Re: AC and grandfathered pricing

[Guest guest]

quite silly really.

im sure you dont have to deal with that administrative assistant. their contract

is with you and not with a piece of plastic.

fight it.

my two euros. g

>

> > it's faster, probably more complete, stored as granular data where you can

graph trends, does not lose results.

> > looks better in the chart - easier to see than the scanned copies, bigger,

but worse when you print it out - many more pages - I print from the lab

interface directly to updox and then send from there.

> >

> > not really ahead, just running as fast as I can so as not to lose ground

> >

> > To:

> > From: myriaemeny@...

> > Date: Tue, 10 Apr 2012 14:13:35 -0700

> > Subject: Re: Re: Software Reviews

> >

> >

> >

> > Being a creature of habit I hesitate to change to lab interfaces. How does

it look in the chart? How do you get results to patients? Many of mine do not

have e-mail or computers. I like getting the paper copy by courier and

commenting on it and sending it on to the patient after scanning it into the

chart. Thanks, Lynn, you are so AHEAD of the curve. Much braver than I!

> >

> >

> > RECENT ACTIVITY:

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> > Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use

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[Guest guest]

What if you just mailed them a check?

Tonya S. Little, MD

1704 Glendale Drive SW, Suite C

NC 27893

fax

cell

tslittle@...

From: [mailto: ] On Behalf Of

Sent: Wednesday, April 11, 2012

10:45 AM

To:

Cc:

<practiceimprovement1 >

Subject: AC

and grandfathered pricing

Hi group, this is for the imps with AC.

We were upset when two years ago AC price suddenly doubled but felt ok

because we were told if renew by this date we stay at original yearly $500/

provider. We recently paid for anther year of their support. Given the times

and security issues we now get issued a new credit card every two years-- same

company, same account just new number. So we gave our new number to AC. They

said because of the new number we no longer can get the grandfathered rate but

have to now pay the $1000/ provider!!

Anyone else paying the $500/ provider rate? Any use in calling and

trying to get our increased fee reversed? Maybe we just misunderstand when we

renewed as we thought we'd stay at the $500/ year indefinitely. Or may be we're

just at their mercy to raise the price on us whenever they want. I had

hoped they were on our side.

From AC administrative

assistant: " The next renewal will occur on 3/9/2013. The 2 year

pre-purchase guaranteed the $500 rate only for those two years, which would

have been the March 2011 and March 2012 renewals. When the 2013 renewal comes

due, we will attempt to bill the credit card on file, looking at your account,

though, I see that that credit card has expired. Updating this card will prompt

the new pricing of $995/provider/year. "

Weakland, MD

Ballard Neighborhood Doctors

5416 Ave NW

Seattle,

WA 98107

Phone:

Fax:

On Apr 10, 2012, at 5:46 PM, Lynn Ho

wrote:

it's faster, probably

more complete, stored as granular data where you can graph trends, does not

lose results.

looks better in the chart - easier to see than the scanned copies, bigger, but

worse when you print it out - many more pages - I print from the lab interface

directly to updox and then send from there.

not really ahead, just running as fast as I can so as not to lose ground

To:

From: myriaemeny@...

Date: Tue, 10 Apr 2012 14:13:35 -0700

Subject: Re: Re: Software Reviews

Being a

creature of habit I hesitate to change to lab interfaces. How does it

look in the chart? How do you get results to patients? Many of mine

do not have e-mail or computers. I like getting the paper copy by courier and

commenting on it and sending it on to the patient after scanning it into the

chart. Thanks, Lynn,

you are so AHEAD of the curve. Much braver than I!

Recent Activity:

New Members 1

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[Guest guest]

And, perhaps the charge card issuer would give the old number back.Why not ask? From: [mailto: ] On Behalf Of Tonya S. Little, MDSent: Wednesday, April 11, 2012 12:00 PMTo: Subject: RE: AC and grandfathered pricing What if you just mailed them a check? Tonya S. Little, MD1704 Glendale Drive SW, Suite C NC 27893 fax celltslittle@...From: [mailto: ] On Behalf Of Sent: Wednesday, April 11, 2012 10:45 AMTo: Cc: <practiceimprovement1 >Subject: AC and grandfathered pricing Hi group, this is for the imps with AC. We were upset when two years ago AC price suddenly doubled but felt ok because we were told if renew by this date we stay at original yearly $500/ provider. We recently paid for anther year of their support. Given the times and security issues we now get issued a new credit card every two years-- same company, same account just new number. So we gave our new number to AC. They said because of the new number we no longer can get the grandfathered rate but have to now pay the $1000/ provider!! Anyone else paying the $500/ provider rate? Any use in calling and trying to get our increased fee reversed? Maybe we just misunderstand when we renewed as we thought we'd stay at the $500/ year indefinitely. Or may be we're just at their mercy to raise the price on us whenever they want. I had hoped they were on our side. From AC administrative assistant: " The next renewal will occur on 3/9/2013. The 2 year pre-purchase guaranteed the $500 rate only for those two years, which would have been the March 2011 and March 2012 renewals. When the 2013 renewal comes due, we will attempt to bill the credit card on file, looking at your account, though, I see that that credit card has expired. Updating this card will prompt the new pricing of $995/provider/year. " Weakland, MDBallard Neighborhood Doctors5416 Ave NWSeattle, WA 98107Phone: Fax: it's faster, probably more complete, stored as granular data where you can graph trends, does not lose results.looks better in the chart - easier to see than the scanned copies, bigger, but worse when you print it out - many more pages - I print from the lab interface directly to updox and then send from there.not really ahead, just running as fast as I can so as not to lose groundTo: From: myriaemeny@...Date: Tue, 10 Apr 2012 14:13:35 -0700Subject: Re: Re: Software Reviews Being a creature of habit I hesitate to change to lab interfaces. How does it look in the chart? How do you get results to patients? Many of mine do not have e-mail or computers. I like getting the paper copy by courier and commenting on it and sending it on to the patient after scanning it into the chart. Thanks, Lynn, you are so AHEAD of the curve. Much braver than I! Recent Activity: New Members 1 Visit Your Group Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use.=

