cost until you try to put all the pieces together. Add in premium internet service, billing, getting rid of ads that decrease usable screen space, and add-on that have yet to be priced in – you can bet they are coming. Looks like it’s way more expensive than what I use already. Now, find someone running a busy practice that finds it meets their needs. No doubt it demos well. Add two seconds to every screen refresh and in a few months it will drive you crazy. Let’s hear from someone that sees 25 to 30 patients a day that’s still happy after a couple of months with PF. Practices grow and switching EMRs is seldom easy. Plan for the long term. Perhaps someone that previously used an office server base EMR and switched to Practice Fusion will offer the comparative review we are looking for. From: [mailto: ] On Behalf Of H. KimSent: Friday, April 01, 2011 9:54 AMTo: Subject: RE: Re: Newbie here Anne, I would look at Practice Fusion as an alternative…..I think it is good place to start since it is has a model where you do not incur any costs from the use of their EMR…..go to www.practicefusion.com and check them out…they too along with everyone else it seems are probably working on a patient portal…. From: [mailto: ] On Behalf Of Anne WalchSent: Friday, April 01, 2011 6:29 AMTo: Subject: Re: Re: Newbie here Hi , I'm a Physician Assistant --PA,,,, I don't live or practice in PA but in NC. Fortunately, physician assistants in NC can incorporate and practice as long as we have a "supervising physician".I quickly browsed your site >> Hello everyone,> And thank you for this forum and the opportunity to discuss alternative practice models.> > I'm actually a PA, practicing 25 years and ready to try a minimalist solo practice. I'm parting ways with the doc I worked with for 13 years. We were a Medicare opt out, cash only practice and that's how I intend to proceed. > > I will be part-tim e (I have another p/t job) at least to begin with. I expect to work 16 hours a week and will prob only see 16-20 pts/week. I will be a consultative practice vs a primary care. > > I expect to charge about 30% less than what my patients are now charged at my current employment. I expect I can generate at least $150/hr and that's before any extra revenue from labs, or procedures. Anticipating at full schedule to gross approx $2000 to 2500/week.> > I am pretty sure I can find a space for $350/month -- so overhead won't be too bad in the rent dept.> > Where I would most appreciate guidance is wrt EHR systems. I have looked at PracticeFusion and eClinicalWorks a little bit. Has anyone used these and can your comment about their pros and cons?> > Not sure if any EHR has these features but I'd like a system that allows the following: patients to make their own appts online and the system messages them reminders; patients can P AY online with credit cards or paypal BEFORE the visit; the ability to dictate at least the HPI (or Dragon); generates bills so pts can file on their own with their insurance; the ability for HIPA safe email messaging with pts; linkage to Labcorp/Quest so labs are integrated into their files; tests and referrals reports come back into the EHR system; and the other typical services.> > Does such a system exist? and is it affordable for such a small practice?> > With many thanks in advance, Ann> Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (63) Recent Activity: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2011 Report Share Posted April 4, 2011 MU is some work Wizards and certified emrs or not10 things to do plus 5 of 10 optionals. Every single patietn needs ht wt bp ethnicity race language spoken bp put into the chart ANd that's one measure By the time you get al l this done zap the visit is over. Smoker? former? current daily ? Current some day daily smoker Never ?Unknown? etc.. I will get MU but but I am not sure what I will think of it by the time I am doneMeanwhile the CMS daily digest bulletin --are these the same folks who want me to be safe and efficient??-- consistently sned me notices about calls to attend The day after the call. Don;t get me started. Yes. There are plenty of EMR's that are certified. We are upgrading to the certified version on the 15th and will then go 90 days and see if we can achieve MU in the first 90 days of being on the certified version. CMS doesn't mail you a check until you attain the maximum benefit, so since we likely won't reach the maximum in 90 days ( or even the entire year ), I anticipate that we will get our check around this time next year. The first official check went to an e-MDs user in January. Broader question?Does any EMR meet meaningful use? Has anyone started seeing checks yet? From: [mailto: ] On Behalf Of Sent: Saturday, April 02, 2011 5:27 PMTo: Subject: Re: Re: Newbie here Does PF meet all the meaningful use expectataions? What do you use? Because I have to tell you that I have been through a whole bunch of models – Nextgen, Cerner, e-MDs, eClinicalworks, Amazing Charts, Medinotes, Alteer, etc… and they all have their issues…. At lease with Practice Fusion, you are not suffering in your pocket… Can you tell me that you are a 100% happy with your emr…you have absolutely no issues? Because if you can, then you are very lucky…. I am not totally happy with Practice Fusion, but they are getting better. However, I am totally satisfied with their payment model….and if you have ever used it, you would know that their ad space is minimal and does not significantly interfere with patient flow…. JMHO…. From: [mailto: ] On Behalf Of theNeighbors Sent: Friday, April 01, 2011 2:50 PMTo: Subject: RE: Re: Newbie here You don’t incur any cost until you try to put all the pieces together. Add in premium internet service, billing, getting rid of ads that decrease usable screen space, and add-on that have yet to be priced in – you can bet they