Re: Recommended Billing Software

[Guest guest]

EZ Claim is inexpensive and runs on an Access database. Works really

well for a small office.

I have no financial relationship with EZ Claim or its affiliates.

Lange Schneider wrote:

>

> Hi,

>

> I'm brand new to the group. My husband is setting up his own small

> rural Family Practice: one provider (him) and one office

> manager/nurse. He's chosen his EMR (Praxis), but it doesn't have

> billing software incorporated into it. Can anyone recommend a good,

> but not too expensive, billing system to use?

>

>

>

>

> ------------------------------------------------------------------------

>

>

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> Version: 8.0.175 / Virus Database: 270.9.9/1803 - Release Date: 11/21/2008

9:37 AM

>

>

[Guest guest]

Hi

Welcome!

I use Praxis, and I use MDRhythm, which is apparently their preferred

billing software at the moment, and that should mean that it will be

integrated as well as anything. List price is middle-of-the-road.

If you don't mind double entry and don't want much in the way of

reporting and tracking, there are very low cost options that others

here can share with you. But I find the integration with Praxis pretty

valuable.

I initially approached EZClaim about integration and got NOWHERE.

I also initially approached a small company with an inexpensive

program called Medlook, and the owner/programmer was very willing to

handle the integration, but he couldn't get it done in my timeframe.

I have lots more thoughts about this if you want 'em, perhaps

off-list, since there aren't lots of Praxites here interested in our

integration issues.

Haresch, MD

>

> Hi,

>

> I'm brand new to the group. My husband is setting up his own small

> rural Family Practice: one provider (him) and one office

> manager/nurse. He's chosen his EMR (Praxis), but it doesn't have

> billing software incorporated into it. Can anyone recommend a good,

> but not too expensive, billing system to use?

>

>

>

[Guest guest]

I have Amazing Charts + EZ Claims, working OK, some issues due to

problems at the AC end where certain fields do not automatically

import--# of units, line diagnosis etc. But manageable in a small low

volume office. Darlene at EZ claims is absolutely wonderful in

providing support. Had Emdeon for clearing house, caused a huge mess,

made worse by horrible customer service. Now I have Iplexus for

clearing house, working beautifully. ( No financial ties to any of

these, etc, etc...)

--Padma

> >

> > Hi,

> >

> > I'm brand new to the group. My husband is setting up his own small

> > rural Family Practice: one provider (him) and one office

> > manager/nurse. He's chosen his EMR (Praxis), but it doesn't have

> > billing software incorporated into it. Can anyone recommend a

good,

> > but not too expensive, billing system to use?

> >

> >

> >

> >

> > ------------------------------------------------------------------

------

> >

> >

> > No virus found in this incoming message.

> > Checked by AVG - http://www.avg.com

> > Version: 8.0.175 / Virus Database: 270.9.9/1803 - Release Date:

11/21/2008 9:37 AM

> >

> >

>

[Guest guest]

Hi ,

We're in the similar process of setting up a Solo Practice and I'm trying to choose an EMR for our practice. Can you give me more details about Praxis EMR like the capabilities it provide and the one-time cost and yearly cost.

Thanks

Maijo

On Fri, Nov 21, 2008 at 7:00 PM, Lange Schneider wrote:

Hi,I'm brand new to the group. My husband is setting up his own smallrural Family Practice: one provider (him) and one officemanager/nurse. He's chosen his EMR (Praxis), but it doesn't have

billing software incorporated into it. Can anyone recommend a good,but not too expensive, billing system to use?

[Guest guest]

Hi Maijo,

Sam spent about six months looking into this, reading reviews, doing

demos, and interviewing colleagues also setting up small practices.

(Other than Praxis, he considered eMD, eClinicalWorks, Practice

Partners, Amazing Charts, Tkfp (open source), Soapware, and Epic)

Here's the "spiel"...

Ultimately, he chose Praxis because it is not template based. Instead,

it uses a “concept processor” to learn how the practitioner writes a

note and practices medicine. Every time the practitioner sees a

patient, and writes a note, Praxis learns from what they do. The next

time the doctor sees a similar patient, it will re-create the note

previously designed, and allow you to edit/alter it as is appropriate.

It will continue to do this over time, until eventually you have a

library/database of notes that represent the way the practitioner

thinks and practices medicine. In addition to this, it also allows you

to incorporate established guidelines and reminders for specific

problems or situations.

His previous office was using NextGen which he absolutely hated. I felt

like his job had become all about data entry and not at all about

medicine. I guess you could say Praxis sounded like the Anti-NextGen.

It's just much more flexible, more personal and patient focused. Notes

look like notes. The doctor does not have to try and make every

patient fit into categories that were chosen by somebody else. If you

want to change the way you approach a patient, or document something,

you have complete control over that. At the same time it performs all

the same functions as other EHRs; it tracks diseases, compliance,

medications, allergies, etc… It also allows you to easily generate

very readable and complete documents for referrals and hospital

admissions.

That said, we are still in the Honeymoon stage of using Praxis. Sam

just finished getting three days of in-person training at the office (I

should note that this was after several weeks of one-on-one over the

phone training). Ask again in six months or a year and we'd be better

able to give you reality check.

As for price, it wasn't the cheapest--I think Tkfp is--but it certainly

wasn't the most expensive either. It's about $5,000 for the software

and then $5,000 per provider lifetime licensing charge.

I'll pass this off to Sam now--in case he has anything to add.

Hope that helps!

Jen

Maijo Michel wrote:

Hi ,

We're in the similar process of setting up a Solo Practice and

I'm trying to choose an EMR for our practice. Can you give me more

details about Praxis EMR like the capabilities it provide and the

one-time cost and yearly cost.