[Guest guest]

Go up the chain, ask to speak to supervisor or Jon, and then if no relief threaten, to switch to another EMR, and do it.

To: Sent: Wednesday, April 11, 2012 1:11:52 PMSubject: RE: AC and grandfathered pricing

And, perhaps the charge card issuer would give the old number back.

Why not ask?

From: [mailto: ] On Behalf Of Tonya S. Little, MDSent: Wednesday, April 11, 2012 12:00 PMTo: Subject: RE: AC and grandfathered pricing

What if you just mailed them a check?

Tonya S. Little, MD

1704 Glendale Drive SW, Suite C

NC 27893

fax

cell

tslittle@...

From: [mailto: ] On Behalf Of Sent: Wednesday, April 11, 2012 10:45 AMTo: Cc: <practiceimprovement1 >Subject: AC and grandfathered pricing

Hi group, this is for the imps with AC.

We were upset when two years ago AC price suddenly doubled but felt ok because we were told if renew by this date we stay at original yearly $500/ provider. We recently paid for anther year of their support. Given the times and security issues we now get issued a new credit card every two years-- same company, same account just new number. So we gave our new number to AC. They said because of the new number we no longer can get the grandfathered rate but have to now pay the $1000/ provider!!

Anyone else paying the $500/ provider rate? Any use in calling and trying to get our increased fee reversed? Maybe we just misunderstand when we renewed as we thought we'd stay at the $500/ year indefinitely. Or may be we're just at their mercy to raise the price on us whenever they want. I had hoped they were on our side.

From AC administrative assistant: "The next renewal will occur on 3/9/2013. The 2 year pre-purchase guaranteed the $500 rate only for those two years, which would have been the March 2011 and March 2012 renewals. When the 2013 renewal comes due, we will attempt to bill the credit card on file, looking at your account, though, I see that that credit card has expired. Updating this card will prompt the new pricing of $995/provider/year."

Weakland, MD

Ballard Neighborhood Doctors

5416 Ave NW

Seattle, WA 98107

Phone:

Fax:

it's faster, probably more complete, stored as granular data where you can graph trends, does not lose results.looks better in the chart - easier to see than the scanned copies, bigger, but worse when you print it out - many more pages - I print from the lab interface directly to updox and then send from there.not really ahead, just running as fast as I can so as not to lose ground

To: From: myriaemeny@...Date: Tue, 10 Apr 2012 14:13:35 -0700Subject: Re: Re: Software Reviews

Being a creature of habit I hesitate to change to lab interfaces. How does it look in the chart? How do you get results to patients? Many of mine do not have e-mail or computers. I like getting the paper copy by courier and commenting on it and sending it on to the patient after scanning it into the chart. Thanks, Lynn, you are so AHEAD of the curve. Much braver than I!

Recent Activity:

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Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use

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[Guest guest]

Although I don’t remember the issue centering around a new credit card number, I was told that the old $500/yr price would only apply for 2 years when I updated to a more recent version 1+ years ago. Then it was supposed to increase to $1000/year. I am the sole provider in my practice. Hmmm, I will be very interested if anyone knows of a way to stay at the 500/yr indefinitely. Elissa Elissa -Speach, M.D.Caritas Family Medicine1501 East Ave, Ste. 105Rochester, NY 14610Phone/fax

[Guest guest]

ive changed my mind. quite smart actually for AC to do this.

there is always an expiry for credit cards... and i wouldnt have thought about

that as a way to get to the customers and have them pay up.

was looking at ac initially. now am glad that i didnt go with them. im sure

there is no way they can survive without raising their prices as it is. with how

much the government is making us do all these things, im just hoping they

wouldnt go belly up.

and this last fact i think would be more disastrous than anything.

sorry.im obviously no help tonight.

g

>  

> >it's faster, probably more complete, stored as granular data where you can

graph trends, does not lose results.

> >looks better in the chart - easier to see than the scanned copies, bigger,

but worse when you print it out - many more pages - I print from the lab

interface directly to updox and then send from there.