are coming. Looks like it’s way more expensive than what I use already. Now, find someone running a busy practice that finds it meets their needs. No doubt it demos well. Add two seconds to every screen refresh and in a few months it will drive you crazy. Let’s hear from someone that sees 25 to 30 patients a day that’s still happy after a couple of months with PF. Practices grow and switching EMRs is seldom easy. Plan for the long term. Perhaps someone that previously used an office server base EMR and switched to Practice Fusion will offer the comparative review we are looking for. From: [mailto: ] On Behalf Of H. Kim Sent: Friday, April 01, 2011 9:54 AMTo: Subject: RE: Re: Newbie here Anne, I would look at Practice Fusion as an alternative….. I think it is good place to start since it is has a model where you do not incur any costs from the use of their EMR…..go to www.practicefusion.com and check them out…they too along with everyone else it seems are probably working on a patient portal…. From: [mailto: ] On Behalf Of Anne Walch Sent: Friday, April 01, 2011 6:29 AMTo: Subject: Re: Re: Newbie here Hi , I'm a Physician Assistant --PA,,,, I don't live or practice in PA but in NC. Fortunately, physician assistants in NC can incorporate and practice as long as we have a " supervising physician " . I quickly browsed your site >> Hello everyone,> And thank you for this forum and the opportunity to discuss alternative practice models.> > I'm actually a PA, practicing 25 years and ready to try a minimalist solo practice. I'm parting ways with the doc I worked with for 13 years. We were a Medicare opt out, cash only practice and that's how I intend to proceed. > > I will be part-tim e (I have another p/t job) at least to begin with. I expect to work 16 hours a week and will prob only see 16-20 pts/week. I will be a consultative practice vs a primary care. > > I expect to charge about 30% less than what my patients are now charged at my current employment. I expect I can generate at least $150/hr and that's before any extra revenue from labs, or procedures. Anticipating at full schedule to gross approx $2000 to 2500/week. > > I am pretty sure I can find a space for $350/month -- so overhead won't be too bad in the rent dept.> > Where I would most appreciate guidance is wrt EHR systems. I have looked at PracticeFusion and eClinicalWorks a little bit. Has anyone used these and can your comment about their pros and cons? > > Not sure if any EHR has these features but I'd like a system that allows the following: patients to make their own appts online and the system messages them reminders; patients can P AY online with credit cards or paypal BEFORE the visit; the ability to dictate at least the HPI (or Dragon); generates bills so pts can file on their own with their insurance; the ability for HIPA safe email messaging with pts; linkage to Labcorp/Quest so labs are integrated into their files; tests and referrals reports come back into the EHR system; and the other typical services. > > Does such a system exist? and is it affordable for such a small practice?> > With many thanks in advance, Ann> Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (63) Recent Activity: -- MD ph fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2011 Report Share Posted April 4, 2011 Ok so we know that e-MDs has been accepted as a certified HER for the Oklahoma practice….. Anyone know of another EMR that has been officially certified and the practice receiving checks? From: [mailto: ] On Behalf Of PrattSent: Sunday, April 03, 2011 7:14 PMTo: Subject: Re: Re: Newbie here Yes. There are plenty of EMR's that are certified. We are upgrading to the certified version on the 15th and will then go 90 days and see if we can achieve MU in the first 90 days of being on the certified version. CMS doesn't mail you a check until you attain the maximum benefit, so since we likely won't reach the maximum in 90 days ( or even the entire year ), I anticipate that we will get our check around this time next year. The first official check went to an e-MDs user in January. Broader question?Does any EMR meet meaningful use? Has anyone started seeing checks yet? From: [mailto: ] On Behalf Of Sent: Saturday, April 02, 2011 5:27 PMTo: Subject: Re: Re: Newbie here Does PF meet all the meaningful use expectataions? What do you use? Because I have to tell you that I have been through a whole bunch of models – Nextgen, Cerner, e-MDs, eClinicalworks, Amazing Charts, Medinotes, Alteer, etc… and they all have their issues…. At lease with Practice Fusion, you are not suffering in your pocket… Can you tell me that you are a 100% happy with your emr…you have absolutely no issues? Because if you can, then you are very lucky…. I am not totally happy with Practice Fusion, but they are getting better. However, I am totally satisfied with their payment model….and if you have ever used it, you would know that their ad space is minimal and does not significantly interfere with patient flow…. JMHO…. From: [mailto: ] On Behalf Of theNeighborsSent: Friday, April 01, 2011 2:50 PMTo: Subject: RE: Re: Newbie here You don’t incur any cost until you try to put all the pieces together. Add in premium internet service, billing, getting rid of ads that decrease usable screen space, and add-on that have yet to be priced in – you can bet they are coming. Looks like it’s way more expensive than what I use already. Now, find someone running a busy practice that finds it meets their needs. No doubt it demos well. Add two seconds to every screen refresh and in a few months it will drive you crazy. Let’s hear from someone that sees 25 to 30 patients a day that’s still happy after a couple of months with PF. Practices grow and switching EMRs is seldom easy. Plan for the long term. Perhaps someone that previously used an office server base EMR and switched to