Constant Contact vs. Tebra Billing & Payments

Constant Contact is an excellent tool for sending out flyers and newsletters. However, I feel the content's appearance is typically all the same. When I receive an email from Constant Contact, I can immediately identify it - the templates usually all look the same. When sending out communications with images, it is easy to use Constant Contact and link webpages. However, the email layout is always vertical and can get very lengthy. I prefer a more flip-book approach with options to flip the page.

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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.

• Market segmentation is great: my main segmentation is by region because that's how our sales team is divided.
• Lists: making customized email lists is easy and intuitive; the custom fields allow some flexibility in case our fields don't exactly line up with Constant Contact's.
• Campaigns: creating campaigns is quick and simple. I especially appreciate the 'resend to non-openers' option. I am constantly using this feature.
• Subject line generator: I like using the recommended subject lines. I'm able to plug in their recommended ideas, or sometimes, this feature helps me generate my own ideas.

• 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.

• It would be nice if we had more customizable options for emails - like moving around pictures and text boxes, rather than a set spot for everything to go.
• I would like it if multiple people could work on a document at one time. So if I'm in charge of graphics, I can get those updated while someone else is entering content, etc.

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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...

There is no doubt that we are going to renew Constant Contact. We have not just invested a lot of time in learning and creating a great looking product but we have developed a strong database of information that allows us to track how we are doing for each newsletter. This supports our goals of creating products that residents desire and are excited to receive.

There is always room for improvement. I don't know how they test their systems, but they should invite not-so computer savvy people to test it. If I, as an expert have problems, they need to think like the technophobe. Since I've used Constant Contact in the past as part of my former employment, I have not viewed any of the tutorials and just jumped in to work on my client's newsletter. With that said, I found some areas easy and some a bit cumbersome

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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No major problems in sending out the email campaigns and accessing the analytics

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The system seemed quite slow sometimes. Specifically, there was sometimes a delay in sends if it was during a high traffic period. There were time-outs when uploading new code for an email, and a lag in reporting analytics which was sometimes as long as 72 hours

I think the overall support for Constant Contact has always been incredible; I have nothing negative to say. Our customer support representative was attentive, easy to understand, and very knowledgeable. I never felt like I wasn't a priority of his and my issues, while very small, were fixed in a very short time frame.

Implementation is very easy for someone who wants to send out the “batch and blast” type newsletters. If you want to use their templates with no customizations, the product works fine. However, the more customizations you get into involving link color, etc, that’s where things can get tricky for someone who may not be familiar with coding

Constant Contact is much more intuitive for people who are not tech-savvy. Also, while sendgrid offered more options in it's drag and drop interface, it displayed differently across different email clients, which made it very cumbersome to use. It also took much longer to upload contact lists and it was harder to manage existing contacts. Performance in sendgrid was much slower as well, and the Preview feature was quite buggy. Our team initially chose sendgrid because of the integration options that it's API offered, but we ultimately switched to Constant Contact because it was much easier to build campaigns and better suited our requirements.

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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Very reliable in sending email campaigns and controlling the recipients so that no contact is sent the same email more than once, even if they are on a resent list

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• I have had nothing but positive impacts from using Constant Contact.
• The church is large, and there are many subgroups and axillary groups within the church. Setting up specific groups based on responsibility, interest, member goals, and service needs allows me to send information quickly, saving valuable time for other tasks.
• Constant Contact allows leadership to stay personally engaged with the members I work with, without over-taxing my time. It feels so seamless.

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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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Independently Invited by TrustRadius

A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. More Info