Opiniones de NextGen Office

Facil de utilizar

Puntos a favor:

En comparación con otro software que he usado hasta ahora, las funciones que me gustan son descargar registros médicos, enviar reclamos, publicar pagos y rechazos desde la pestaña EHR. El producto es realmente fácil de usar, solo toma unos días comprender la interfaz, no es nada confuso, es un buen producto para el espacio de facturación médica. Utilizo el software a diario para diversos trabajos relacionados con reclamos, ya que hago llamadas AR y nuestro trabajo es procesar reclamos rechazados. Realmente nos ayuda en nuestro trabajo diario.

Puntos en contra:

Hasta ahora no he encontrado inconvenientes mientras trabajaba.

Múltiples opciones

Comentarios: Brinda productos médicos de una calidad execelente y a precios asequibles

Puntos a favor:

Abarcan una gran parte de insumos tanto médicos como software que brindan soluciones integrales, con una fácil integración

Puntos en contra:

En algunos casos requiere algún grado de capacitación principalmente para el software por lo que se debe tener un buen acompañamiento del representante

Comforme

Comentarios: Excelente experiencia

Puntos a favor:

La rapidez para poder usarlo todos los días

Puntos en contra:

Al principio me costó un poco agarrarle la mano pero luego con las actualizaciones fue mucho más fácil

A Perfect NextGen Solution for Small Independent Practices

Comentarios: It is a great addition for our small independent polyclinic and we are quite happy with how it has increased our productivity.

Puntos a favor:

What is most prominent is a User friendly design focused on registering the patient and updating his status.Hassle free alert system with analytics designed for all types of procedures.Support for the program is strictly within the US and they offer hands on authentic support.

Puntos en contra:

It was overwhelming the redundant amount of features they have available which may take a while to sift through and fully adapt.It is not very customizable and felt a little flimsy in that department.

One of the best EHR Vendors around

Comentarios: I have had a wonderful experience with this software and it's auxiliary products. Even when things don't go as expected their customer support has been on top of it.

Puntos a favor:

I like the immediate transition of the company since the new [SENSITIVE CONTENT HIDDEN] has taken over. Their commitment to customer success with new edge technologies has been a great shift and kept me as a customer.

Puntos en contra:

I dislike the fact that they don't have a bigger stack in the hospital industry of healthcare. I think this needs to change particularly with their api and interoperability stack.

NexGen insights

Comentarios: Nexgen had many uses I used on a daily basis such as charting, e-scribing medications, ordering office supplies, as well as a patient portal where patients could access, they're records and medication list.

Puntos a favor:

Patients can review their personal health records, including medications and lab test results and the billing integration helped my billing needs

Puntos en contra:

learning to customize can be pretty complex and time consuming. It's really not the best for a small practice.

Product Review

Comentarios: It was not a bad experience but it was not very memorable

Puntos a favor:

Good program that is easy to use and simple

Puntos en contra:

The program did not offer many functions I needed

Next Gen Office Review

Puntos a favor:

NextGen Office is a useful platform to manage patient information with various templates / customizable options.

Puntos en contra:

When there are new software updates, it is a challenge because previously customized features disappear and have to be done again. Medical staff and providers also have to be retrained to get familiar with the new features / options.

Disappointed

Comentarios: Overall I'm disappointed and it seems overpriced. I like the custom forms, knowledge database, and templates. I am comfortable with technology and know with a little work the software could be better but I don't think anyone cares. Tech support is slow and you must log into a web site to post issues so you need to log back in to find a response. If it weren't so difficult to change, I would but don't want to go through it again.

Puntos a favor:

Support/Training Access. Almost anything you might have questions about is available in the knowledge database. The interactive training videos are very helpful.Custom Forms. Adding custom forms is easy.Visit Templates. It allows one to save common visit notes.

Puntos en contra:

Inaccurate error messages. For example, if a patient's address is not entered and you try to send a prescription, it gives an error message about the sig. It took forever for me to realize why this happened. Reported but support did not correct or seem to care.Tech support. To request a new feature/additional service, you must contact the sales rep. I wanted 4 months for a response to adding a second lab.Radiology orders. To order tests I must go into the admin area and add the test with the CPT code the first time. The tests aren't built in during setup so ordering a test you haven't ordered before is time consuming. The longer you use it the better it is but these should be built into the system.New patient. When adding a new patient, if they have a family member already registered with the same insurance, it forces you to use the existing profile and this doesn't always work so you are forced to start over. Claims. The process is time consuming. Inconsistent fields. For example, the date field on one form allows one to type in the date and automatically advances to the next field but on other forms one needs to tab from month to date, on anther a form pops up and you must click the month, day and year.

