AdvancedMD vs. ChiroTouch vs. Tebra Billing & Payments

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.

ChiroTouch has helped us maintain more accurate records, notes, billing, and the text reminders help to ensure the patients remember their appointment which keeps our numbers good.

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In my experience, problems with them adding incorrect fees to pad their bills coupled with their unethical business practices such as locking you out from accessing your EMR at the drop of a hat prevent me from recommending Kareo to any practice. Reliability is paramount. Kareo's use of unethical business practices (locking you out from your EMR or disabling your EMR all together) can result in a physician being sanctioned by the medical board (inappropriate medical record keeping) or financially destroy a small practice leaving them with NO ACCESS to their ERAs/patient billing accounts etc leads me to NOT reccomend their products or doing business with them.

• They provide access to their underlying tables via Open Database Connection (ODBC). This streamlines business intelligence processes greatly.
• The "canned"/"stock" business intelligence tool (Advanced Insight) is very useful.
• Our dedicated customer support representative (Breah Teed) has exceeded our expectations.

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• Allows for a lot of customization that can make the software work well for small and large practices
• Can really replace anything you would normally put in a paper chart or use other programs for, with a few exceptions.
• Manages all your patient data in one place
• Uses iPad apps as well as desktop applications

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• Kareo stays up to date on insurance changes which allow for smooth transitions.
• Kareo asks for feedback and has a place to go and request changes or additions that would make our job easier.
• I love that you can submit a help ticket or call, if you prefer, with any questions or problems that you may have. They are always very prompt with their follow up.

• Adding and Deleting provider columns complicated.
• 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.

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• There is quite a bit to learn, even if you have experience with other EHR systems like I did, and required our staff and providers time and patience to get accustomed to it. It may be helpful for the Chirotouch team to develop a curriculum of sorts to navigate practices through learning the system in a logical way.
• The EHR system is higher in price than other comparable systems, especially with all the add-ons - it would be nice if Chirotouch were a little more transparent about what you get when purchasing the item off the shelf, and, more importantly, what features are not included without a package upgrade.
• The graphic layout and color scheme isn't as "pretty" as other EHR systems I've worked with, and actually looks quite outdated. It might be worthwhile for Chirotouch to work with graphic designers to make the interface a little more aesthetically pleasing.

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• Where to start...for one, during my start-up with a "success coach" and trust me, I use that term broadly, I had to f/u on every single issue that came up. I was told she was taking care of my electronic lab enrollment, after waiting 3 months and reaching out to my success coach, Kayli, countless times, I only was told when contacted by management that my Quest lab access had been denied after 2 weeks because I was never told to independently create my own account with Kareo- after asking/emailing/calling multiple times trying to figure out the process. So needless to say, I have NO electronic lab access 4 months after signing with Kareo and they are now just starting the process.
• Prescriptions- I had reached out to Kareo, no exaggeration, over 10 times to figure out why I wasn't receiving prescription refills. Spent countless hours on the phone with "support line" that could never give me an answer- to any question. And never f/u either until I directly insisted to my salesperson to have management contact me directly. I had a patient go to the hospital due to not having their medications because apparently their pharmacy had sent refill prescriptions over 3 times which I never received. Only after talking to management, did they look into further and then inform me that I had 3 locations in the system (?? I have ONE location). They were all prior addresses of offices, one from over 4 years ago. To date, again, 4 months after paying a year up front, I can't receive refill requests. And the solution proposed to me by management was to call my prior EHR and request they delete my prior addresses. And I cannot contact my prior EHR because I was in a large group that restricted the account to only 2 individuals in a group of 18 doctors to even have access to talk to them. So I can't resolve the issue, Kareo after 4 months instructs me to call them myself, and the prior EHR doesn't even recognize I had an account with them because it was under a group practice name.
• Online booking- I thought this would be an amazingly efficient add-on. What they don't tell you is you can only designate "increments" of appointment times. Kareo will tell you it syncs with your existing schedule so that online bookings are only in vacant time slots. I had new patients selecting a time increment of 15 minutes, existing patients selecting 45 minutes (with a deductible) and any increment over 15 minutes (which the patient can select at their own will, being if you choose 15 min increments, it will offer appointment length for 15 min, 30 min, 45 min, 60 min etc with no outline of the appropriate time length) will over-book your schedule. So if you have a 10-10:15 slot, the patient can select a 45 minute appointment that starts at 10 (Because that 15 minute slot is open). But then will overbook the patients at 10:15 and 10:30.
• It created utter chaos in my practice. My office manager spent more time calling patients to inform them they had booked an inappropriate time increment, they can't book a new appointment for 15 minutes, we don't accept their insurance...the list goes on.
• There is no way to restrict the increments or who can book an appointment.
• Messaging- I can't view what incoming messages from patients are sent to whom. And neither can my office manager. And the patient gets to select who to sent the message to, either the "provider" or "location." And 9 times out of 10 they send to the "provider." So as a physician, I am inundated with patient messages simply wanting to book a new appointment or reschedule. As a physician, obviously prioritizing my time is important and my office manager can't view these messages.
• The list goes on, unfortunately. "A/R" reports only allow them to calculate a theoretical A/R based on your self-pay rates to patients, not individual contracted rates with insurances. So my A/R has an inflated number, which I can't even quantify by how much, because the A/R is based as if every insurance patient paid as a self-pay patient. Seriously, no one thought this through?
• Can't send multiple controlled scripts at once electronically. Have to enter, go to separate site, enter code, be redirected back to KAreo then re-enter another med, be redirected to separate site, enter code, be redirected...Any other EHR I've ever used (and I've used around 6 between residency and private practice) you could enter multiple Rx, but then check the meds you wanted to send and then enter ONE code for, say, 2 controlled scripts. Kareo, you must enter separate codes one by one.
• I could go on but will choose to hope for all reading, you get the general point...

