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RE: Billing

	From:	Peter Liepmann

	To:	Member Forum

	Posted:	07-16-2017 03:11

Message:

Is anyone out there using Praxis?
I'd like to get a first-hand review.

It's the only 'non-template' EMR, AFAIK, and it has an impressive AI/search utility so it can convert plain text to structured data for so-called "quality" reporting. The FPM article from 2015 had it with impressive usability and "I like it" scores from docs.

It interfaces with various PMSs. Since it uses AI to code visits and diagnoses, it's probably more accurate than the average doc, so all you'd need for billing is to send a batch file to a claims processor. Their business model is software sales, with a packaged loan, so it's $259 for 60 months, then some subscription. They also offer Cloud SaaS.

One of the cool things it does is keep track of staff time 'dealing' with people outside of office visits, so it can directly document (and bill) for CCM, without the user having to do anything explicit re billing.

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Peter Liepmann MD FAAFP MBA
My mission is to fix US health care www.PCMHpcc.com
Bakersfield CA
5183026006
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Original Message:
Sent: 07-14-2017 09:39
From: Jessica Rongitsch
Subject: Billing

Thanks for your thoughts! Right now we are paying quite a bit for an EHR that we don't love (eCW) and the 8% is painful. I would never do the billing myself, but will definitely look at other free or cheaper EHR's and we will think about bringing billing in house to save on expenses. I figured out that, with three providers, if we brought billing in house--even for full time employee with benefits -we would save quite a bit.
Thanks to the IMP group for lots of food for thought!

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Jessica Rongitsch MD, FACP
Capitol Hill Medical
Seattle, WA
98104
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Original Message:
Sent: 07-13-2017 09:52
From: Melissa Weakland
Subject: Billing

Hi Jessica, as Jean said this conversation comes up now and again. You can search and find the old posts on this system. On my phone the search function appears in the main menu drop down area.

my practice is over 10 years and I'm happy and enjoying. We started with an outside biller but then soon moved to using staff who do other tasks for us. We found that using someone who knows us and our patients s bit- we recoup money much higher.

Over the years we've never hired anyone with billing experience. It's really not too complicated. Maybe we miss some money here and there but from what we save by having our own staff is huge cost savings.

Right now we have someone 10 hours a week. She is also our bookkeeper. She mostly spends time posting payments and invoicing patients. She also does the follow up needed-calling insurance to understand why no payment, calling patients for same reason.

i have the name of a local biller that another local IMP, Bruce Williams, gave me. He loves her. I'll hopefully remember to send you off line in email if helpful.

Melissa

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Melissa Weakland MD
Ballard Neighborhood Doctors
Seattle WA
IMP since 2007
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Original Message:
Sent: 07-12-2017 11:47
From: Jean Antonucci
Subject: Billing

The billing in or contracted out conversation goes on periodically and people's opinions are always strong

I would add that as I have watched IMPs over the tlast decade those who have lasted have often NOT been doing the billing Billing causes burnout As to 8 % that is standard and for the service of someone taking the calls and arguing with insurers and knowing the rules although I make no argument that coding as it is should even exist!11, 8% in a small practice might be?? under 10,000 a year If you have an employee you pay them and do their payroll taxes and W 2 and w 4 whatever, need ot think about benefits/ space/ secret santa parties etc And workers comp And supervising them In a tiny practice You need a person to take in the deposits and another t o deposit them for safety. Etc.

   Jean Antonucci MD
   115 Mt Blue Circle
   Farmington ME 04938
ph 207 778 3313   fax 207 778 3544
www.jeanantonucci.com

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