Pros and Cons

Comentarios: The only thing that it really solved is my doctor can dictate his note into the system the way he wanted to. But as far as the PM side, I would not choose this software again. It's not streamlined or user friendly as the demo's show and through training.

Puntos a favor:

I purchased this software a little over a year ago and I still struggle with it from the PM side. The EHR side I do not work with a lot personally but my staff and doctors seem to like it pretty good. The scheduler is easy to read. Billing has a lot ways to track denials, rejections etc.

Puntos en contra:

There are a lot of things that could be improved with the billing side. So many steps to make any corrections with payment postings. Constantly have to go from keyboard to clicking with the mouse instead of just clicking the "enter" key. May seem trivial but it does interrupt the stream of things.

Ease of Use

Puntos a favor:

Nextgen is user friendly and easy to navigate. I have used other systems and this by far was the easiest to use.

Puntos en contra:

The review of systems that we ask questions are not very customizable.

An excellent EHR tool that makes patient management and care management very easy

Comentarios: Overall its a nice and easy to use tool. Support is great and very prompt.

Puntos a favor:

It has billing and has support for medicare and medicaid. It also has different templates for different conditions which makes management easier.

Puntos en contra:

The management pages are pretty cumbersome to setup. Once that is done its easy to use

Good software

Puntos a favor:

It’s easy to navigate and pretty simple to learn.

Puntos en contra:

I liked most everything about the software so far.

Limited Customization & Difficult Corporate Team

Comentarios: I would not recommend working with this company/software. There are numerous options in the market at comparable price points that offer superior products.

Puntos a favor:

Provides standard EMR and Practice Management functionality. If all you're looking for is a simple EMR to track your patient encounters, this software is a decent option.

Puntos en contra:

1. Extremely difficult to transfer from other EMRs to this system. Beware that there will be a lot of manpower needed in order to get you up and running unless you're willing to pay expensive migration rates. 2. Account management and customer support teams are unorganized and inefficient. Often you have difficulty finding somebody who can answer your questions. 3. The pricing is based on a per physician basis. If you have a provider leave your practice/company, you are not allowed to terminate prior to your next renewal date. You could be left with significant fees for unused licenses if your company has any turnover. Their team offered no flexibility with fees during the COVID-19 pandemic.

Great potential, but needs some improvement!

Puntos a favor:

They are improving the product consistently. There have been two product updates since we started with them in March. Customer service has improved greatly as well. 99% of the time someone who picks up the phone and helps you with your problems. They have daily webinars that are free of a particular topic, so you can log in, ask questions, get help, and then log off. The product has a lot of great things such as ease of sending the charges from the docs to the billing department, seeing the exact statement that a patient received so you can talk to them more intelligently, getting lots of detail on the claims, rescheduling a patient from one day to the next, and blocking a portion of the schedule or opening a portion of the schedule.

Puntos en contra:

You can submit issues via email, but once they respond back, they close the case. Even if they didn't give you the answer you were looking for, you then have to email again and reference the case requiring you to print everything to keep track, because there is no way to follow the status of your case. If you submit feature requests, there is no way to know if they are working on it, aren't considering it, holding it for a future update, etc. There are specific reports that you can get, but if you need something that's not pre-built, there is very little way to obtain the info, if at all. I requested some kind of report writer. The reports all come out as an Excel spreadsheet which is good, because it allows you to manipulate and move around the data, but when you print it's very unwieldy and not pretty. They need to have a way to convert the report to a PDF format once you have it the way you like. Many of the reports don't offer options such as picking providers, locations, payers, so you have to manipulate the report after it opens to delete what you do not need, which is time consuming. The software is extremely dependent on location, which means everything you do has to be done by location creating a lot of work. If you have many offices, your docs do surgery in several locations and they are outpatient or inpatient. Changing or adding something has to be done many times, because you do it by location. It would be easier if there was a drop-down listing your locations and you only had to check the locations to which your additions or changes were applicable. Parts of the software feel as if they are too structured and everything has to fit into their predetermined way to do things. There is not enough flexibility and leeway to change portions that suit your practice. Vendor training was not great when we started and we paid for an outside vendor that works with Healthfusion to come on site and train us. I understand that the help and training portions have changed a bit since then and may be better. It has great potential if they would open up the software and be more flexible!