Practice Fusion will offer the comparative review we are looking for. From: [mailto: ] On Behalf Of H. KimSent: Friday, April 01, 2011 9:54 AMTo: Subject: RE: Re: Newbie here Anne, I would look at Practice Fusion as an alternative…..I think it is good place to start since it is has a model where you do not incur any costs from the use of their EMR…..go to www.practicefusion.com and check them out…they too along with everyone else it seems are probably working on a patient portal…. From: [mailto: ] On Behalf Of Anne WalchSent: Friday, April 01, 2011 6:29 AMTo: Subject: Re: Re: Newbie here Hi , I'm a Physician Assistant --PA,,,, I don't live or practice in PA but in NC. Fortunately, physician assistants in NC can incorporate and practice as long as we have a " supervising physician " .I quickly browsed your site >> Hello everyone,> And thank you for this forum and the opportunity to discuss alternative practice models.> > I'm actually a PA, practicing 25 years and ready to try a minimalist solo practice. I'm parting ways with the doc I worked with for 13 years. We were a Medicare opt out, cash only practice and that's how I intend to proceed. > > I will be part-tim e (I have another p/t job) at least to begin with. I expect to work 16 hours a week and will prob only see 16-20 pts/week. I will be a consultative practice vs a primary care. > > I expect to charge about 30% less than what my patients are now charged at my current employment. I expect I can generate at least $150/hr and that's before any extra revenue from labs, or procedures. Anticipating at full schedule to gross approx $2000 to 2500/week.> > I am pretty sure I can find a space for $350/month -- so overhead won't be too bad in the rent dept.> > Where I would most appreciate guidance is wrt EHR systems. I have looked at PracticeFusion and eClinicalWorks a little bit. Has anyone used these and can your comment about their pros and cons?> > Not sure if any EHR has these features but I'd like a system that allows the following: patients to make their own appts online and the system messages them reminders; patients can P AY online with credit cards or paypal BEFORE the visit; the ability to dictate at least the HPI (or Dragon); generates bills so pts can file on their own with their insurance; the ability for HIPA safe email messaging with pts; linkage to Labcorp/Quest so labs are integrated into their files; tests and referrals reports come back into the EHR system; and the other typical services.> > Does such a system exist? and is it affordable for such a small practice?> > With many thanks in advance, Ann> Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (63) Recent Activity: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2011 Report Share Posted April 4, 2011 There's an entire list of certified EMR's & which version it is that is certified, and if you search the archives, I posted that link a while back. Or go to CMS website and search for yourself. Also, as someone else already pointed out, unless you are a Medicaid provider, today is actually probably the first 90 th day for any Medicare practice. I suspect that there were very few Medicare practices actually ready on 1/1/11 because of the time it takes the EMR vendors to get their certified version out to their users. We got ours mid-Jan but were in the middle of converting from in-house server to ASP and won't go live until 4/15 with the certified version. I'm currently in process of updating our intake form so that we are 100% ready on 4/18 to start with MU. I would suspect that there are very few IMP practices (due to low volume) that will hit the max benefit and get a check in 2011. If you want to wait and see if it is "for real," then wait until later this year when we've had a chance to implement and attest online and some of us will post to the list and let you know. Ok so we know that e-MDs has been accepted as a certified HER for the Oklahoma practice….. Anyone know of another EMR that has been officially certified and the practice receiving checks? From: [mailto: ] On Behalf Of PrattSent: Sunday, April 03, 2011 7:14 PMTo: Subject: Re: Re: Newbie here Yes. There are plenty of EMR's that are certified. We are upgrading to the certified version on the 15th and will then go 90 days and see if we can achieve MU in the first 90 days of being on the certified version. CMS doesn't mail you a check until you attain the maximum benefit, so since we likely won't reach the maximum in 90 days ( or even the entire year ), I anticipate that we will get our check around this time next year. The first official check went to an e-MDs user in January. Broader question?Does any EMR meet meaningful use? Has anyone started seeing checks yet? From: [mailto: ] On Behalf Of Sent: Saturday, April 02, 2011 5:27 PMTo: Subject: Re: Re: Newbie here Does PF meet all the meaningful use expectataions? What do you use? Because I have to tell you that I have been through a whole bunch of models – Nextgen, Cerner, e-MDs, eClinicalworks, Amazing Charts, Medinotes, Alteer, etc… and they all have their issues…. At lease with Practice Fusion, you are not suffering in your pocket… Can you tell me that you are a 100% happy with your emr…you have absolutely no issues? Because if you can, then you are very lucky…. I am not totally happy with Practice Fusion, but they are getting better. However, I am totally satisfied with their payment model….and if you have ever used it, you would know that their ad space is minimal and does not significantly interfere with patient flow…. JMHO…. From: [mailto: ] On Behalf Of theNeighborsSent: Friday, April 01, 2011 2:50 PMTo: Subject: RE: Re: Newbie here You don’t incur any cost until you try to put all the pieces together. Add in premium internet service, billing, getting rid of ads that decrease usable screen space, and add-on that have yet to be