> >

> >not really ahead, just running as fast as I can so as not to lose ground

> >To:

> >From: myriaemeny@...

> >Date: Tue, 10 Apr 2012 14:13:35 -0700

> >Subject: Re: Re: Software Reviews

> >

> > 

> > 

> >Being a creature of habit I hesitate to change to lab interfaces.  How does

it look in the chart?  How do you get results to patients?  Many of mine do

not have e-mail or computers. I like getting the paper copy by courier and

commenting on it and sending it on to the patient after scanning it into the

chart.  Thanks, Lynn, you are so AHEAD of the curve. Much braver than I!

> > 

> > 

> >Recent Activity:

> > * New Members1

> >Visit Your Group

> >Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use

> >.

> =

>

[Guest guest]

For those who are interested in the costs of upgrades and support for other systems, I can tell you that I pay way more than this. My annual costs for this year (which I can only justify because the system I use allows me to save a ton of money by doing my own billing) ran:Annual Database Management Fee: $1758.90Annual support for Clearinghouse: $250Annual fee for Rx Hub: $300Annual fee for patient portal: $900Annual support for lab interface: $990Annual Software Support: $1200 (this is optional, but I find my local support group to be very, very good)Total annual cost: $5398.90That is for one physician and one year of e-MDs—which, of course, does not include the $30,000 or so start-up expenses I paid to get going. I don’t use AC, but by my calculations, at $1000/year, it is one heck of a bargain. From: [mailto: ] On Behalf Of pricklyfinger2007Sent: Wednesday, April 11, 2012 8:51 PMTo: Subject: Re: AC and grandfathered pricing ive changed my mind. quite smart actually for AC to do this.there is always an expiry for credit cards... and i wouldnt have thought about that as a way to get to the customers and have them pay up.was looking at ac initially. now am glad that i didnt go with them. im sure there is no way they can survive without raising their prices as it is. with how much the government is making us do all these things, im just hoping they wouldnt go belly up.and this last fact i think would be more disastrous than anything.sorry.im obviously no help tonight.g>  > >it's faster, probably more complete, stored as granular data where you can graph trends, does not lose results.> >looks better in the chart - easier to see than the scanned copies, bigger, but worse when you print it out - many more pages - I print from the lab interface directly to updox and then send from there.> >> >not really ahead, just running as fast as I can so as not to lose ground> >To: > > >Date: Tue, 10 Apr 2012 14:13:35 -0700> >Subject: Re: Re: Software Reviews> >> > > > > >Being a creature of habit I hesitate to change to lab interfaces. How does it look in the chart? How do you get results to patients? Many of mine do not have e-mail or computers. I like getting the paper copy by courier and commenting on it and sending it on to the patient after scanning it into the chart. Thanks, Lynn, you are so AHEAD of the curve. Much braver than I!> > > > > >Recent Activity:> > * New Members1 > >Visit Your Group > >Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use> >.> =>

[Guest guest]

Actually I think $1000/year is cheap cheap cheap.Just for the updated codes alone each year you'd have to pay more.There was a kerfuffle at the AC conference last year about the increased support costs and how they were going to be done with respect to cards expiring etc. I told them to charge more! Sorry! There never was a plan to continue $500 / year forever, just until the cards expired.It's not free, just cheap!My 2 cents. I begrudge paying thousands more for my malpractice/year as opposed to my EMR which (if you qualified for MU and the full scope of payment) will pay the support fees for 44 years! (hey dammit WHERE is that payment, I qualified in September 2011 and still no $$$s!)LynnTo: From: drbrady@...Date: Thu, 12 Apr 2012 07:22:12 -0400Subject: RE: Re: AC and grandfathered pricing

For those who are interested in the costs of upgrades and support for other systems, I can tell you that I pay way more than this. My annual costs for this year (which I can only justify because the system I use allows me to save a ton of money by doing my own billing) ran:Annual Database Management Fee: $1758.90Annual support for Clearinghouse: $250Annual fee for Rx Hub: $300Annual fee for patient portal: $900Annual support for lab interface: $990Annual Software Support: $1200 (this is optional, but I find my local support group to be very, very good)Total annual cost: $5398.90That is for one physician and one year of e-MDs—which, of course, does not include the $30,000 or so start-up expenses I paid to get going. I don’t use AC, but by my calculations, at $1000/year, it is one heck of a bargain. From: [mailto: ] On Behalf Of pricklyfinger2007Sent: Wednesday, April 11, 2012 8:51 PMTo: Subject: Re: AC and grandfathered pricing ive changed my mind. quite smart actually for AC to do this.there is always an expiry for credit cards... and i wouldnt have thought about that as a way to get to the customers and have them pay up.was looking at ac initially. now am glad that i didnt go with them. im sure there is no way they can survive without raising their prices as it is. with how much the government is making us do all these things, im just hoping they wouldnt go belly up.and this last fact i think would be more disastrous than anything.sorry.im obviously no help tonight.g>  > >it's faster, probably more complete, stored as granular data where you can graph trends, does not lose results.> >looks better in the chart - easier to see than the scanned copies, bigger, but worse when you print it out - many more pages - I print from the lab interface directly to updox and then send from there.> >> >not really ahead, just running as fast as I can so as not to lose ground> >To: > > >Date: Tue, 10 Apr 2012 14:13:35 -0700> >Subject: Re: Re: Software Reviews> >> > > > > >Being a creature of habit I hesitate to change to lab interfaces. How does it look in the chart? How do you get results to patients? Many of mine do not have e-mail or computers. I like getting the paper copy by courier and commenting on it and sending it on to the patient after scanning it into the chart. Thanks, Lynn, you are so AHEAD of the curve. Much braver than I!> > > > > >Recent Activity:> > * New Members1 > >Visit Your Group > >Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use> >.> =>