I must be missing something....

Puntos a favor:

It does have medical diagnostic tools like the Vanderbilt already included as well as an Asthma action plan/Asthma control test and several other questionnaires that are rather necessary in primary care as well as collates the information (i.e you can compare today's Vanderbilt score with their last Vanderbilt score without having to hunt down that note). However, true to NextGen's form, the things that worked really, really well (like having the school physical form be automatically populated with the vaccines), they have somehow succeeded in completely screwing up, making the very, very few good things about NextGen a rapidly diminishing anomaly.

Puntos en contra:

Where do I start??? Having to input data several different locations, it is SLOW and every single thing you want to do has to open a new window (read between the lines and understand that in an already slow program, every page you open has to load) and with all of the windows you open, there's no way to minimize them to go to another screen i.e you can't minimize the medications so that you can review the patient's last lipid panel, TSH, blood pressure, etc. You would have to close the medication module, open the orders module to review the lab then go back to the medication module and open it to make any medication changes. And if you want to make any medication changes or do any documentation at all, you have to have an open encounter and none of the encounters are labelled in any sort of orderly fashion so you have to open each encounter to find out where you put anything (again, think of each page having to load/open and taking 5-10 sec each). Medications: you have to associate a diagnosis with every single medication if you are a provider which is an awesome idea except that if you haven't previously entered that diagnosis, you can't actually save your medication and go back to it, you have to close out of the medication module, enter the diagnosis into the assessment and then go back into the medication module and re-enter all the same information again. Labs: there is no way to save quick phrases or phrases you use frequently so that conveying test results is, on a great day, a lengthy and painful process. Also, if you want to know how your current lab value compares with the previous ones, you have to open up the patient's chart and go into the order module. Entering orders: again, if the proper diagnosis isn't there, you can't save your work and open something quick to pop the diagnosis in, you have to lose all of your orders, "X" out of that screen, open up the assessment screen then go back to whichever area you were in (another lovely thing: everything is separated so putting in lab orders is separate from putting in diagnostic studies which is in a different tab than putting in referrals which is in a different tab than any clinic orders (like toradol, PPD, u/a, etc). Also, if you are ordering any sort of medication to be given in the clinic (like Toradol), if you forget to add that it's a medication, it deletes the order and you have to start all over. Various names depending on the section: sometimes it's filed under Pulmonary, sometimes it's filed under Lung, sometimes it's filed under Respiratory...and the sections aren't in any kind of order either. The routine way physicians document an exam is starting with constitutional and working your way down. Nope. Not in Nextgen. The main page of the physical exam has One Page Exam, then constitutional, then diabetic foot exam, then ears, (separate from) nose/mouth/throat then neck/thyroid then breast (huh????) on down. However, if you open up a quick-note [great concept if it worked but the software doesn't actually recognize anything is in any particular field (i.e. HPI, Physical exam) and ROS doesn't even save...so if you try to calculate the code it always comes up as a 99212)] and you want to modify the exam at all (because if you go into the one page exam and enter anything, because it doesn't actually recognize there is data there, it deletes everything except what you've just entered) you go into the "Additional" tab where the headings are (I kid you not) Neck/Thyroid then Breast then Psych then Ears then Constitutional then Respiratory then Nose/Mouth/Throat then Musculoskeletal then One Page Exam then Cardiovascular then GU then Abdomen the Skin/Hair then Head/Face then Eyes then Lymphatic then Vascular then Extremities then Rectal then Back/Spine then Neurological and on... The ROS starts with Cardiovascular and marches on down to end with Respiratory and then Vascular and one might think it was alphabetical except Reproductive is sandwiched between Immunologic and Metabolic/Endocrine. ROS: Since I brought up the review of systems, let's stop there for a moment. There are not things listed that a patient would say; they start out strong but then in Respiratory they include things like "Known TB exposure" (not really ROS but rather PMH or even HPI) and under Cardiovascular they include "Claudication" (not likely something a patient is going to complain about) and my personal favorite, under the female ROS is "Abnormal Pap smear." While there is the ability to pick "Other," most often the drop down menu that is supplied is a restatement of the things in the first menu so you have to hit escape and just type in your own words (or the patient's words). And on top of all of this, it has the audacity to be glitchy. One of the things it does for me is, even when I've entered an assessment, sometimes it doesn't recognize that it's there and then tells me to enter an assessment...news flash: because of the way the software is set up, you can't enter a plan without an assessment there, so if I got to the screen where I could enter a plan...clearly there's an assessment there...however, you can't argue with a computer... I titled this "I must be missing something" because if you go to their web page, they've got all these awards that they've won, etc and I just don't see how anyone could award them for anything. This software is abysmal at best and, if I leave my current place of employment it will be because of THIS. Not my boss, not the patients, not the money, the EHR. And this was adapted because the Illinois Primary Health Care Group that is over all of the FQHCs thought that this was the best option for Health centers that are taking care of a challenging population who needs things to be easier for them not more challenging. And with this software, I am more likely to miss things that need to be done because EVERYTHING is on a separate page and with 15 minute visits, who has time to do all that with a slow EHR??? Funny thing is, there's an update that may have fixed several of these issues but you can't task anymore so we can't upgrade. That would mean that every time you needed your nurse to do something, you couldn't send it to her, every time you wanted the front desk to schedule something you couldn't send it to them, every time you needed a follow up lab or test ordered, you couldn't send it to anyone to call the patient and do it. So either I'm missing something HUGE or the people who are evaluating NextGen and give it anything better than "Epic FAIL" are either working for the company or involved with someone who works for the company. My new analogy has become: if I did my job as well as they did theirs, I would be in prison for Manslaughter....