priced in – you can bet they are coming. Looks like it’s way more expensive than what I use already. Now, find someone running a busy practice that finds it meets their needs. No doubt it demos well. Add two seconds to every screen refresh and in a few months it will drive you crazy. Let’s hear from someone that sees 25 to 30 patients a day that’s still happy after a couple of months with PF. Practices grow and switching EMRs is seldom easy. Plan for the long term. Perhaps someone that previously used an office server base EMR and switched to Practice Fusion will offer the comparative review we are looking for. From: [mailto: ] On Behalf Of H. KimSent: Friday, April 01, 2011 9:54 AMTo: Subject: RE: Re: Newbie here Anne, I would look at Practice Fusion as an alternative…..I think it is good place to start since it is has a model where you do not incur any costs from the use of their EMR…..go to www.practicefusion.com and check them out…they too along with everyone else it seems are probably working on a patient portal…. From: [mailto: ] On Behalf Of Anne WalchSent: Friday, April 01, 2011 6:29 AMTo: Subject: Re: Re: Newbie here Hi , I'm a Physician Assistant --PA,,,, I don't live or practice in PA but in NC. Fortunately, physician assistants in NC can incorporate and practice as long as we have a "supervising physician".I quickly browsed your site >> Hello everyone,> And thank you for this forum and the opportunity to discuss alternative practice models.> > I'm actually a PA, practicing 25 years and ready to try a minimalist solo practice. I'm parting ways with the doc I worked with for 13 years. We were a Medicare opt out, cash only practice and that's how I intend to proceed. > > I will be part-tim e (I have another p/t job) at least to begin with. I expect to work 16 hours a week and will prob only see 16-20 pts/week. I will be a consultative practice vs a primary care. > > I expect to charge about 30% less than what my patients are now charged at my current employment. I expect I can generate at least $150/hr and that's before any extra revenue from labs, or procedures. Anticipating at full schedule to gross approx $2000 to 2500/week.> > I am pretty sure I can find a space for $350/month -- so overhead won't be too bad in the rent dept.> > Where I would most appreciate guidance is wrt EHR systems. I have looked at PracticeFusion and eClinicalWorks a little bit. Has anyone used these and can your comment about their pros and cons?> > Not sure if any EHR has these features but I'd like a system that allows the following: patients to make their own appts online and the system messages them reminders; patients can P AY online with credit cards or paypal BEFORE the visit; the ability to dictate at least the HPI (or Dragon); generates bills so pts can file on their own with their insurance; the ability for HIPA safe email messaging with pts; linkage to Labcorp/Quest so labs are integrated into their files; tests and referrals reports come back into the EHR system; and the other typical services.> > Does such a system exist? and is it affordable for such a small practice?> > With many thanks in advance, Ann> Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (63) Recent Activity: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2011 Report Share Posted April 5, 2011 But I was wondering why switched from the local server model to the ASP model now…..economic reasons or certification reasons or both…… From: [mailto: ] On Behalf Of BleiweissSent: Monday, April 04, 2011 10:55 AMTo: Subject: Re: Re: Newbie here , No offense here but if you read my last post about the " regional Information Exchanges " that is exactly what they are for, to allow PHI in all sorts of places, labs, hospitals, private practices, ASP EMR's, yadda, yadda, to be easily exchanged between other providers and stakeholders.... (I am really learning to hate that word...)... I am 99% certain you are incorrect here otherwise ALL involved would have to be on such a piece of software and such is certainly not the case... I believe you need to step back and refresh your screen here might we say... There really are more than one way to see this and to skin the cat here as well. Remember all of these laws were designed to be inclusive of most of the larger stakeholders so they could make money off of the present basically Not Reformed system. To cut off the majority of EMR's and their vendors would never have passed under our present system that created these rules and laws.... To: Sent: Mon, April 4, 2011 1:01:14 PMSubject: RE: Re: Newbie here Interesting, …. Are you noting that you need to go to the ASP model for it be certified?That the local server model was not going to be certified?Just curious…. From: [mailto: ] On Behalf Of PrattSent: Monday, April 04, 2011 7:38 AMTo: Subject: Re: Re: Newbie here There's an entire list of certified EMR's & which version it is that is certified, and if you search the archives, I posted that link a while back. Or go to CMS website and search for yourself. Also, as someone else already pointed out, unless you are a Medicaid provider, today is actually probably the first 90 th day for any Medicare practice. I suspect that there were very few Medicare practices actually ready on 1/1/11 because of the time it takes the EMR vendors to get their certified version out to their users. We got ours mid-Jan but were in the middle of converting from in-house server to ASP and won't go live until 4/15 with the certified version. I'm currently in process of updating our intake form so that we are 100% ready on 4/18 to start with MU. I would suspect that there are very few IMP practices (due to low volume) that will hit the max benefit and get a check in 2011. If you want to wait and see if it is " for real, " then wait until later this year when we've had a chance to implement and attest online