[Guest guest]

Touché. Thanks Lynn for very appropriate comments. Thanks for perspective. I think in hind site was a surprise to us but we aren't always excellent communicating either.And true, not to bite the good guys because the bad guys seem untouchable. Too bad we have to fight to earn appropriate money. We are struggling and when every penny counts the stress can make us Inappropriately grumpy. Weakland, MDBallard Neighborhood Doctors5416 Ave NWSeattle, WA 98107Phone: Fax:

Actually I think $1000/year is cheap cheap cheap.Just for the updated codes alone each year you'd have to pay more.There was a kerfuffle at the AC conference last year about the increased support costs and how they were going to be done with respect to cards expiring etc. I told them to charge more! Sorry! There never was a plan to continue $500 / year forever, just until the cards expired.It's not free, just cheap!My 2 cents. I begrudge paying thousands more for my malpractice/year as opposed to my EMR which (if you qualified for MU and the full scope of payment) will pay the support fees for 44 years! (hey dammit WHERE is that payment, I qualified in September 2011 and still no $$$s!)LynnTo: From: drbrady@...Date: Thu, 12 Apr 2012 07:22:12 -0400Subject: RE: Re: AC and grandfathered pricing

For those who are interested in the costs of upgrades and support for other systems, I can tell you that I pay way more than this. My annual costs for this year (which I can only justify because the system I use allows me to save a ton of money by doing my own billing) ran:Annual Database Management Fee: $1758.90Annual support for Clearinghouse: $250Annual fee for Rx Hub: $300Annual fee for patient portal: $900Annual support for lab interface: $990Annual Software Support: $1200 (this is optional, but I find my local support group to be very, very good)Total annual cost: $5398.90That is for one physician and one year of e-MDs—which, of course, does not include the $30,000 or so start-up expenses I paid to get going. I don’t use AC, but by my calculations, at $1000/year, it is one heck of a bargain. From: [mailto: ] On Behalf Of pricklyfinger2007Sent: Wednesday, April 11, 2012 8:51 PMTo: Subject: Re: AC and grandfathered pricing ive changed my mind. quite smart actually for AC to do this.there is always an expiry for credit cards... and i wouldnt have thought about that as a way to get to the customers and have them pay up.was looking at ac initially. now am glad that i didnt go with them. im sure there is no way they can survive without raising their prices as it is. with how much the government is making us do all these things, im just hoping they wouldnt go belly up.and this last fact i think would be more disastrous than anything.sorry.im obviously no help tonight.g>  > >it's faster, probably more complete, stored as granular data where you can graph trends, does not lose results.> >looks better in the chart - easier to see than the scanned copies, bigger, but worse when you print it out - many more pages - I print from the lab interface directly to updox and then send from there.> >> >not really ahead, just running as fast as I can so as not to lose ground> >To: > > >Date: Tue, 10 Apr 2012 14:13:35 -0700> >Subject: Re: Re: Software Reviews> >> > > > > >Being a creature of habit I hesitate to change to lab interfaces. How does it look in the chart? How do you get results to patients? Many of mine do not have e-mail or computers. I like getting the paper copy by courier and commenting on it and sending it on to the patient after scanning it into the chart. Thanks, Lynn, you are so AHEAD of the curve. Much braver than I!> > > > > >Recent Activity:> > * New Members1 > >Visit Your Group > >Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use> >.> =>

[Guest guest]

excellent point adolfo.

was looking at ac at the very beginning and was on it for free for a while.

attracted to price, to emr but dissuaded by the fact it wasnt integrated.. close

to a decade later it still isnt.

being im it, doc and technogeek, i didnt/couldnt spend the energy on trouble

shooting and getting all the the aspects together at the same time and on the

phone all the time.

i took the plunge and did ecw since they met my timeline and i couldnt stand the

emds rep. cost the same.

the way to look at this issue i think is if ac is trying to 'survive' by

charging higher, let them. because with all gov req's on us, theirs is even more

and what would you do now with a bankrupt emr provider??? danger!

grace

> > > Â

> > > >it's faster, probably more complete, stored as granular data where you

can graph trends, does not lose results.

> > > >looks better in the chart - easier to see than the scanned copies,

bigger, but worse when you print it out - many more pages - I print from the lab

interface directly to updox and then send from there.