Just as bad or worse than any other EHR

Puntos a favor:

communicates with my billing company, but I could just fax a superbill just as easily. does insurance eligibility checks, does eRx (but is often difficult to find the pharmacy unless you know the exact zip code, sometimes doesn't find the pharmacy at all, like Safeway's)

Puntos en contra:

Wow, there is so much not to like... Word searching for ICD10 codes, past medical history and problem lists returns hundreds of search items that have absolutely nothing to do with the words being searched. Also, if you enter the words out of the order in which they would appear, you will never find them. Social History is much more than whether a person drinks alcohol or smokes. There is no way to put in valuable details of a patient's social history and automatically include it in your notes. A lot gets lost by having to adhere to some stupid engineer's formatting. Same with past medical/surgical/obstetric histories-you cant add any valuable details to anything (like which knee was replaced and what happened after their concussion, etc). The charting is so useless that I have given up and gone back to paper charting. I start an encounter just to put my billing through. Health Maintenance: I can't enter that a patient refuses to do a colonoscopy or mammogram. All I can do is "disable" that patient from being counted for meaningful use. Poor formatting: while they tout being iPad friendly, each page has lots of unused space, so there is a lot of scrolling just to enter data or get to the save button (and if you don't press save, you lost it). More poor formatting: entering vitals->information is so spread out that it takes two screens to enter. AND peak flow is on the first screen while height and weight are on the second "additional information" screen. Which is more important? Also watch out for the backspace button, sometimes it works like you would expect, and other places you will get logged out and lose all of what you were doing.

9 Years with NextGen

Comentarios: NextGen is a robust EHR that seems to offers solutions for all aspects of medical documentation including Practice Management for patient scheduling and billing. They are excellent with keeping up to date with the Regulatory, Prescribing, and Meaningful Use aspects that are required. There are calls and news letters to keep the clients informed of any upcoming changes or updates. No EHR is perfect. All have pro's and con's. We have had the opportunity to change software in the past but after consideration we decided to stay with NextGen for many reasons including cost and meeting our needs. I would recommend this software to others!

Puntos a favor:

We have been using this product for several years now. After looking at several other EMR's NextGen seems to be more user friendly than others I have seen. There is a lot of "clicking" and navigation to be done to complete a chart but it seems to be the same with all EHR's. NextGen offers recorded trainings, WebEx and onsite trainings to get the most out of the product. Support is quick to return calls when a ticket is opened for technical assistance or if you just need help with a workflow issue. We have integration/interfaces with several other products and all work really well together.

Puntos en contra:

Providers would like to see "more intuitive" templates. There are some templates that you cannot print from that would be of help, for instance the Vital Sign Graph.

Great experience

Comentarios: This software is excellent in general, it has freed a lot of my time since I have customized it.

