Why did I wait so long

I've been in medical billing for over 25 years and have used many different billing programs. After the billing program we had been using, for several years, made some "unfavorable" changes, we knew it was time to look for a new program. My staff and I researched and did demo's with many different billing programs (including RxNT) over the course of a few months. We actually switched one account to a new program, which we thought was the best. After a month, we can't get them to actually answer any issues we are having. We went back on the hunt and revisited RxNT. I think we overlooked RxNT in the beginning because we thought "with rates this good, there has to be something not right with the program". We set up an hour long demo with RxNT. This demo actually lasted two hours as I had a lot of questions, as to "can the program do this" "can the program do that". The staff that did the training was wonderful! They answered all of my questions and the one questions they didn't have the answer to right that minute, they checked it out and called me the next day. We switched to RxNT that very day.

Pros

There are so many pros's, I don't know where to start. The staff at RxNT is wonderful. I can call them and get right thru. I can email them and they will respond within minutes. The program itself is great! It is very easy to navigate. You don't have to spend hours searching for reports or settings. Everything is right there. The scheduling is so easy. I just did a training session yesterday on the scheduling, for one of my offices, and the entire staff liked it so much better than what they had before. They commented on how much better it was to schedule a patient and the checking in process. The billing side of the program is really nice too. There are procedure macro's (very helpful) and searching for a diagnosis code could not be easier. All other programs I have been on, you have to know the exact medical term to search. RxNT somehow managed to program the diagnoses so that anyone, at any level of medical terminology, can find exactly the right code. It has even told me a couple times that I needed an additional diagnosis code based on what I had entered. No other program I've used as done that. When we first signed up for RxNT we were told that we could start sending claims immediately on the smaller insurances but that it would be 3-5 weeks for the bigger payers. I was receiving ERA's from these bigger payers within 10 days. The clearinghouse people were in constant contact with me and sent me weekly reports so I knew exactly where my payers were in the process. RxNT is unlike any other billing program. And their staff is also unlike any other billing program staff. The staff at RxNT are like no other staff I've encountered. They really take pride in what they do and treat you like family.

Cons

The only Con I have is that the program does run a little slow after awhile. Once you log off and log back in, you're back in business.

Needed info on purchasing Rx blanks

Suggestions: Compress info under Rx Hx onto one or two lines so I can see 10-12 past rxs on one screen instead of three at most. Compress the Rx writing page so I can see 6-8 on one screen. Too much scrolling when filling multiple Rxs. Have to remember what's up top when I scroll five rxs down all the while the pt is talking! At the pharmacy designation page, the # of pills being sent needs to appear next to the drug. Sometimes I am sending #30 to local pharmacy and #90 to mail away or printing that to give to pt, and I can't tell which one goes where on that page as I cannot see the quantities. Results in much back and forth changing pharmacy designations. Frustrating and error prone. Please remove the auto addition of DAW to any brand name drug written. This is a relatively new default and requires me to remember to check "generic". Trust me, if I want brand, I will write BRAND MEDICALLY NECESSARY" as is required in my state. A year or so ago, another annoying default appeared on controls. Having to uncheck the "prn instructions" is a waste of time. I designate prn instructions in the sig myself. Nothing like finally getting it to the send point then having to scroll thru six rxs to see what is holding it up. Was pretty disappointed in e prescribing update. Was hoping some of this was being looked at. I had spoken to developer many years ago on several occasions about same issues. Overall still great value and your support staff is always great.

Pros

EPCS best thing ever. 3+ yrs ago I was 1st in my area & pharmacists still report almost 0 others using this. Feather in my cap! Just yest I went to pick up personal Rx at target. I know staff but when I got there, the staff called new pharmacist over to meet me saying "this is DrS, she's been our only EPCS prescriber for years until last week"

Cons

Final pages of Rx generation still not efficient. Still bulky, time consuming scrolling up n down. Due to having to generate three rxs for same Med sometimes, one for now to be sent to the pharmacy and one for 4and 8 weeks to print along with other MEDS, seeing only one per screen is maddening. They often are not in order and sometimes it's two diff MEDS getting same rxs (Adderall and adderallXR) so it's a mess trying to see if I've generated three of the right ones for each. If I could see a half dozen on a screen I'd be less error prone.