and some of us will post to the list and let you know. Ok so we know that e-MDs has been accepted as a certified HER for the Oklahoma practice….. Anyone know of another EMR that has been officially certified and the practice receiving checks? From: [mailto: ] On Behalf Of PrattSent: Sunday, April 03, 2011 7:14 PMTo: Subject: Re: Re: Newbie here Yes. There are plenty of EMR's that are certified. We are upgrading to the certified version on the 15th and will then go 90 days and see if we can achieve MU in the first 90 days of being on the certified version. CMS doesn't mail you a check until you attain the maximum benefit, so since we likely won't reach the maximum in 90 days ( or even the entire year ), I anticipate that we will get our check around this time next year. The first official check went to an e-MDs user in January. Broader question?Does any EMR meet meaningful use? Has anyone started seeing checks yet? From: [mailto: ] On Behalf Of Sent: Saturday, April 02, 2011 5:27 PMTo: Subject: Re: Re: Newbie here Does PF meet all the meaningful use expectataions? What do you use? Because I have to tell you that I have been through a whole bunch of models – Nextgen, Cerner, e-MDs, eClinicalworks, Amazing Charts, Medinotes, Alteer, etc… and they all have their issues…. At lease with Practice Fusion, you are not suffering in your pocket… Can you tell me that you are a 100% happy with your emr…you have absolutely no issues? Because if you can, then you are very lucky…. I am not totally happy with Practice Fusion, but they are getting better. However, I am totally satisfied with their payment model….and if you have ever used it, you would know that their ad space is minimal and does not significantly interfere with patient flow…. JMHO…. From: [mailto: ] On Behalf Of theNeighborsSent: Friday, April 01, 2011 2:50 PMTo: Subject: RE: Re: Newbie here You don’t incur any cost until you try to put all the pieces together. Add in premium internet service, billing, getting rid of ads that decrease usable screen space, and add-on that have yet to be priced in – you can bet they are coming. Looks like it’s way more expensive than what I use already. Now, find someone running a busy practice that finds it meets their needs. No doubt it demos well. Add two seconds to every screen refresh and in a few months it will drive you crazy. Let’s hear from someone that sees 25 to 30 patients a day that’s still happy after a couple of months with PF. Practices grow and switching EMRs is seldom easy. Plan for the long term. Perhaps someone that previously used an office server base EMR and switched to Practice Fusion will offer the comparative review we are looking for. From: [mailto: ] On Behalf Of H. KimSent: Friday, April 01, 2011 9:54 AMTo: Subject: RE: Re: Newbie here Anne, I would look at Practice Fusion as an alternative…..I think it is good place to start since it is has a model where you do not incur any costs from the use of their EMR…..go to www.practicefusion.com and check them out…they too along with everyone else it seems are probably working on a patient portal…. From: [mailto: ] On Behalf Of Anne WalchSent: Friday, April 01, 2011 6:29 AMTo: Subject: Re: Re: Newbie here Hi , I'm a Physician Assistant --PA,,,, I don't live or practice in PA but in NC. Fortunately, physician assistants in NC can incorporate and practice as long as we have a " supervising physician " .I quickly browsed your site >> Hello everyone,> And thank you for this forum and the opportunity to discuss alternative practice models.> > I'm actually a PA, practicing 25 years and ready to try a minimalist solo practice. I'm parting ways with the doc I worked with for 13 years. We were a Medicare opt out, cash only practice and that's how I intend to proceed. > > I will be part-tim e (I have another p/t job) at least to begin with. I expect to work 16 hours a week and will prob only see 16-20 pts/week. I will be a consultative practice vs a primary care. > > I expect to charge about 30% less than what my patients are now charged at my current employment. I expect I can generate at least $150/hr and that's before any extra revenue from labs, or procedures. Anticipating at full schedule to gross approx $2000 to 2500/week.> > I am pretty sure I can find a space for $350/month -- so overhead won't be too bad in the rent dept.> > Where I would most appreciate guidance is wrt EHR systems. I have looked at PracticeFusion and eClinicalWorks a little bit. Has anyone used these and can your comment about their pros and cons?> > Not sure if any EHR has these features but I'd like a system that allows the following: patients to make their own appts online and the system messages them reminders; patients can P AY online with credit cards or paypal BEFORE the visit; the ability to dictate at least the HPI (or Dragon); generates bills so pts can file on their own with their insurance; the ability for HIPA safe email messaging with pts; linkage to Labcorp/Quest so labs are integrated into their files; tests and referrals reports come back into the EHR system; and the other typical services.> > Does such a system exist? and is it affordable for such a small practice?> > With many thanks in advance, Ann> Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (63) Recent Activity: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2011 Report Share Posted April 5, 2011 Economic and time. Had nothing to do with certification. We simply didn't want to maintain a database any more. But I was wondering why switched from the local server model to the ASP model now…..economic reasons or certification reasons or both…… From: [mailto: ] On Behalf Of BleiweissSent: Monday, April 04, 2011 10:55 AMTo: Subject: Re: Re: Newbie here , No offense here but if you read my last post about the "regional Information Exchanges" that is exactly what they are for, to allow PHI in all sorts of places, labs, hospitals, private practices, ASP EMR's, yadda, yadda, to be easily exchanged between other providers and stakeholders.... (I am really learning to hate that word...)