Puntos a favor:

Once you customize documents, questionnaires, custom forms, physical exam information - it simplifies your work and you can be more efficient. Easy to customize once you learn how - my previous software took me long hours for several months to fix and even then it was not so easy, I had to keep typing additional data for my office notes. Saves time creating paper super-bills ( with my previous software I had to do it manually for every patient, then give it to the biller to post it), here once you close your note, the claim is actually ready to post... faster payments. The chief complaint has many set up questionnaires that are easy to use by staff and helps the health provider to quickly review the concerns, facilitates the interview, simplify the provider's work. Billing - has many ways to see the claims. Recall list for follow ups, blood tests, etc - once you order a test that is a follow up or in your note you document the follow up... automatically show in the recall list. Nice appearance of the finalized progress notes, many of the areas are automatically saving and you do not have to worry about losing your data. At the end of the day, you can review open encounters to make sure you finalized all your notes. Interfaces with labs and vaccine registries are available and work very well. Labs show automatically - there are icons on top of the page that make easy to find labs, tasks, messages, prescription requests, etc.

Puntos en contra:

Unable to see several tabs or pages at once, you need to save and close what you are doing to go some other part of the chart or if you need to open other patient's chart at the same time you are with one patient in the room - same applies for the PM portion and it is time consuming because you can not multitask.

How I spent my summer vacation OR Why I like my Nextgen Software program

Comentarios: I am satisfied with this program. I would prefer something that I could just speak to but that version of dragon is much more expensive.

Puntos a favor:

I chose this software because it was designed by physicians, specifically osteopathic family physicians. It is organized in the traditional SOAP format so it is intuitive to most of us. It took me a little while to get comfortable with moving around in it but it is second nature now. I like to freelance my subjective paragraph and it's easy to do. Pull down's appear as if you didn't actually listen to the patient. The tech support is outstanding. I can call them and they are always helpful and very patient with a physician who may not totally understand every nuance of the program.

Puntos en contra:

In the Rx number of days section, there needs to be a 5 day option, z-packs are 5 days and a 3 day option. Yes, I can type it in but I'm lazy. And if I type in an inhaler for 90 days, it has a problem allowing me to just send three inhalers. Same with BCP's.

I love MediTouch PM Software

Puntos a favor:

I love the A/R features. I love how fast I get paid by commercial vendors. I love how intuitive it is on helping avoid claim issues. I did not have any issues with implementation. I have had nothing but good experience with support. We have had this EMR for over a year (and I have dealt with a few) and this is by far the best I've used. We have not had any issues with it going down. We have called when we have thought the system was down and they have guided use through issues with browsers, internet speed etc. So we were always glad we called, problems solved when we thought it was on their end. Yes, claim eligibility check is only on some providers but if you get to know how to use it more in depth it can be VERY helpful in further info not just for eligibility but for knowing primary care provider etc. I have had ZERO issues with auto post and yes, I have double checked. I also really like their statement service, I review each statement before I "send" them to them to send for me but no more issues with bad addresses etc and well worth the money. Their "help" section is great. The help sheets are AWESOME. I email support more than I've ever called them and they send me helpsheets when I can't find them.

Puntos en contra:

I would like a better way to weed out the non paid lines with auto post instead of dumping them all to the appeal bucket. I would like to be able to attach a claim to the billing comments and be able to send them to another employee to review. I wish that I could upload our own forms to save in the system- I do not like the forms library at all, pretty well worthless to us, I would like it if I could upload, name our files and use it that way.

Comentarios: I am a Pulmonologist in a busy private subspecialty practice. I have experience using several diffeent electronic health records. Our practice has been using the NextGen product for more than 7 years--so I can speak as a battle tested user of this product. There are certainly some advantages to using any decent electronic health record including access to outpatient records across campus, handling of phone calls, archiving of information, etc. However, the NexGen product has a long, long way to go to catch up. For communication with other physicians the product is atrocious. Computer generated notes are laden with typographical errors, grammatical errors, truncated sentences, and at times gross inaccuracies. For instance, our current template for physical examination puts no output into the office note for the pulmonary exam (and this is for a busy pulmonary practice!). Here is a recent example of text from a COPD follow up note template: Reason(s) for Visit:
1. COPD - routine follow-up -The patient is seen in follow-up for COPD. The COPD - routine follow-up began since the last office visit. The COPD - routine follow-up has worsened. It occurs daily. The patient rates the severity of the symptoms as mildly severe. Symptom is aggravated by moderate activity. Symptoms relieved by resting and sitting. .... On top of this there are nonsensical changes of font size and style in midsentence that make office documents look like ransom notes. I care about the quality of my written work, so I literally spend hours each, most of our template improvements are wiped out. In my view, NextGen was clearly built first as a billing instrument, not as robust tool to promote all aspects of physician practice. The awards are certainly not for the quality of office notes or layout of screens for the enduser. Labs do not import into notes. Micro reports are difficult to read and necessitate scrolling through multiple windows. Data trending graphs are clunky, improperly scaled and often misplotted. As a practice group, we have tried to work with the NexGen programmers and have been very dissatisfied over 7 years with their lack of responsiveness and seeming inability to fix identified problems. Often when one problem is solved many more are created. As a result, our practice has invested a large amount of funding to support a local programmer to try to correct many of basic flaws in the software that should be part of the package out of the box. Unfortunately, with major system upgrades most of our template improvements have been wiped out.

