Member Forum

Topic: Practice Fusion to start charging for its EMR

1.  Practice Fusion to start charging for its EMR

Posted 02-01-2018 18:45
This is the first time I am posting but I just found out today that Practice Fusion is no longer going to be free and will start charging a subscription rate of $99 per provider per month starting in May.  Those of us who use Practice Fusion probably got an email a couple of weeks ago notifying members that Allscripts had acquired PF.  I thought to myself that when that happened that PF was no longer going to be free to use.  I wrote an email to the CEO of PF and an account representative called me today to tell me that PF was going to start charging monthly in a subscription model and then he proceeded to try to sell me on it by telling me that they will start offering more perks like ePrescribing of controlled substances (which they have been promising for the past 5 years), etc.  Just thought everyone in this forum would like to know.  The rep told me they will be putting out a post in March to notify all the practices.  I have to think about what to do and if it is worth changing to another EMR.  I haven't looked at prices other EMRs because as a solo practice, it was so economical to use PF.  Any suggestions from the forum on other free or low cost options for EMRs for a small practice would be greatly appreciated.

Cindy Go, MD PhD
Lemont ENT, SC
Lemont, IL
solo since 2013

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Cindy Go
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2.  RE: Practice Fusion to start charging for its EMR

Posted 02-02-2018 03:25
We made the switch from PRACTICE  FUSION ABOUT 3 years ago,  and have never looked back !   Their intake  , patient registration,  plus scanning and uploading docs was a pain !   Worked through 2 other EMRs, one who wanted 6k to transfer our online intakes!  We are a sole provider  practice with 3 full-time employees, cash based practice.   Our new program is called INTAKE Q.    If you don't mind,  mention I referred you,  and I get a small credit from them,  if you choose to join.    Even if I didn't,  I cannot sing  the praises of this system enough!  You can have a free trial, w no cc and NO HIGH PRESSURE SALES PEOPLE WANTING TO DEMO YOU.  it's so user friendly,  you can be working in a test chart in minutes.    Their intakes can have the consents ( which you customize for each intake), i.e.,  medication management agreement, cancellation policies, HIPAA, credit card on file, procedures pre and post instructions, medical history, photos or labs they want to upload, Etc.  The patient fills it out  electronically and it immediately uploads into their chart so there is no scanning or naming the documents etcetera those are nodone in your templates.  They sign it electronically so they are not having to print it out by hand scan it and fax it back or bring to the office on the day of the appointment. It is great for us, because the doctor can look at the files the evening before and compare with their lab work etc for they before they ever come in.    Any form you have, is so incredibly easy to put into any format you want. Also, if you would prefer to have them do it, you can send it to them and they will do it for $9 per form!!   The cheapest I've ever been quoted was $300/ form other EMRS.   They offer online booking, you can accept payments right from the patient chart, printout or send to them securely there visit assessment and plan. You can fax prescriptions directly from the patient chart. It also has standard emails that you can send out periodically and specials/ coupons,  and also appointment reminders , satisfaction surveys,  either by text email or phone call that you customize    .    If you want to call or email for more information,  I'm happy to try to answer questions you may have.    Our physician,  just yesterday,  called them to tell them how wonderful they are. I also do this on a regular basis because their customer service is absolutely amazing. Sorry this was so long but thought you may find it helpful.    We have about  15 types of intakes depending on type of appointment.    Each of those have the consents that go with them ( that we customize and choose.    They are then reviewed with patient in the office and the doctor signs off on them also.   You can securely share documents with your patients, fax your prescriptions straight to their Pharmacy, etcetera. It is HIPAA secure and password protected.   I think we pay around $49/ and that is with unlimited assistant accounts.   Good luck in your search !  DONNA POWELL. 704 282 9355.

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Donna Powell
[Practice Mgr.]
[Dr. Scott's Restorative Health Ctr.]
donna@doctorscotts.com
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3.  RE: Practice Fusion to start charging for its EMR

Posted 02-02-2018 17:47
Donna,
What EMR do you use to chart in after uploading the intake forms from Intake Q?  It doesn't look like Intake Q is an EMR where charting can be done.