> > > >

> > > >not really ahead, just running as fast as I can so as not to lose ground

> > > >To:

> > > >From: myriaemeny@

> > > >Date: Tue, 10 Apr 2012 14:13:35 -0700

> > > >Subject: Re: Re: Software Reviews

> > > >

> > > >Â

> > > >Â

> > > >Being a creature of habit I hesitate to change to lab interfaces. How

does it look in the chart? How do you get results to patients? Many of

mine do not have e-mail or computers. I like getting the paper copy by courier

and commenting on it and sending it on to the patient after scanning it into the

chart. Thanks, Lynn, you are so AHEAD of the curve. Much braver than I!

> > > >Â

> > > >Â

> > > >Recent Activity:

> > > > * New Members1

> > > >Visit Your Group

> > > >Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of

Use

> > > >.

> > > =

> > >

> >

> >

> >

>

[Guest guest]

Us, too.  But by having e-MDs, we saved in 2011:$18,000 for a biller$12,000 for another part time receptionist$30,000 for another MA=$60,000.  (Which is the salary that we paid Steve.)

Of course, these are estimates based on what we think we would need if our PM, Portal, and electronic rx were not integrated into our system. Pratt

 

For those who are interested in the costs of upgrades and support for other systems, I can tell you that I pay way more than this. My annual costs for this year (which I can only justify because the system I use allows me to save a ton of money by doing my own billing) ran:

Annual Database Management Fee: $1758.90Annual support for Clearinghouse: $250

Annual fee for Rx Hub: $300Annual fee for patient portal: $900

Annual support for lab interface: $990Annual Software Support: $1200 (this is optional, but I find my local support group to be very, very good)

Total annual cost: $5398.90That is for one physician and one year of e-MDs—which, of course, does not include the $30,000 or so start-up expenses I paid to get going. I don’t use AC, but by my calculations, at $1000/year, it is one heck of a bargain.

  

From: [mailto: ] On Behalf Of pricklyfinger2007

Sent: Wednesday, April 11, 2012 8:51 PMTo: Subject: Re: AC and grandfathered pricing

   ive changed my mind. quite smart actually for AC to do this.there is always an expiry for credit cards... and i wouldnt have thought about that as a way to get to the customers and have them pay up.

was looking at ac initially. now am glad that i didnt go with them. im sure there is no way they can survive without raising their prices as it is. with how much the government is making us do all these things, im just hoping they wouldnt go belly up.

and this last fact i think would be more disastrous than anything.sorry.im obviously no help tonight.g

>   > >it's faster, probably more complete, stored as granular data where you can graph trends, does not lose results.> >looks better in the chart - easier to see than the scanned copies, bigger, but worse when you print it out - many more pages - I print from the lab interface directly to updox and then send from there.

> >> >not really ahead, just running as fast as I can so as not to lose ground> >To:

> > >Date: Tue, 10 Apr 2012 14:13:35 -0700> >Subject: Re: Re: Software Reviews> >> >  > > > >Being a creature of habit I hesitate to change to lab interfaces.  How does it look in the chart?  How do you get results to patients?  Many of mine do not have e-mail or computers. I like getting the paper copy by courier and commenting on it and sending it on to the patient after scanning it into the chart.  Thanks, Lynn, you are so AHEAD of the curve. Much braver than I!

> > > > > >Recent Activity:> > * New Members1 > >Visit Your Group > >Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use> >.> =

>

[Guest guest]

,I also believe that e-MDs ultimately saves me a fair amount of money because I can do more things without adding more staff. Still, writing that check every March (which gets larger with each additional module) is difficult. From: [mailto: ] On Behalf Of PrattSent: Thursday, April 12, 2012 10:31 AMTo: Subject: Re: Re: AC and grandfathered pricing Us, too. But by having e-MDs, we saved in 2011:$18,000 for a biller$12,000 for another part time receptionist$30,000 for another MA=$60,000. (Which is the salary that we paid Steve.) Of course, these are estimates based on what we think we would need if our PM, Portal, and electronic rx were not integrated into our system. Pratt For those who are interested in the costs of upgrades and support for other systems, I can tell you that I pay way more than this. My annual costs for this year (which I can only justify because the system I use allows me to save a ton of money by doing my own billing) ran:Annual Database Management Fee: $1758.90Annual support for Clearinghouse: $250Annual fee for Rx Hub: $300Annual fee for patient portal: $900Annual support for lab interface: $990Annual Software Support: $1200 (this is optional, but I find my local support group to be very, very good)Total annual cost: $5398.90That is for one physician and one year of e-MDs—which, of course, does not include the $30,000 or so start-up expenses I paid to get going. I don’t use AC, but by my calculations, at $1000/year, it is one heck of a bargain. From: [mailto: ] On Behalf Of pricklyfinger2007Sent: Wednesday, April 11, 2012 8:51 PMTo: Subject: Re: AC and grandfathered pricing ive changed my mind. quite smart actually for AC to do this.there is always an expiry for credit cards... and i wouldnt have thought about that as a way to get to the customers and have them pay up.was looking at ac initially. now am glad that i didnt go with them. im sure there is no way they can survive without raising their prices as it is. with how much the government is making us do all these things, im just hoping they wouldnt go belly up.and this last fact i think would be more disastrous than anything.sorry.im obviously no help tonight.g>  > >it's faster, probably more complete, stored as granular data where you can graph trends, does not lose results.> >looks better in the chart - easier to see than the scanned copies, bigger, but worse when you print it out - many more pages - I print from the lab interface directly to updox and then send from there.> >> >not really ahead, just running as fast as I can so as not to lose ground> >To: > > >Date: Tue, 10 Apr 2012 14:13:35 -0700> >Subject: Re: Re: Software Reviews> >> > > > > >Being a creature of habit I hesitate to change to lab interfaces. How does it look in the chart? How do you get results to patients? Many of mine do not have e-mail or computers. I like getting the paper copy by courier and commenting on it and sending it on to the patient after scanning it into the chart. Thanks, Lynn, you are so AHEAD of the curve. Much braver than I!> > > > > >Recent Activity:> > * New Members1 > >Visit Your Group > >Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use> >.> =>