Not bad but it had to grow on me

Comentarios: We use NextGen to create patient charts to submit and generate claims to send through our clearinghouse. The set up was off to a rocky start but overall we have learned how to use the system and utilize the functions. It is not too difficult to use and for the most part easy to navigate and understand after fully learning the in's and out's of the system.

Puntos a favor:

The billing chart entry is not terrible. After a while you get used to it. It is fairly simple to use once you have a full understanding of how it works and able to easily operate it. The charge entry is extremely simple giving you step-by-step charge entry points to easily understand.

Puntos en contra:

The customer service was NOT great. I dont know if perhaps my experience was unique but especially when it came to deployment it had a very difficult time. I do not like how they restrict you on what you are allowed to do within your own database. I wish the user had more capabilities especially when initially setting it up for the office. I feel like every time I have an issue no one knows how to answer it and just passes me off to the next person.

Wide improvements over the last two years

Comentarios: I've been working with NextGen EHR in a clinical setting with multiple specialties since 1999. As a Health Informatics EHR consultant, I have the opportunity to support practices internationally and am exposed to numerous EHRs. NextGen is amongst my top 3 favourites.
PROS: NextGen is fairly intuitive. It is easy to navigate through an encounter and locate the tools you need to manage your patient's care. The EHR offers a progressive workflow so you won't need to jump around between disjointed tabs or sections of the EHR to document an encounter or procedure. From one set of templates you can work through an entire encounter with every component readily available - SOAP/APSO, Care Coordination, patient communication and so on. Within easy reach is the ability to order and manage diagnostic and lab tests, immunizations, and monitor preventive milestones. There are many opportunities to view and manage common areas of the patient record so you won't need to jump out of an encounter to review medications, allergies, chronic problems, or medical histories - just to name a few. NextGen accommodates multiple specialties ranging from Primary Care, Behavioral Health, surgical specialties, and optometry and so on. Best of all, there are plenty of time-saving tools that work like Macros build, then load when applicable to a patient or encounter. This includes frequently reached for medications, phrases, treatment plans, PE and ROS findings...even an entire SOAP note for common complaints. Using these tools is often easier than dictation. NextGen is certified across all Regulatory Healthcare measures.
CONS: No doubt, this is an expensive product. Their implementation process is a nightmare. In my humble opinion, their Implementation process often lacks focus and project plans given to new clients are cookie-cutter and not at all relevant to the client's organizational needs. Milestones and deliverables tend to fall short. Training is oft left to tedious eLearning modules and recorded webinars. This is no way to learn a system as adaptive as NextGen and organizations adopting this as their EHR will find themselves frustrated long after go-live. I can't stress enough the importance of in-depth, workflow specific training, customized to how you do business.
SUMMARY: No EHR is perfect. But, out of the box this EHR will likely serve your needs and, with adequate training, you will find that physician adoption may be surprisingly high.

NextGen Healthcare

Comentarios: It has been generally good. I have looked at switching multiple times but have not made that switch so they have kept me for about 5 years.

Puntos a favor:

It is on the cloud. It is a comprehensive package in that it integrates the clinical side with the billing side. They do update on a regular basis. My understanding is that they get back to questions reasonably. I don't do this myself.

Puntos en contra:

User interface has a lot of little things that could improve the clinical side. (This is what I use the most.) Downtime is a huge thing as everything in the office is dependent on this being up and going. I feel there are way too many times it is slowed or even crashes. It used to be on a regular basis on a certain day and seemed to correspond to update notifications. Maybe quality control of updates or implementation has improved but now it is less consistent but still much more common than it should be.