MULTIPLE CLICKS AND SPINNING SCREENS WATE VALUABLE TIME

Pros

CLAIM SENDING OPTION IS SIMPLE. E SCRIPTS WORK WELL. The DASHBOARD is a convenient feature that we find helpful .

Cons

Too much time wasted with extra clicks. Inability to create simple custom reports. Many of the PM reports are useless and require much added time to create something that is useful. Once created, system is unable to save the template for future use as other programs do. Lack of available , useful information on the schedule screen leads to more multiple clicks for simple items such as copays. Constant browser spinning, constant re-sign ins from screen to screen. Overload of of system errors bog down production. Although this product has potential, it is still in it's infancy in terms of being useful. Spell check would help improve the professional look as well. Staff is often unavailable immediately for help.

Future Market

I am an 80 year old physician with nearly 50 years of practice and a career that included having been an Assistant Prof of Medical Computer Science at Yale in 1970 - 1980 My mentor Shannon Brunjes MD, said to me in 1969 "When medical and IT people get together they will just want to automate the status quo." That prophesy has turned out to be more true that we imagined. RxNT suffers from that truth only in a few small ways that come with the scarce wiggle room of an application so central to medicine as prescription writing. RxNT does every thing - just about - possible to tame the chaos that has existed in prescription writing where the standards have so often been really messy in the status quo. Three cheers for that. On the other hand the status quo in medicine is changing. Name-it, blame-it, tame-it prescription pad medicine is giving way to choices doctors and patients are making for what we call Functional or Integrative medicine where prescriptions are more and more aimed at the individual and less at the disease. Such prescriptions are more likely to be compounded and may include fewer pharmaceuticals and favor other strategies that will be much more effective in favoring Nature's buoyant impulse toward healing.They, therefore, belong right up there with drugs in the documents that doctors use to communicate with doctors. (see Cons below)

Pros

Once I got the hang of it - thanks to Morgan Deitz - i find the program so much better than what I have had for prescribing that its incomparable.

Cons

Doctors who belong to my Functional or Integrative tribe will, when using RxNT find themselves frequently visiting the Utilities /Medication Management feature very often to build up their own list of prescriptions that are both different by more tailored than RxNT's "behind the counter" selections. Your marketing will benefit from feedback from the data showing that kind of use and your staff will need to find ways to get access to those selections without sending them out behind the Utilities wood pile to an interface that should be easier to use especially when it comes to generating sigs that can be more easily re-used for, say, compounded HRT mixtures of E2, E3, DHEA, Pregnenolone, Progesterone and Testosterone. This can be done without scaring conventional doctors but it will take some finesse on the part of your design team to protect conventional eyes averted from nutrients and nutriceutcals. On another point the notion that prescription drugs are real medicine and the other stuff is questionable at best or the devil's work at worst will be fading in the coming generation of doctors who will welcome the idea that every thing in the patient's plan deserves the title of "prescription" so. The special status of prescription drugs is understandable when it comes to controlled substances. It should be understood as "special" with respect to many other pharmaceuticals because they are dangerous. Natural substances are often much stronger in the sense of promoting healing and should have a status on your website (some day) that is consistent with that reality. The fact that your checklist does not include Functional Medicine or Integrative Medicine or Functional/Integrative Medicine for "Industry" (which is weird as a header for what is mostly a list of specialties) should be corrected. There are lots of us out here and more coming. At the very least it would be a good marketing tool to know about what we do.

The best experience to date!

My sales representative, Kelsey is the best sales professional I have ever worked with. I've been using the prescribing software for many years and Kelsey has always been responsive in a prompt manner and quickly resolved any problems I experienced.

Pros

The prescribing software is the best I've ever used. The prescribing software is easy to use and very efficient. During the early stages when electronic prescribing became a requirement in my state, my sales representative, Kelsey was instrumental in resolving problems with my token. When my token was not working,, Kelsey quickly made arrangements for another token to be mailed to me. She made sure the process was seamless. Kelsey has always made herself available to answer my questions without having to play phone tag which is what I experienced with other problems vendors.

Cons

I wish the manual for the medical records portion was more detailed. I am still struggling with finding the time to schedule a tutorial but am so satisfied with the prescribing software that I am determined to schedule a tutorial so I can begin using it fit all of my patients. .