[Guest guest]

,

We just got our eMDSs bill due in June. Our cost for two is 5247, but we don't have the portal. I wonder why you pay twice as much?

But I agree with on the savings. The pay back, as well as the depreciation is also a postive factor.

From: [ ] On Behalf Of Dr. Brady [drbrady@...]

Sent: Thursday, April 12, 2012 5:22 AM

To:

Subject: RE: Re: AC and grandfathered pricing

For those who are interested in the costs of upgrades and support for other systems, I can tell you that I pay way more than this. My annual costs for this year (which I can only justify because

the system I use allows me to save a ton of money by doing my own billing) ran:

Annual Database Management Fee: $1758.90

Annual support for Clearinghouse: $250

Annual fee for Rx Hub: $300

Annual fee for patient portal: $900

Annual support for lab interface: $990

Annual Software Support: $1200 (this is optional, but I find my local support group to be very, very good)

Total annual cost: $5398.90

That is for one physician and one year of e-MDs—which, of course, does not include the $30,000 or so start-up expenses I paid to get going. I don’t use AC, but by my calculations, at $1000/year,

it is one heck of a bargain.

From: [mailto: ]

On Behalf Of pricklyfinger2007

Sent: Wednesday, April 11, 2012 8:51 PM

To:

Subject: Re: AC and grandfathered pricing

ive changed my mind. quite smart actually for AC to do this.

there is always an expiry for credit cards... and i wouldnt have thought about that as a way to get to the customers and have them pay up.

was looking at ac initially. now am glad that i didnt go with them. im sure there is no way they can survive without raising their prices as it is. with how much the government is making us do all these things, im just hoping they wouldnt go belly up.

and this last fact i think would be more disastrous than anything.

sorry.im obviously no help tonight.

g

> Â

> >it's faster, probably more complete, stored as granular data where you can graph trends, does not lose results.

> >looks better in the chart - easier to see than the scanned copies, bigger, but worse when you print it out - many more pages - I print from the lab interface directly to updox and then send from there.

> >

> >not really ahead, just running as fast as I can so as not to lose ground

> >To:

> >From: myriaemeny@...

> >Date: Tue, 10 Apr 2012 14:13:35 -0700

> >Subject: Re: Re: Software Reviews

> >

> >Â

> >Â

> >Being a creature of habit I hesitate to change to lab interfaces. How does it look in the chart? How do you get results to patients? Many of mine do not have e-mail or computers. I like getting the paper copy by courier and commenting on it and sending

it on to the patient after scanning it into the chart. Thanks, Lynn, you are so AHEAD of the curve. Much braver than I!

> >Â

> >Â

> >Recent Activity:

> > * New Members1

> >Visit Your Group

> >Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use

> >.

> =

>

[Guest guest]