Thanks.

cindy

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Cindy Go
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4.  RE: Practice Fusion to start charging for its EMR

Posted 02-02-2018 05:23
I'm not sure there are any free EMRs anymore. Amazing Charts used to be very low price but now is essentially $99 a month plus a one-time licensing fee. http://m.amazingcharts.com/?id=708

It seems this will be the standard rate going forward for low-cost EMRs. 






5.  RE: Practice Fusion to start charging for its EMR

Posted 02-02-2018 05:33
Good morning,
I was suspicious that they would start charging when they joined with Allscripts. Is there a way of downloading our current charts and use our own templates off-line?


Sent from my iPad




6.  RE: Practice Fusion to start charging for its EMR

Posted 02-03-2018 19:22
Anybody know anything about talkEHR?

I have no experience with it. I only saw a quick blurb on it.

https://www.talkehr.com/

Thanks,

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Milton (Moshe) Stern, M.D.
MILTON MOSHE STERN MD PLLC
Staten Island, New York
¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø
He [Hillel] used to say: If I am not for myself, who is for me?
And if I am only for myself, what am I?
If not now when? (Avot 1:14)
¤º°`°º¤ø,¸¸,ø¤º°`°º¤ø,¸¸,ø¤º°`°º¤ø,¸¸,ø¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø
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7.  RE: Practice Fusion to start charging for its EMR

Posted 02-04-2018 10:06
Re TalkEMR:

I took a quick look.  It is visually very similar to PF (I wonder if someone from PF left and started this EMR).  It's "free" but additional charges for some features such as eRx Controlled Substances.  They apparently have an integrated electronic claims for 3% charge.  They offer electronic insurance authorization done prior to the visit.  I've looked at this before.  Companies can advertise insurance auth but it's useless if >95% of the insurances you work with don't participate.

It may be useful for someone to demo this and provide feedback to the group.  I'm in MU/claims overload right now so not interested in demoing for a couple months.  Also, it come online in late 2017.  I'm not big into early adoption of software.  I used to be but that was when I had more time to work the bugs out with the software company.

Cheers,
Craig

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Craig Ross, M.D.
Family Medicine
South Arbor Family Care
Ann Arbor, MI
M: 734-756-8446
W: 734-707-7075
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8.  RE: Practice Fusion to start charging for its EMR

Posted 02-04-2018 12:59
I did a demo with TalkEHR about two months ago.

It seemed to cover lots of the bases but was not refined. eg looking up an ICD code did not have a plain "headache" and looking in Rx did not have amlodipine 5mg but did have 10mg.

I recall being nonplussed in generaly but I did not make notes.

It's painless to sign up and start using it right away to try it out.

It's my understanding that it takes about 6 weeks for Practice Fusion to give the data download that could be uploaded to TalkEHR. But it's hard to believe much from the folks at Practice Fusion.

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DanielZacharias
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9.  RE: Practice Fusion to start charging for its EMR

Posted 02-05-2018 04:57
PF charges some people 0 for e-rx of controlled substances(NY)
Charges me 49/mo  for same(Maine)
 each state has different requirments  so they roll it out slowly..
 I do not see why we need them to  download our data? Just print the chart The documents signed will not be in there but so what.Frankly So what

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Jean Antonucci
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10.  RE: Practice Fusion to start charging for its EMR

Posted 02-06-2018 05:34
PF is one of just a handful of EMRs that do not sync with ABFM Prime Registry.
Not sure if this will change with Allscripts.


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Michael S. MD
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11.  RE: Practice Fusion to start charging for its EMR

Posted 02-06-2018 12:52
Concerning the options of Printing vs. Downloading old chart data for migration to a new chart filing system:

Is the intent to go forward with Paper or EMR/EHR charts?

If the intent is to go forward with Paper, printing the old charts would likely be the best option (unless you want to invest in a secure document management program for the old records.)