... I am 99% certain you are incorrect here otherwise ALL involved would have to be on such a piece of software and such is certainly not the case... I believe you need to step back and refresh your screen here might we say... There really are more than one way to see this and to skin the cat here as well. Remember all of these laws were designed to be inclusive of most of the larger stakeholders so they could make money off of the present basically Not Reformed system. To cut off the majority of EMR's and their vendors would never have passed under our present system that created these rules and laws.... To: Sent: Mon, April 4, 2011 1:01:14 PMSubject: RE: Re: Newbie here Interesting, …. Are you noting that you need to go to the ASP model for it be certified?That the local server model was not going to be certified?Just curious…. From: [mailto: ] On Behalf Of PrattSent: Monday, April 04, 2011 7:38 AMTo: Subject: Re: Re: Newbie here There's an entire list of certified EMR's & which version it is that is certified, and if you search the archives, I posted that link a while back. Or go to CMS website and search for yourself. Also, as someone else already pointed out, unless you are a Medicaid provider, today is actually probably the first 90 th day for any Medicare practice. I suspect that there were very few Medicare practices actually ready on 1/1/11 because of the time it takes the EMR vendors to get their certified version out to their users. We got ours mid-Jan but were in the middle of converting from in-house server to ASP and won't go live until 4/15 with the certified version. I'm currently in process of updating our intake form so that we are 100% ready on 4/18 to start with MU. I would suspect that there are very few IMP practices (due to low volume) that will hit the max benefit and get a check in 2011. If you want to wait and see if it is "for real," then wait until later this year when we've had a chance to implement and attest online and some of us will post to the list and let you know. Ok so we know that e-MDs has been accepted as a certified HER for the Oklahoma practice….. Anyone know of another EMR that has been officially certified and the practice receiving checks? From: [mailto: ] On Behalf Of PrattSent: Sunday, April 03, 2011 7:14 PMTo: Subject: Re: Re: Newbie here Yes. There are plenty of EMR's that are certified. We are upgrading to the certified version on the 15th and will then go 90 days and see if we can achieve MU in the first 90 days of being on the certified version. CMS doesn't mail you a check until you attain the maximum benefit, so since we likely won't reach the maximum in 90 days ( or even the entire year ), I anticipate that we will get our check around this time next year. The first official check went to an e-MDs user in January. Broader question?Does any EMR meet meaningful use? Has anyone started seeing checks yet? From: [mailto: ] On Behalf Of Sent: Saturday, April 02, 2011 5:27 PMTo: Subject: Re: Re: Newbie here Does PF meet all the meaningful use expectataions? What do you use? Because I have to tell you that I have been through a whole bunch of models – Nextgen, Cerner, e-MDs, eClinicalworks, Amazing Charts, Medinotes, Alteer, etc… and they all have their issues…. At lease with Practice Fusion, you are not suffering in your pocket… Can you tell me that you are a 100% happy with your emr…you have absolutely no issues? Because if you can, then you are very lucky…. I am not totally happy with Practice Fusion, but they are getting better. However, I am totally satisfied with their payment model….and if you have ever used it, you would know that their ad space is minimal and does not significantly interfere with patient flow…. JMHO…. From: [mailto: ] On Behalf Of theNeighborsSent: Friday, April 01, 2011 2:50 PMTo: Subject: RE: Re: Newbie here You don’t incur any cost until you try to put all the pieces together. Add in premium internet service, billing, getting rid of ads that decrease usable screen space, and add-on that have yet to be priced in – you can bet they are coming. Looks like it’s way more expensive than what I use already. Now, find someone running a busy practice that finds it meets their needs. No doubt it demos well. Add two seconds to every screen refresh and in a few months it will drive you crazy. Let’s hear from someone that sees 25 to 30 patients a day that’s still happy after a couple of months with PF. Practices grow and switching EMRs is seldom easy. Plan for the long term. Perhaps someone that previously used an office server base EMR and switched to Practice Fusion will offer the comparative review we are looking for. From: [mailto: ] On Behalf Of Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2011 Report Share Posted April 5, 2011 This is exactly why I created my own EMR with off-the-shelf-software on my MAC. I have paid nothing in fees for 6 years! Yeah! Pamela > > I will come out with a big two thumbs up for Practice Fusion! !! I am > switching from an expensive (15k) all the bells and whistles emr called > Practice Partner. > Two main reasons and then a lot other smaller ones. > 1. The big emr's havelots of hidden fees....maintenance fees etc....fees to > integrate with labs....fees for anything they can think of. It turned out it > was over 4 k yearly just to participate.....and that was without he fees I > pay to my local IT guy for office hardware issues. This way to expensive for > and IMP model with 400 patients. > 2. In a small office with only one doc and one staff and less than 1000 pts > I find that I really do not need a lot of bells and whistles. > On other thoughts.....although I am