AdvancedMD (the company formerly owned by ADP) offers AdvancedPM, the company's medical practice management platform combining EHR / EMR capabilities with front office automation and workforce scheduling, medical billing, and advanced revenue reporting capabilities.
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Epic Cadence
Score 9.0 out of 10
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Epic Cadence is the company's medical scheduling module.
It would be well suited for an initial user. If you are starting a practice and have nothing in place, it might be great. However, if you are a current EMR user of a different platform and have more than a hundred patients; don’t waste your time. This is a hands-off company that, in my opinion, will do nothing to support your efforts. We have a practice of 11,000 patients and would have had to hire 2 FTE’s to print all the patient data and upload it individually.
Cadence Enterprise Scheduling is particularly useful in a multiple provider, multiple location scenario. It is also quite useful in situations where there are multiple rooms or pieces of equipment that need to be scheduled.
The system is simple to use it helps schedulers create appointments and, avoids placing patients in situations where they are scheduled at the same time in different facilities.
It has many reports that can help managers maintain a smooth operation and shows what areas need to improve.
It has a one place for all scheduling information for schedulers to see patient's appointments, especially when patients do not recall where or when their next appointments will be.
The system can be created in such a way that you can control who can make appointments and who can't.
They system when built provides warnings to schedulers helping to minimize many scheduling errors like overbooking.
Would have loved to have one point of contact at all times and have that person answer on the third ring (see, this is me really reaching--because as far as my job functions were concerned, the product was absolutely fantastic. I have no complaints).
Working electronic insurance error reports in the system was a nightmare.
Questionnaires: EPIC seems to be very stringent on questionnaires and how may can be attached (only 1) on a Cadence level causing us to be quite inventive on how to get questioned answered on only certain visit types. One big stumbling block was the Ebola questionnaire. Currently we have a particular questionnaire for new Phy. Therapy patients which prevents us from adding the Ebola questionnaire to NEW patients. We are still struggling with this.
Patient Itinerates used for multiple appointments: Not very professional looking regardless of how you set up (OP visits, instructions etc: Most practices will not use the itinerary therefore adding dollars to having printing cards with the practice name on them. (the old fashioned way)
Building new DEP records: Wish there was a way to copy entire builds from one DEP to another.
Security": EPIC security is a nightmare to develop for multi faced users. RN that schedule appointments. Many of our practices are small practices that only have 2-3 people (the doc, the RN and the scheduler/biller . This creates the need for everyone to do everything from a scheduling perspective and building this security can become very cumbersome from practice to practice as each is unique.
As stated earlier, it seems to be the best out there, from a built perspective as well as a user application. While some practices feel it to be time consuming (Cadence/Prelude) together others who see the whole integration thru the Epicare and Resolute systems love it. From an IT perspective, while sometimes cumbersome to build, the end results are pleasing and satisfying. We can usually accomplish what we set out to do with the practice vision in mind.
I've only reached out a couple of times and after being bounced around a few times I simply asked for our internal team to look into the particular question I had. I believe they had some turnover at the time but my experience wasn't great.
EPIC has been great in their support and communication at all hours. They also openly communicate when an application TS (Technical Support) will be away and who is covering for that person. During standard non working hours - you always know what number and who to call to get resolution to issues that arise at those times
Use implementation team from EPIC but know what you want and make sure that it=s what you get. You can be easily swayed by lack of knowledge on the application and therefore decisions are made that are not correct and then have to be redone. EPIC including Cadence needs a great understanding of the workflows you currently have and how they will be impacted by your build. We had a great understanding of the existing workflows in the offices, however lack of knowledge on the Cadence IT side, had a large impact on what was delivered as our implementers believed that a standard EPIC workflow would suffice and did not.
ADP AMD is much easier to learn and navigate than most all of the systems I have worked with, including Greenway and Centricity. The only thing I liked better in Centricity was the ability to run more customized reports, but overall, I would choose AMD any day over those two.
Centricity was limited in ability to scale and customize compared to Cadence for our environment. Also the regular updates for Cadence vs. Centricity is where Cadence really shines. Vendor support is also much better with Cadence over Centricity. We also like the robust capability of the reporting module in Cadence over other vendors.