If the intent is to go forward with an EMR/EHR, downloading may afford a quicker, and cheaper, migration. (In this case the Print option would require scanning and uploading, or a hybrid electronic/paper chart archive storage space and management. This would likely increase costs of storage space and FTEs)

Thoughts?

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Milton (Moshe) Stern, M.D.
MILTON MOSHE STERN MD PLLC
Staten Island, New York
¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø
He [Hillel] used to say: If I am not for myself, who is for me?
And if I am only for myself, what am I?
If not now when? (Avot 1:14)
¤º°`°º¤ø,¸¸,ø¤º°`°º¤ø,¸¸,ø¤º°`°º¤ø,¸¸,ø¤º°`°º¤ø¤º°`°º¤ø¤º°`°º¤ø
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12.  RE: Practice Fusion to start charging for its EMR

Posted 02-07-2018 06:59
I was thinking  print  to  pdfs     but if we can still read thats good Thats what I do with my old emr now  Oh god LAyers of old emrs:)

--



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





13.  RE: Practice Fusion to start charging for its EMR

Posted 02-08-2018 03:54
The account manager from PF who called me also said the same thing that the Allscripts acquistion was independent of their plan to start charging for PF and he told me that May was the date they they were going to start charging.  He did say that they would not hold my data hostage and a full data transfer is possible and that I can get it started by calling customer service and opening a help ticket.  I did that and the email reply said I could easily download the patient demographics and she wanted to know if I wanted a full data transfer to another EMR.  I replied that I wanted a full data transfer and have not heard back.  We'll see as if they do "hold my data hostage" and if so, then I will have to print patient charts as suggested.

I am looking at One Touch EHR which is free but has a lot of add ons like PM and billing, fax in and out, and controlled substance eprescribing, etc.  I did the demo and seems easier to use than PF.  The sales rep said that they have done full data migration from PF in the past and they do not charge for it.  Anyone with experience with it?

Cindy Go

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Cindy Go
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14.  RE: Practice Fusion to start charging for its EMR

Posted 02-06-2018 14:59
Spoke with Jeff Serra (our PF account manager) and what I learned is this - "these are his words":

Allscripts accured PF but is leaving them as their own division to "continue to do what they are doing" completely separate from Allscripts.  PF had been working towards becoming a paid model for quite a while now to be able to do some of the things they needed to continue to improve with their "limited" resources.  MIPS and electronic controlled substance e-prescribing was becoming something they couldn't continue to work on without funding.  Allscripts came into play unexpectedly and actually paused them rolling out their paid model until everything is complete with that acquisition.  He states that $99/provider charge will be put right back into the EMR to continue to improve PF.  They have a large list of additions/changes that are being requested and they could not meet the demands without funding.

The cost is $99/month per provider - what triggers a "provider" is someone who signs charts and/or sends e-prescriptions.  

The first 4 items that they are working on (currently and are hoping to recoup money when they start charging) are:

Chart alerts - this is huge to our office

Chart co-signing

Improving MIPS - 

Bi-directional billing - they basically are going to create the opportunity to have all billing directly in PF (they send to clearing house, etc).  This would be a separate charge.  Their thought process was to eliminate having to go into a separate program to check balances due, collection payments, etc.   He stated that they will still keep their working relationship with current partners, that this will just be another option.  

If we wanted to transfer to another EMR, there would be no restrictions/cost to transfer data.  The only data that they would transfer would be demographics.  We would still be able to access all records in PF, it would just be in  Read only mode and we wouldn't be able to edit anything.

At this point, he believes that early summer is when we will start paying the $99.

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Renea Clark
Office Manager
BlueSky Health
Howell MI
517-545-2400
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15.  RE: Practice Fusion to start charging for its EMR

Posted 02-11-2018 20:21

When considering an EMR, the biggest cost is not the monthly cost, but YOUR TIME.

At $100,000/yr and 60 hrs a week, that comes to $33/hr. (We hope you're doing better than that, but still....)