committed to using an EMR and have used > one since 2000, I do not believe that EMR s make solo doc practices more > efficient or save them any money. I think it is a big scam and in the end, > as always, the docs pay and the patients suffer. Meanwhile insurance > companies and now technology companies can profit. We will barely get our > offices all set up with an emt and it will go under as a company etc....then > we need a new one.....or maybe there is a security breach and we pay > fines... > Ok clearly I am starting to rant! > Go with Practice Fusion....ITS FREE! and it has everything you need to get > started and run a small practice. The only piece I am adding on is a secure > email. > > Peace and Blessings > Dannielle > > Dannielle Harwood, MD > www.MyStudioMD.com > > > Re: Re: Newbie here > > > > > > THIS is the key point > ALL emrs are mediocre > AND since we all do not have the SAME one we all spend all our time on our > own.Oh we prasie E-MDs - for $10,000 OH we praise AC and have to get it to > connect to billing and the labs place OH we praise LAbquest interfaces IF > we can get it and on and on and on. Power Med Office Ally Welford chart > notes Pf > We are nuts. > > > Somewhere along long time ago we missed the fork in the road that would > have taken us to a sensible functional workplace. > ONE EMR like it or not grow up docs and deal with i t That is what I > understand the dutch and the australains do probably everyone else(I would > like t o know) > > MU would have been far better to take the 44,000 and pay off docs who > invested in emrs and put us all ALL on ONE system Imagine just imagine. if > you could talk to ONE kind of tech support and you could have had labs come > ina nd go out and reports to consultants go out and see cts from the 100mi > away BIg Hospital etc Imagine. But now there is no mammogram report " we > are waiitng ot see the old one taken in Calfirnia last year " > > can anyone say Americans are stupid. > argh > > > > On Sat, Apr 2, 201 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2011 Report Share Posted April 5, 2011 , Perhaps this is part of the problem with your program PF. What are the "Problems" with maitaining your database? Once AC is set up especially with the new sequel server version (and yet we are still but a Windows XP Pro P2P network, no major hardware and super software to purchase and up keep licenses or otherwise) it's almost set it and forget it except for making a few back-ups at the end of the day... a five to ten minute process at best with an IMP sized database.... Clearly there is a whole lot more to an EMR than simply price no less ease of learning it, using it, living with it, maintaining it and being able to teach any new user how to use it too.... At such a reasonable buy in price and update and support price, ease of using it, learning it, teaching it and backing it up every night, and. KEY POINT here.... being able to Keep the program that your data was first created in otherwise it is a useless set of one's and zero's. Would any of you create hundreds of documents in Word or PDF format if you felt that there was a possibility that in 5 or 10 years from now you might not be able to open them up even no less modify them or update them, use them in any meaningful fashion??? Of course you wouldn't. And yet with all these vendors still fighting for final market share no less their very corporate survival and lives it seems to me that doctors are following them almost like lemmings over the cliff with them with those that are in an ASP model. Ask yourself this: If the ASP based EMR company you sign on with should suddenly close up shop and no longer provide access to the PROGRAM, not your Data but the actual Program, the prioritary Program that your data was collated and created in... What the Heck are you going to do on the day after they close up shop??? Try to log onto a Dead Server that isn't there anymore??? Honestly what will you do??? And who gives a darn if they give some top quality copy of your data.. It is basically USELESS without the darn program it was originally created in... Oh they'll promise you the moon right now during your honeymoon phase, but just wait if and until you chose to leave them or they go under... And all those promises of interoperability have all been proven to be bogus right now and they haven't seemed to be able to be fufilled in the seven years we have been in business so far... Got 10 or 20 thousand dollar to pay some 3rd party vendor who makes no promises as to how much the can or can not gain you access to above and beyond your basic demographics.... Go to the AC user board where we tore this one apart years ago. There is no guarentees of anything in this world beyond what you can make sure you can provide for yourself. With good Friends like Bert and clean copies of my last working version of AC and licenses and copies of my present operating system I know all of my access to my patients real files and all their data in a completely useable format is fully protected. Because I can do it myself with the modest things I have right now at my very own finger tips.... Can any ASP only customer ever say the same thing??? No they can not. I know if AC was suddenly swallowed up by any number of corporate blackholes of destruction, I still own and have copies, back-ups with install files to re-install them even on my very own machines even if my harddrives fail... I know what I will do the day after AC closes up, simply log on to my main machine and any of our connected peers and keep right on trucking while considering my mid-term and long-term options, which might include to simply keep on going on with good old reliable AC regardless of whether or not the parent company still out there or not.... I still own copies of the program itself and that is all that matters as my