Hi Jim!I think the difference is the $900 for the portal and the $1200 for local support. That would more than make up for the extra provider. From: [mailto: ] On Behalf Of Kennedy, JimSent: Thursday, April 12, 2012 4:04 PMTo: Subject: RE: Re: AC and grandfathered pricing ,We just got our eMDSs bill due in June. Our cost for two is 5247, but we don't have the portal. I wonder why you pay twice as much?But I agree with on the savings. The pay back, as well as the depreciation is also a postive factor. From: [ ] On Behalf Of Dr. Brady [drbrady@...]Sent: Thursday, April 12, 2012 5:22 AMTo: Subject: RE: Re: AC and grandfathered pricing For those who are interested in the costs of upgrades and support for other systems, I can tell you that I pay way more than this. My annual costs for this year (which I can only justify because the system I use allows me to save a ton of money by doing my own billing) ran:Annual Database Management Fee: $1758.90Annual support for Clearinghouse: $250Annual fee for Rx Hub: $300Annual fee for patient portal: $900Annual support for lab interface: $990Annual Software Support: $1200 (this is optional, but I find my local support group to be very, very good)Total annual cost: $5398.90That is for one physician and one year of e-MDs—which, of course, does not include the $30,000 or so start-up expenses I paid to get going. I don’t use AC, but by my calculations, at $1000/year, it is one heck of a bargain. From: [mailto: ] On Behalf Of pricklyfinger2007Sent: Wednesday, April 11, 2012 8:51 PMTo: Subject: Re: AC and grandfathered pricing ive changed my mind. quite smart actually for AC to do this.there is always an expiry for credit cards... and i wouldnt have thought about that as a way to get to the customers and have them pay up.was looking at ac initially. now am glad that i didnt go with them. im sure there is no way they can survive without raising their prices as it is. with how much the government is making us do all these things, im just hoping they wouldnt go belly up.and this last fact i think would be more disastrous than anything.sorry.im obviously no help tonight.g>  > >it's faster, probably more complete, stored as granular data where you can graph trends, does not lose results.> >looks better in the chart - easier to see than the scanned copies, bigger, but worse when you print it out - many more pages - I print from the lab interface directly to updox and then send from there.> >> >not really ahead, just running as fast as I can so as not to lose ground> >To: > > >Date: Tue, 10 Apr 2012 14:13:35 -0700> >Subject: Re: Re: Software Reviews> >> > > > > >Being a creature of habit I hesitate to change to lab interfaces. How does it look in the chart? How do you get results to patients? Many of mine do not have e-mail or computers. I like getting the paper copy by courier and commenting on it and sending it on to the patient after scanning it into the chart. Thanks, Lynn, you are so AHEAD of the curve. Much braver than I!> > > > > >Recent Activity:> > * New Members1 > >Visit Your Group > >Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use> >.> =>

[Guest guest]

I agree too. My gut was that it would be more elsewhere but it was a shock to not be informed!I played devil's advocate to see what response I got. It was reasonable.I appreciate postings of other's prices as I simply didn't know. To: practiceimprovement1 Sent: Thursday, April 12, 2012 8:44 AM Subject: RE: Re: AC and grandfathered pricing

Actually I think $1000/year is cheap cheap cheap.Just for the updated codes alone each year you'd have to pay more.There was a kerfuffle at the AC conference last year about the increased support costs and how they were going to be done with respect to cards expiring etc. I told them to charge more! Sorry! There never was a plan to continue $500 / year forever, just until the cards expired.It's not free, just cheap!My 2 cents. I begrudge paying thousands more for my malpractice/year as opposed to my EMR which (if you qualified for MU and the full scope of payment) will pay the support fees for 44 years! (hey dammit WHERE is that payment, I qualified in September 2011 and still no $$$s!)LynnTo: From: drbrady@...Date: Thu, 12 Apr 2012 07:22:12 -0400Subject: RE: Re: AC and grandfathered pricing

For those who are interested in the costs of upgrades and support for other systems, I can tell you that I pay way more than this. My annual costs for this year (which I can only justify because the system I use allows me to save a ton of money by doing my own billing) ran:Annual Database Management Fee: $1758.90Annual support for Clearinghouse: $250Annual fee for Rx Hub: $300Annual fee

for patient portal: $900Annual support for lab interface: $990Annual Software Support: $1200 (this is optional, but I find my local support group to be very, very good)Total annual cost: $5398.90That is for one physician and one year of e-MDs—which, of course, does not include the $30,000 or so start-up expenses I paid to get going. I don’t use AC, but by my calculations, at $1000/year, it is one heck of a bargain. From: [mailto: ] On Behalf Of pricklyfinger2007Sent: Wednesday, April 11, 2012 8:51 PMTo: Subject: Re: AC and grandfathered pricing ive changed my mind. quite smart actually for AC to do this.there is always an expiry for credit cards... and i wouldnt have thought about that as a way to get to the customers and have them pay up.was looking at ac initially. now am glad that i didnt go with them. im sure there is no way they can survive without raising their prices as it is. with how much the government is making us do all these things, im just hoping they wouldnt go belly up.and this last fact i think would be more disastrous than anything.sorry.im obviously no help tonight.g> Â > >it's faster, probably more complete, stored as granular data where you can graph trends, does not lose results.> >looks better in the chart - easier to see than the scanned copies, bigger, but worse when you print it out - many more pages - I print from the lab interface directly to updox and then send from there.> >> >not really ahead, just running as fast as I can so as not to lose ground> >To: > > >Date: Tue, 10 Apr 2012 14:13:35

-0700> >Subject: Re: Re: Software Reviews> >> > > > > >Being a creature of habit I hesitate to change to lab interfaces. How does it look in the chart? How do you get results to patients? Many of mine do not have e-mail or computers. I like getting the paper copy by courier and commenting on it and sending it on to the patient after scanning it into the chart. Thanks, Lynn, you are so AHEAD of the curve. Much braver than I!> > > > > >Recent Activity:> > * New Members1 > >Visit Your Group > >Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use> >.> =>

[Guest guest]

It is very reasonable overall, but the funny thing about raising the rate when your credit card changes seems silly to me.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

 

I agree too. My gut was that it would be more elsewhere but it was a shock to not be informed!

