CargoX vs. DrChrono vs. Practice Fusion

Templates are customizable and you can take pictures directly into a patient's chart. DrChrono is less appropriate for this reason: they have been working on enrolling my company for Medicare electronic billing for [seven months]. [As a result], I have been unable to bill for any Medicare patients for [seven months]. The only person I have talked to was in India [and] ([the] email address ended in .india). I have had to call Medicare to try to figure out how to complete the enrollment process, [and I ended up with this response from Medicare: "DrChrono needs to [stop being lazy and do something]!." I lost [a] significant [amount of] money. [...]

I think this is a great tool for a smaller practice, and I really like that it is not practice-specific. It seems like any type of doctor could use the site. I also think this is really great for remote workers because you are able to log on via the internet. I think that this tool would not be good for those looking to have a specific practice software. I've worked for other doctors alongside the one I used practice fusion for, and the other doctors used specialty specific software because of the customization to their job and charting.

Incentivized

• Documentation Template Customization

• Organizes lab work for each patient. Its helpful for us to see a patient at a glance.
• Schedule appointments for patients.

Incentivized

• [Onboarding] trainers and tech support do not know the program.
• [All] DrChrono calls are from blocked, [unknown], or their personal numbers. [Looking] at [each] caller ID, you have to answer every call because they do not register as DrChrono.
• DrChrono [uses] [Google] phone and [I could] not understand what [a] trainer [said] [when I called them]. [I could not hear what the trainer said] over the noise of other conversations on [Google] phone.
• [I] [had] absolutely no way of talking to tech support in person.
• [Tech] support tickets [are] unanswered.
• [They] do not know how to enroll providers to bill Medicare electronically.
• [There was] absolutely no accountability.
• [The] platform was constantly down [and was very frustrating].
• [There was a] consistently, delayed submission.
• [Every] day, [I got] an email about a problem that they are working on.
• [Weekly] issues for platform [was] addressed for slowness.
• Tech support needs [to have professional people answering tech problems, needs to be reliable, and be responsive whenever someone has issues].
• [The] tutorial videos [for DrChrono] are from several years [ago] and no longer apply to the [most] current platform layout.
• [The] help browser [is] nonfunctional.
• [Tech support is not well trained. You can not talk to anyone in person and they often do not answer tech tickets. Onboard trainers do not know their system. Customer often figures out the answers before the training rep. Between the accent and the noise of Google phone, my entire training session was asking her to repeat what she said. When they are rated lowest of the group for tech support, it is for a reason].

• One of the biggest frustrations is that PF only imports PDFs of lab results, but does nothing to allow manipulation of the numbers within these PDFs. I can pull up lab results but can't look at a graph, for example, of trends in serum sodium or hematocrit.
• Like EPIC, it would be nice to have an option like scrolling to all the "***"s using F2, which I always try to do on PF until I realize it does not work.
• I wish PF had more dot phrases to pull in things like lab results, etc., into the note. Since I cannot copy and paste lab results (which are stored in PDF) or blow them in with a dot phrase, I have to manually re-write them, which leaves our notes more vulnerable to human error. If this feature DOES exist, it isn't obvious to me or anyone in our clinic.
• It would be really nice to hear from PF support to see if we had any unmet needs in the clinic so that they could educate us on how to better use this EMR to support those needs.

Incentivized

DrChrono has resulted in revenue loss

If you don't want to do anything custom, the platform is pretty easy to navigate.

In my opinion and experience, they have a lack of customization so you have to constantly create hacks to make their system work for your practice.

I am glad I am not always affected by the platform problems. You get daily emails notifying you they are working on slowness, ERA submission problems etc

For the most part, the program slowness has not affected me directly.

Their tech support is not well trained. You can not talk to tech support directly. You have to submit work tickets, which have gone unanswered

We always get a return call within the time stated. There are many available topics on the forum and it is often easy to find the issue you are seeking more information on. When we have tried the live chat feature we have been satisfied with the timeliness and response.

Incentivized

When being trained on the billing program, rather than start at the beginning and "TRAIN HOW TO USE THE PROGRAM" the trainer kept asking me what questions I had. I kept saying I don't know what I don't know. Her response was, ok, were done then. You don't have anymore questions. The only thing I could think to do was ask her to explain each item in each drop down box, but she would just read out loud the drop down choices and ask what questions I had. This pretty much sums up their training.

If you have used other EHR and programs, over time you will be able to self train for DrChrono

TheraOffice has the best tech support and onboarding training. WebPT is also good, but their charting templates lack customization. RehabOptima and Casamba are straight forward and reliable. I am currently stuck with DrChrono.

The only other EMR I have used is EPIC. I worked as a scribe for PAMF, where I spent 50 hours a week in front of EPIC. I got to know it really well, and have used PF much less, so it is difficult to make a comparison. EPIC came with so many more options to view test results, visits to other health facilities, and past notes. It also had so many more ways you could format your notes, blow in data, and statistically analyze data. While EPIC is a much more comprehensive and well-supported EMR, it also would be too heavy and unnecessary for the small scale clinic work I do at a community clinic. I feel that each EMR has the environment they are well-suited for, and I am glad to be using PF now.

Incentivized

The platform is often being worked on for slowness.

• Negative: I have lost reimbursement due to the time for tech support to address ticket and the max claims submission time.
• Negative: I have [not had any medicare revenue for seven months] due to DrChrono not knowing how to enroll for Medicare Electronic Billing. This issue still has not been resolved.
• Negative: Lost time due to the platform being down or running slow.
• Negative: Slow claims processing.
• Negative: DrChrono needs [qualified] tech support, [quality] [for] onboard training, [timely] response to technical issues, [and timely] response to billing issues.

• PRO -- I know now what I need in an EMR/EHR
• CONS -- They have overcharged me and it has cost me money
• CONS-- They have disregarded my legal rights which makes me unsure of keeping confidential info in their systems and it will cost me money to switch
• CONS--They have cost me money with the time I've wasted to follow up on my own tickets that they refuse to follow up with