ChiroTouch has the best customer service I have ever dealt with. They software literally makes my life easier and the office runs smoothly

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Overall, I think ADP AdvancedMD is very user friendly and constantly improves as new releases come out.

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It is fine once it is up and running, but the customization takes a long time, does not have some things setup in advance that seem very straight forward, and for most people the learning curve is very high for learning the system even once it is properly setup and customized. However, it is "fine" not particularly impressive. Additionally, their customer support and training is substandard.

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Kareo Medical Billing is very user friendly and the support they provide allows users to get their questions answered quickly and efficiently. The wait time to receive help is usually pretty good and most of the time we can ger our questions answered. We have found that is the tech help is unable to answer our question, they will attempt to find a colleague who is able to help!

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Sometimes we get weird error messages. We have been having a problem with our check-in computer and ChiroTouch hasn't been able to figure out the problem

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Generally we never have problems with speed. If we have, it's been because we needed to perform software updates, and then it went back to working quickly.

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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.

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A+ Customer Support in all areas of ChiroTouch!

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The particular person we were assigned was not very well versed in the software. Several things we asked about we were told we not possible, and then I later figure out how to do them by myself after getting to know the software. I guess that is what comes from trainers who use the system in theory but not in an actual office. They are basically reading off a script that guides you how to set things up, nothing more. If she didn't know the answer, she didn't research it, she just told us it wasn't possible. However, it was a multi-session training spread out over a couple weeks and they did walk you through all the basics. It does take a lot of customization, so this was appreciated. It would have been very intimidating to do without guided support sessions.

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I have been through implementation of ADP AdvancedMD at other companies and it went smoothly

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If you are not happy with your trainer, ask for someone new.

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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.

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We had been using medisoft before and it wasn't organized enough or clear enough for insurance billing, coding and doctors notes. Chirotouch solved all of these problems with the additional bonus of being customizable

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We have used several Practice Management programs which our doctors have chosen. Kareo is far above those in ease of use, efficiency and reporting. Training takes very little time as the program is intuitive. Licensing cost is reasonable. Our doctors enjoy the integration with the Kareo EHR and our staff appreciates the integration from the EHR to the practice management. It makes their job easier.

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It's reliable, though occasionally has connectivity issues. Their support says it's our computing issue, not the software, but we don't have similar problems with other software. Definitely needs to be backed up daily. We use ChiroTouch's backup and it works well

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• We are paying over 5K for absolutely nothing.
• We believe this company does not concern itself with the end-user.
• We identified a large lack of ethics in the organization.

• ChiroTouch helps cut out errors that cause delays in insurance payments which is always good for the bottom line.
• ChiroTouch's scheduling and text reminders help us keep the patient notified of upcoming appointments.
• We love the feature that allows us to set it and forget it ex: retention texts, b-day texts, mass notification texts.

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• Kareo had an overall low return on investment.
• Despite the software being active at our company, we were forced to transition to a different solution within 6-months of implementation.
• The time spent attempting to reconcile the system to itself was rather wasteful.

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