athenaIDX is an on-premise or cloud-hosted enterprise RCM solution that helps health systems, hospitals, billing services, and large practices optimize financial performance and successfully adapt to healthcare payment reform. It is based on the Centricity medical practice and EMR software that was formerly owned and supported by GE Healthcare acquired by Veritas Capital in 2018, spun off into a new entity (Virence Health), and then rebranded as a product of athenahealth (also a Veritas…
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NextGen Healthcare EHR
Score 7.9 out of 10
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NextGen® EHR solutions meet the needs of ambulatory practices of all sizes by helping users coordinate patient care, while complying with healthcare reform demands such as the Merit-based Incentive Payment System (MIPS), population health, and other value-based care requirements. NextGen® Enterprise EHR built for large practices delivers a fully integrated, scalable system that helps clients achieve interoperability, patient engagement, regulatory compliance, and value-based…
I couldn't recommend IDX to anyone. Most of the reviews on this site appear to be for the program that broke off from Athena IDX, Centricity Practice Solutions (CPS). CPS is a much more capable program managed by Unlimited Systems (a separate company) that should NOT be confused with Athena IDX (managed by Athena Health). It's possible that Athena IDX was usable in the 90s compared to other peer programs at that time, but there are so, so many better, modern solutions available now for far less money. This software is priced at the enterprise level with a level of quality that is below budget tier with an ancient feature set to boot.
I would recommend NextGen Healthcare EHR 9 times out of 10 for a mid-sized multi-specialty practice, internal medicine, family practice, peds, and behavioral health (for CHCs, FQHCs, and private practice), but beyond that, I don't believe that NextGen Healthcare EHR is the best solution most times. Consider having all staff at all levels read "Raving Fans" and employ the model. Do what you do well, don't do what you can't do well. You'll be far more successful.
One of the best things about Centricity is it is flexible. We are able to add a data point behind a term (CPS calls this an observation term) and track any data needed. These observation terms also allow us to pull information forward and display information needed to make a good decision or used to decrease errors. For example in our history forms given to the patients one of the questions is side of injury. This affected side displays on our EMR forms which helps providers and prevents mistakes.
CPS integrates with other programs. We are paperless and use DocuSign to send each patient their history, ROS and all new paperwork. This allows us to import the history into the forms and has saved us from adding extra staff (FTEs) to room and take history. The history form can be completed at home or in the waiting room. Each section has a observation term behind it and allows it to be placed into the note at the correct section. Since we have a fully integrated product we do not have to have another program to enter or transfer our charges from the EMR to the PM side of the program.
Our notes look great! We did a lot of customization which gave us the detail and look we wanted. It seems like a lot of work at first, but the outcome has so much efficacy. We increased our providers without having to increase our staffing and it is due to he efficiencies we gained by using the EMR.
One other note, Centricity is flexible but that means it is complicated. You can not have flexibility without it be complicated don't let that stop you the end results can be great.
NextGen has always stayed on top of the many changes every year and remained certified. I have seen many EHR companies go out of business or seen users have to change EHR systems in order to remain compliant for reporting.
With NextGen, I am able to make a few customizations that my providers ask for to make their documentation easier. Not all EHR's are customizable. While it is not best practice to do a lot of customizations, sometimes it is worth the extra work to keep your providers happy!
I love going to the NextGen User Group Meeting they have every year. I always learn things I didn't know and learn more about the things I do. They offer classes for everyone no matter what you do that pertains to NextGen. Even Government updates for healthcare.
Statements print only current open accounts, would be nice to print a total statement for patients so they can see if payments are split between open and closed/zeroed out accounts
EHR and Practice Management are two completely different interfaces within the same program and are not easily navigated.
Only super users can perform all tasks, making it so all staff needs to become a super user.
Credit Card processing is difficult to set up and change-- we moved offices but need to process CC payments through our old office.
When patients prefill their registration information online, we are unable to confirm their insurance information due to small glitches with the program.
There are multiple ways to view the daily schedule, and none of them are easy to use.
The usability of the product is great. The difficulty that we have is in the background with the speed of servers or of things loading. If there are any issues with the remote server, things can really slow down drastically.
Pages load quickly and reports are uploaded quickly. It just takes far too many clicks to get anything complete in this program. If a patient wants to pay for something after we have checked them out of their appointment, or wants to make an appointment it is not efficient. In a busy practice like ours efficiency is key and we need to keep the flow going
Tier 1 support is useless. They gather details we've already provided and have no idea how to help us. Techs just call rather than scheduling an appointment which means we are in the middle of something else and our internal IT is unavailable to provide appropriate connection. Webex details aren't provided in advance of the call so it's difficult to get connected timely to have a conversation in real time during the support session. Many issues drag on for months and tickets get closed without resolution. It's a "known issue" is the most unhelpful response to a recurring problem. UGM Learning Lab is perfect because the issues based experts are there! It would be ideal to always be connected like that in real time
Training consists of overly specific points with no general process considerations. Trainers will regularly go 'into the weeds' on pointless edge cases while the meat of the training still needs to be addressed.
Athena IDX is more reliable than other platforms. It rarely has latency challenges where it has to be intermittently shut down or updated. It is accessible on multiple devices and overall, easy to use and navigate.
NG is like no other software I have ever used. I thought if you used one software they are all alike. Not this software, it is totally different but let me tell you very thorough and it also can track anything that anyone has done in a work day. Good auditing system.
Extremely expensive software for the limited feature set. We're talking millions of dollars with off hours support (anything outside of 8-6EST) that starts at $1200 for the first hour and $300 for each hour afterwards.
Multitasking isn't a thing unless you assign more licenses (thereby increasing your costs). Users can quite literally only have one IDX window open at a time unless you assign more licenses. This slows down everyone as there are plenty of times where examining different parts of a patient's profile is useful.
Reporting has been nearly impossible as we use modern reporting software. IDX's analytics site is firmly stuck in the 1990s and lacks decades of innovation present in something like Power BI.
Nickel and diming philosophy. A limited API server costs ~$10k/month. Setting up a new facility in IDX costs you and requires a 4 month lead time. Many more instances of this.