Thanks

Maijo

On Fri, Nov 21, 2008 at 7:00 PM,

Lange Schneider <j.langeschneidergmail>

wrote:

Hi,

I'm brand new to the group. My husband is setting up his own small

rural Family Practice: one provider (him) and one office

manager/nurse. He's chosen his EMR (Praxis), but it doesn't have

billing software incorporated into it. Can anyone recommend a good,

but not too expensive, billing system to use?

[Guest guest]

Hi Maijo,

Sam spent about six months looking into this, reading reviews, doing

demos, and interviewing colleagues also setting up small practices.

(Other than Praxis, he considered eMD, eClinicalWorks, Practice

Partners, Amazing Charts, Tkfp (open source), Soapware, and Epic)

Here's the "spiel"...

Ultimately, he chose Praxis because it is not template based. Instead,

it uses a “concept processor” to learn how the practitioner writes a

note and practices medicine. Every time the practitioner sees a

patient, and writes a note, Praxis learns from what they do. The next

time the doctor sees a similar patient, it will re-create the note

previously designed, and allow you to edit/alter it as is appropriate.

It will continue to do this over time, until eventually you have a

library/database of notes that represent the way the practitioner

thinks and practices medicine. In addition to this, it also allows you

to incorporate established guidelines and reminders for specific

problems or situations.

His previous office was using NextGen which he absolutely hated. I felt

like his job had become all about data entry and not at all about

medicine. I guess you could say Praxis sounded like the Anti-NextGen.

It's just much more flexible, more personal and patient focused. Notes

look like notes. The doctor does not have to try and make every

patient fit into categories that were chosen by somebody else. If you

want to change the way you approach a patient, or document something,

you have complete control over that. At the same time it performs all

the same functions as other EHRs; it tracks diseases, compliance,

medications, allergies, etc… It also allows you to easily generate

very readable and complete documents for referrals and hospital

admissions.

That said, we are still in the Honeymoon stage of using Praxis. Sam

just finished getting three days of in-person training at the office (I

should note that this was after several weeks of one-on-one over the

phone training). Ask again in six months or a year and we'd be better

able to give you reality check.

As for price, it wasn't the cheapest--I think Tkfp is--but it certainly

wasn't the most expensive either. It's about $5,000 for the software

and then $5,000 per provider lifetime licensing charge.

I'll pass this off to Sam now--in case he has anything to add.

Hope that helps!

Jen

Maijo Michel wrote:

Hi ,

We're in the similar process of setting up a Solo Practice and

I'm trying to choose an EMR for our practice. Can you give me more

details about Praxis EMR like the capabilities it provide and the

one-time cost and yearly cost.

Thanks

Maijo

On Fri, Nov 21, 2008 at 7:00 PM,

Lange Schneider <j.langeschneidergmail>

wrote:

Hi,

I'm brand new to the group. My husband is setting up his own small

rural Family Practice: one provider (him) and one office

manager/nurse. He's chosen his EMR (Praxis), but it doesn't have

billing software incorporated into it. Can anyone recommend a good,

but not too expensive, billing system to use?

[Guest guest]

I'm also checking out EMRs, and was impressed with Praxis. However, I worried that my staff might not be so happy. I'm currently looking at ChartWare. I know Bob Forester uses it. Does anyone else have any experience with it? All comments will be welcomed.

We use Medisoft as a PM, which I hate, but my biller is very happy with it. We see so few patients that we're not planning to integrate it with the EMR. (I'd use OfficeAlly if I were on my own, because it makes more intuitive sense, but Michele was not happy with the level of support.)

Looking forward to your comments,

Sujay

Hi,I'm brand new to the group. My husband is setting up his own smallrural Family Practice: one provider (him) and one officemanager/nurse. He's chosen his EMR (Praxis), but it doesn't havebilling software incorporated into it. Can anyone recommend a good,but not too expensive, billing system to use?

[Guest guest]

I'm also checking out EMRs, and was impressed with Praxis. However, I worried that my staff might not be so happy. I'm currently looking at ChartWare. I know Bob Forester uses it. Does anyone else have any experience with it? All comments will be welcomed.

We use Medisoft as a PM, which I hate, but my biller is very happy with it. We see so few patients that we're not planning to integrate it with the EMR. (I'd use OfficeAlly if I were on my own, because it makes more intuitive sense, but Michele was not happy with the level of support.)

Looking forward to your comments,

Sujay

Hi,I'm brand new to the group. My husband is setting up his own smallrural Family Practice: one provider (him) and one officemanager/nurse. He's chosen his EMR (Praxis), but it doesn't havebilling software incorporated into it. Can anyone recommend a good,but not too expensive, billing system to use?

[Guest guest]

Praxis is easy in that regard. At my last check, it's priced per

provider, and as many staff as needed can also access it.

>

> When pricing EMR's, make sure to understand how much licenses for

your staff will cost (if

> you have staff or plan to ever add them). Sometimes, the charges for

a non-physician to

> access the material are as high as for physician use.

>

[Guest guest]

Praxis is easy in that regard. At my last check, it's priced per

provider, and as many staff as needed can also access it.

>

> When pricing EMR's, make sure to understand how much licenses for

your staff will cost (if

> you have staff or plan to ever add them). Sometimes, the charges for

a non-physician to

> access the material are as high as for physician use.

>

[Guest guest]

Praxis is easy in that regard. At my last check, it's priced per

provider, and as many staff as needed can also access it.

>

> When pricing EMR's, make sure to understand how much licenses for

your staff will cost (if

> you have staff or plan to ever add them). Sometimes, the charges for

a non-physician to

> access the material are as high as for physician use.

>