I played devil's advocate to see what response I got. It was reasonable.I appreciate postings of other's prices as I simply didn't know.

To: practiceimprovement1 Sent: Thursday, April 12, 2012 8:44 AM

Subject: RE: Re: AC and grandfathered pricing

 

Actually I think $1000/year is cheap cheap cheap.Just for the updated codes alone each year you'd have to pay more.There was a kerfuffle at the AC conference last year about the increased support costs and how they were going to be done with respect to cards expiring etc.  I told them to charge more! Sorry! There never was a plan to continue $500 / year forever, just until the cards expired.

It's not free, just cheap!My 2 cents. I begrudge paying thousands more for my malpractice/year as opposed to my EMR which (if you qualified for MU and the full scope of payment)  will pay the support fees for 44 years!  (hey dammit WHERE is that payment, I qualified in September 2011 and still no $$$s!)

LynnTo:

From: drbrady@...Date: Thu, 12 Apr 2012 07:22:12 -0400Subject: RE: Re: AC and grandfathered pricing

 

For those who are interested in the costs of upgrades and support for other systems, I can tell you that I pay way more than this. My annual costs for this year (which I can only justify because the system I use allows me to save a ton of money by doing my own billing) ran:

Annual Database Management Fee: $1758.90Annual support for Clearinghouse: $250Annual fee for Rx Hub: $300

Annual fee

for patient portal: $900Annual support for lab interface: $990Annual Software Support: $1200 (this is optional, but I find my local support group to be very, very good)

Total annual cost: $5398.90That is for one physician and one year of e-MDs—which, of course, does not include the $30,000 or so start-up expenses I paid to get going. I don’t use AC, but by my calculations, at $1000/year, it is one heck of a bargain.

  

From: [mailto: ] On Behalf Of pricklyfinger2007

Sent: Wednesday, April 11, 2012 8:51 PMTo: Subject: Re: AC and grandfathered pricing

   ive changed my mind. quite smart actually for AC to do this.there is always an expiry for credit cards... and i wouldnt have thought about that as a way to get to the customers and have them pay up.

was looking at ac initially. now am glad that i didnt go with them. im sure there is no way they can survive without raising their prices as it is. with how much the government is making us do all these things, im just hoping they wouldnt go belly up.

and this last fact i think would be more disastrous than anything.sorry.im obviously no help tonight.g>   > >it's faster, probably more complete, stored as granular data where you can graph trends, does not lose results.

> >looks better in the chart - easier to see than the scanned copies, bigger, but worse when you print it out - many more pages - I print from the lab interface directly to updox and then send from there.> >

> >not really ahead, just running as fast as I can so as not to lose ground> >To:

> > >Date: Tue, 10 Apr 2012 14:13:35

-0700> >Subject: Re: Re: Software Reviews> >> >  > > > >Being a creature of habit I hesitate to change to lab interfaces.  How does it look in the chart?  How do you get results to patients?  Many of mine do not have e-mail or computers. I like getting the paper copy by courier and commenting on it and sending it on to the patient after scanning it into the chart.  Thanks, Lynn, you are so AHEAD of the curve. Much braver than I!

> > > > > >Recent Activity:> > * New Members1 > >Visit Your Group > >Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use> >.> =

>

[Guest guest]

Yes, definitely a bad publicity move on my part. You can read about the gory

details at:

http://amazingcharts.com/ub/ubbthreads.php/topics/30524/Credit_card_renewal#Post\

30524

Suffice it to say, Amazing Charts will work on getting a billing backend in

place so clients will be reasonably notified. Although, doing so has been on

hold as we work to complete Practice Management/Billing, as soon as that is in

final beta, we'll get back to solving this billing headache.

In summary, I hear you. We need a better invoicing/payment process to avoid

slapping the clients we're actually trying to kiss.

We will do better.

Sincerely,

Jon

___

Bertman, MD, FAAFP

President

AmazingCharts.com

> > > Â

> > > >it's faster, probably more complete, stored as granular data where you

> > can graph trends, does not lose results.

> > > >looks better in the chart - easier to see than the scanned copies,

> > bigger, but worse when you print it out - many more pages - I print from

> > the lab interface directly to updox and then send from there.

> > > >

> > > >not really ahead, just running as fast as I can so as not to lose ground

> > > >To:

> > > >From: myriaemeny@

> > > >Date: Tue, 10 Apr 2012 14:13:35 -0700

> > > >Subject: Re: Re: Software Reviews

> > > >

> > > >Â

> > > >Â

> > > >Being a creature of habit I hesitate to change to lab interfaces. How

> > does it look in the chart? How do you get results to patients? Many of

> > mine do not have e-mail or computers. I like getting the paper copy by

> > courier and commenting on it and sending it on to the patient after

> > scanning it into the chart. Thanks, Lynn, you are so AHEAD of the curve.

> > Much braver than I!

> > > >Â

> > > >Â

> > > >Recent Activity:

> > > > * New Members1

> > > >Visit Your Group

> > > >Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use

> > > >.

> > > =

> > >

> >

> >

> >

> >

> >

>