first line disaster plan..... so all of you ASP users out there no less those of you seriously considering being the next in line: What is your first and best disaster plan??? I know know what mine is..... And I can tell you right now, that I can sleep soundly at night with mine..... Can you???? To: " " < >Sent: Mon, April 4, 2011 7:37:07 PMSubject: Re: Re: Newbie here Economic and time. Had nothing to do with certification. We simply didn't want to maintain a database any more. But I was wondering why switched from the local server model to the ASP model now…..economic reasons or certification reasons or both…… From: [mailto: ] On Behalf Of BleiweissSent: Monday, April 04, 2011 10:55 AMTo: Subject: Re: Re: Newbie here , No offense here but if you read my last post about the "regional Information Exchanges" that is exactly what they are for, to allow PHI in all sorts of places, labs, hospitals, private practices, ASP EMR's, yadda, yadda, to be easily exchanged between other providers and stakeholders.... (I am really learning to hate that word...)... I am 99% certain you are incorrect here otherwise ALL involved would have to be on such a piece of software and such is certainly not the case... I believe you need to step back and refresh your screen here might we say... There really are more than one way to see this and to skin the cat here as well. Remember all of these laws were designed to be inclusive of most of the larger stakeholders so they could make money off of the present basically Not Reformed system. To cut off the majority of EMR's and their vendors would never have passed under our present system that created these rules and laws.... To: Sent: Mon, April 4, 2011 1:01:14 PMSubject: RE: Re: Newbie here Interesting, …. Are you noting that you need to go to the ASP model for it be certified? That the local server model was not going to be certified? Just curious…. From: [mailto: ] On Behalf Of PrattSent: Monday, April 04, 2011 7:38 AMTo: Subject: Re: Re: Newbie here There's an entire list of certified EMR's & which version it is that is certified, and if you search the archives, I posted that link a while back. Or go to CMS website and search for yourself. Also, as someone else already pointed out, unless you are a Medicaid provider, today is actually probably the first 90 th day for any Medicare practice. I suspect that there were very few Medicare practices actually ready on 1/1/11 because of the time it takes the EMR vendors to get their certified version out to their users. We got ours mid-Jan but were in the middle of converting from in-house server to ASP and won't go live until 4/15 with the certified version. I'm currently in process of updating our intake form so that we are 100% ready on 4/18 to start with MU. I would suspect that there are very few IMP practices (due to low volume) that will hit the max benefit and get a check in 2011. If you want to wait and see if it is "for real," then wait until later this year when we've had a chance to implement and attest online and some of us will post to the list and let you know. Ok so we know that e-MDs has been accepted as a certified HER for the Oklahoma practice….. Anyone know of another EMR that has been officially certified and the practice receiving checks? From: [mailto: ] On Behalf Of PrattSent: Sunday, April 03, 2011 7:14 PMTo: Subject: Re: Re: Newbie here Yes. There are plenty of EMR's that are certified. We are upgrading to the certified version on the 15th and will then go 90 days and see if we can achieve MU in the first 90 days of being on the certified version. CMS doesn't mail you a check until you attain the maximum benefit, so since we likely won't reach the maximum in 90 days ( or even the entire year ), I anticipate that we will get our check around this time next year. The first official check went to an e-MDs user in January. Broader question? Does any EMR meet meaningful use? Has anyone started seeing checks yet? From: [mailto: ] On Behalf Of Sent: Saturday, April 02, 2011 5:27 PMTo: Subject: Re: Re: Newbie here Does PF meet all the meaningful use expectataions? What do you use? Because I have to tell you that I have been through a whole bunch of models – Nextgen, Cerner, e-MDs, eClinicalworks, Amazing Charts, Medinotes, Alteer, etc… and they all have their issues…. At lease with Practice Fusion, you are not suffering in your pocket… Can you tell me that you are a 100% happy with your emr…you have absolutely no issues? Because if you can, then you are very lucky…. I am not totally happy with Practice Fusion, but they are getting better. However, I am totally satisfied with their payment model….and if you have ever used it, you would know that their ad space is minimal and does not significantly interfere with patient flow…. JMHO…. From: [mailto: ] On Behalf Of theNeighborsSent: Friday, April 01, 2011 2:50 PMTo: Subject: RE: Re: Newbie here You don’t incur any cost until you try to put all the pieces together. Add in premium internet service, billing, getting rid of ads that decrease usable screen space, and add-on that have yet to be priced in – you can bet they are coming. Looks like it’s way more expensive than what I use already. Now, find someone running a busy practice that finds it meets their needs. No doubt it demos well. Add two seconds to every screen refresh and in a few months it will drive you crazy. Let’s hear from someone that sees 25 to 30 patients a day that’s still happy after a couple of months with PF. Practices grow and switching EMRs is seldom easy. Plan for the long term. Perhaps someone that previously used an office server base EMR and switched to Practice Fusion will offer the comparative review we are looking for. From: [mailto: ] On Behalf Of Quote Link to comment Share on other sites More sharing options...
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