If a program saves you 2 hours a week,  that's $283/ month. ( $33/hr x 2 hours x 52 weeks/12 months)

Whether you should use cloud-based or have your own server depends on how reliable (and fast!) your internet service is compared to electric power. If you don't have reliable fast service, hosting your own starts looking more attractive despite the problems.

https://www.businessnewsdaily.com/8579-ehr-systems-for-small-practices.html

January 2, 2018

SOAPware  $2000 +$399/mo/MD   

Praxis EMR $189-$259/mo/MD

Care360  $250/mo 

The first two are consistently high rated by other reviewers, third is not.

From a wide number of sources, in no particular order,

Amazing Charts,         $1200 installation, $100/mo/MD licensing

Praxis EMR                 $189-259/ month depending on whether you host or use their cloud servers

SOAPware                  $2000  installation, $399/month/MD

MEDENT                     $???

Were high rated.

This also might be helpful:

From FPM's "EHR Switch study:"

AGREEMENT WITH THE STATEMENT "I AM HAPPY WITH OUR NEW EHR SYSTEM"

Bars showing Praxis and Amazing Charts made more docs happyEHR Switch Survey: Responses From 305 Family Physicians

https://www.aafp.org/fpm/2015/0100/p13.html

Praxis, Medent, Health Connect, Amazing Charts, SOAPware top 5


 Taken from AAFP EHR User Satisfaction Survey, 2012-2014. 

 Same top 5

 Taken from AAFP EHR User Satisfaction Survey, 2012-2014.

Same top 5

Taken from AAFP EHR User Satisfaction Survey, 2012-2014.

 Smaller practices generally chose EHRs they liked better, or the other way around

 Same top 5...

Taken from AAFP EHR User Satisfaction Survey, 2012-2014

 

 American College of Physicians' AmericanEHR Partners Top 10 Survey from December, 2011 through July, 2017.

http://www.americanehr.com/ratings/ehr_ratings/ehr-top-10-ratings.aspx

When you change the practice parameters  to 1-3 physicians, and family practice, Praxis is higher rated.

(AAFP is a 'member' of AmericanEHR, fwiw.)

Hope this is helpful-



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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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16.  RE: Practice Fusion to start charging for its EMR

Posted 02-15-2018 08:40
I'd be cautious in interpreting surveys of "happiness" with EHRs.  If you look at EMRs that are chosen by the physicians who are using them (e.g. PF, Amazing Charts, Praxis, etc), these tend to have very high satisfaction scores.

Whereas EMRs in which the providers are "forced" to use them (ALTHA, Epic, Cerner), the satisfaction seems to be lower.

My bet is a practice will find a way to like the EMR they bought but physicians who don't have a choice are more unhappy.  I've used ALTHA (the military EMR).  In many ways, it's better than PF but the military docs complain about it all the time.  My opinion is they don't know how bad it can be.  I would rate ALTHA as average or above average but it "ranks" on the bottom of most surveys.

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Craig Ross, M.D.
Family Medicine
South Arbor Family Care
Ann Arbor, MI
M: 734-756-8446
W: 734-707-7075
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17.  RE: Practice Fusion to start charging for its EMR

Posted 02-15-2018 08:52
Regarding moving away from PF, I asked the rep today about a "read only" status.  He said if you don't subscribe, on June 1st you will be "read only" for a period of time.  I'm not sure how long that period of time is.  I asked that if I do subscribe and later need "read only", can I do that.  He said yes but unsure how long.

The reason I asked is b/c every "relationship" (except marriage) needs an exit strategy incorporated from the beginning.  For an EMR, the two exit categories are 1) change to a new EMR and transfer data or 2) go to paper or close shop.  For #2, you need legally need access to the records for 7 years.  That was the nice part of PF in the past in that you never had to worry about the retirement/close shop records problem.​

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Craig Ross, M.D.
Family Medicine
South Arbor Family Care
Ann Arbor, MI
M: 734-756-8446
W: 734-707-7075
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