RXNT vs. Tebra Billing & Payments

For my psychiatric telehealth practice, RXNT is just about perfect! Once the patient paperwork packet was completed, the portal is opened and my encounter templates were up and ready to use - I could spend time actually listening to the patient because my paperwork pulls into the chart and subsequent visits can be duplicated/updated easily. It just takes time to get everything completed and ready for use. I didn't have much down time between switching my EMRs which was a little stressful trying to get patient charts moved and my paperwork built.

Incentivized

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.

• Patient portal, communications with patients and an easy to use platform for communciation.
• Auto posting features and claim scrubbing tools.
• Claim management and the ability to easily work to correct claims errors, rejections, and denials.
• Easy customizable reporting tools for administrative analysis on our perfromance.

Incentivized

• 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.

• Since my last review, there have been significant problems with RXNT. The first being that after the new year, I was unable to send controlled substance prescriptions. The solution turned out to be an obscure and arcane issue that was difficult to resolve
• Second, RXNT added additional steps for authentication when signing but completely bungled the roll out, informing users with only one pop-up informational box on a Monday morning with no follow up nor any advice on how to manage this change. The result was that my entire organization was unable to access RXNT for several days on Friday after they made the change.
• Third is RXNT's collective response to the second problem, namely that no one could access the program, meaning we could not view past notes for patients nor prescribe medications. They took almost half a day even to respond to our multiple complaints and requests for help. When they finally responded, their suggestions were completely useless and we remained unable to use the program. Fortunately, our CEO figured out how to access the program over the weekend. However, that meant that many of us had to work over the weekend to complete our notes and prescribe meds. Of note, we did not get a single response from RXNT over the weekend, in spite of multiple emails.
• Fourth, RXNT offered absolutely no apologies or accountability for their actions. They excused themselves from failing to respond to our emails and requests by noting that they had only 20 IT staff on hand for the roll out of the changes noted above, for which they seemed to have failed to plan for any issues. They made nothing but excuses, blaming us for their poor planning.
• Fifth, after our CEO chastised them for their entirely unprofessional behavior and lack of caring for their customers, they assigned us a specific individual, whom they claimed would be responsive to us for any further difficulties. Well, we have had a number of further difficulties in logging in to RXNT and prescribing controlled substances, and the individual tasked with taking care of us was no more responsive or accountable than we had experienced before. She did not answer emails in a timely fashion, nor did she offer any useful assistance.
• Overall, we are very disappointed with RXNT, who have proved to be unprofessional, unaccountable, and incompetent.

Incentivized

• 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...

This is exactly what we needed and I can’t think of of another system that can give us better service and customer support for a better price.

Incentivized

Having used other systems, there are still items I would like to see added to this platform. Additional forms, understanding of how to load those forms into the system. Ability for clients to access those forms. And the ability to upload forms that are coming in externally. This would be helpful.

Incentivized

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!

Incentivized

We have not had any issues being able to connect.

Incentivized

No issues at all. We could not be happier with this system

Incentivized

Product support is absolutely terrible. We have been having problems with the product since the beginning of the year and their customer support has been growing progressively worse. The most egregious example of this is when they implemented a major change to the authentication process without any planning. When things went wrong, they offered no support. Very disappointed.

Incentivized

Gabrielle and all the rest of our trainers were great!

Incentivized

Customize encounter templates, billing codes, and forms to match your specialties. RXNT allows specialty-specific configurations, which improves efficiency.

Incentivized

RXNT offers better quality and more customization for the cost. Valant was very expensive regardless if you wanted a few features or the entire EHR. eClinical Works is easy to duplicate records but then it can take a while to update with current information. And their updated version...you might need a magnifying glass especially if you are using on a laptop. I love the larger font and overall appeal of RXNT much better

Incentivized

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.

Incentivized

It fits our needs perfectly

Incentivized

I can’t saw enough about how great everyone was

Incentivized

• RXNT has allowed us to ramp up bringing on new clients from an average of 90 to 120 days to under 60 days.
• We have save an average of 3-5 hours per month on admin costs due to the extensive, easy to understand reporting tools.
• Clean claim accuracy has risen by an additional 7% using RXNT.

Incentivized

• 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.

Incentivized