F0nzie's Cash Private Practice - The Updates

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F0nzie said:
I am just starting to understand why reputation is so important. We have been developing excellent relationships in the community and providing "high intensity" care for individuals with very complex issues and getting positive results. People find value in this and when they hear about it they are willing to pay out-of-pocket. We have already abandoned the 30 min med check for child patients because it is not enough time to address their issues.
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So you're spending an hour with every child patient? Are you including any psychotherapy, or doing strictly medication management during appointments? Thanks for the updates. :)
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wolfvgang22 said:
So you're spending an hour with every child patient? Are you including any psychotherapy, or doing strictly medication management during appointments? Thanks for the updates. :)
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Yea... the 30 min med management thing was not working for child follow ups. Parents consistently needed 1 hour.
 
I thought I'd make a quick post about online visibility. This past week we have received 2 inquiries from people who found our website online. Both of these individuals were looking for an in-network provider.

So if anybody is interested in making their own website or hiring someone to make a site, the next step is SEO (search engine optimization). Google has this ridiculous algorithm that it uses to rank pages.

It's taken us around 6 months to get a decent ranking on Google. I have put in a ton of hours learning the process (apparently Google changes the algorithm periodically). I am a bit tired of it so I am placing it on the back burner.

My kiddo takes up all my time these days :)
 
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F0nzie said:
I am just starting to understand why reputation is so important. We have been developing excellent relationships in the community and providing "high intensity" care for individuals with very complex issues and getting positive results. People find value in this and when they hear about it they are willing to pay out-of-pocket. We have already abandoned the 30 min med check for child patients because it is not enough time to address their issues.
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Interesting.

So for a good, cash-based practice....what do you think is a reasonable take-home for full-time....300K?
 
F0nzie said:
Yea... the 30 min med management thing was not working for child follow ups. Parents consistently needed 1 hour.
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"Needed" might be a strong word. More like "ability to pay" equal to "narcissistic desires." :naughty:

That's not to say it doesn't happen a lot doing things right. I bill a lot of time-based 5s. I hate that you can only use the "parents arguing" code with a psychotherapy add-on. Because sometimes negotiating through 45 minutes of angry divorded dad screaming at angry divorced mom isn't exactly family therapy as much as it is just trying to make sure a kid survives the egos of those who produced him.
 
billypilgrim37 said:
"Needed" might be a strong word. More like "ability to pay" equal to "narcissistic desires." :naughty:

That's not to say it doesn't happen a lot doing things right. I bill a lot of time-based 5s. I hate that you can only use the "parents arguing" code with a psychotherapy add-on. Because sometimes negotiating through 45 minutes of angry divorded dad screaming at angry divorced mom isn't exactly family therapy as much as it is just trying to make sure a kid survives the egos of those who produced him.
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Based on what you've said, I think that I've probably been under coding with 99214 a lot. I'll take a look at that. Thanks :cool:
 
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wolfvgang22 said:
Based on what you've said, I think that I've probably been under coding with 99214 a lot. I'll take a look at that. Thanks :cool:
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I bill a lot of my appointments at 4s, noting them as 25 minutes spent and 15 minutes with counseling and coordination of care. That is accurate to what I'm doing, and I don't need to worry about missing something else in the note. If the appointment goes over 45 minutes, chances are a lot more than half was counseling and coordination of care. I could probably call those rare 5s a 4 with a psychotherapy add-on and that would be fair as well. Time-based just seems clean, and if anybody audits me, they'll see my schedule is open enough that these things make sense. "Counseling and coordination of care" is one of the most vaguely defined things I've ever heard. I'm working at a pretty sick sub-sub-sub specialty clinic, so it makes sense our kids get this extra attention to prevent admissions and such.
 
Love it fonz

you ever think about making a site just for child?

May optimize your search results as you are targeting two different groups. Also i think parents would be more interested seeing a site that highlights the child aspect. Like a pediatric dentist whose office is geared towards kids, maybe a website that more directly markets that would be better. I think adults are going to sweat the finances more.

You just have to appreciate you are marketing to select group and probably not a market size where you want to lose a potential patient.

Turning them off by the price of follow up visits or a parents lay perspective of "child specialist".

The price should be the last thing they see on your website, I think you need to sell what they are getting a little more before they see those prices.

Cause with a limited pool of patients you are trying to reach, they are only going to go to your website once if they decide its too much. And the $100 dollar loss between $375 and $275 that would have got them in your office isn't the same loss of income when you lose a potential patients continued visits. I'm in northern NJ and the rates are not this steep for those with 30 year old practices. Not dissuading the rate you want, but you don't want to lose potential long term patients when theres a limited number who will pay that

As an outside perspective looking at the prices its a bit daunting thinking of the overall cost of therapy, while if I just saw the $375 initial and was interested in this extra attention I would be more likely to initiate. And at least after one visit you are able to gauge how intense a patient is going to be or how frequent they will need to be seen. Maybe then give a figure you can live with. At least this is why I suspect I usually just see initial visit prices advertised and not med check

Also why no cash at fonzie's cash practice? I'm disappointed.

Will you be working out rates differently for patients who have more frequent appointments?

Like what you are doing so just trying to throw out ideas

You may consider offering initially a free 30 min consult for new patients, cause you aren't really losing that $375 fee for patients who would never have come in for that inital amount. But, who would pay for continued therapy for $250 after meeting you. You are new and novelty is important for someone wanting therapy as they may not have found the right dynamic with others in the area. But you can blow a market for yourself, when you aren't the new psychiatrist in the area anymore and people have already dismissed therapy because of initial fees that scared them off. I'd just hate to see you give up and bend over for insurance because of minor tweeks or initial fees. Which isn't important when you have a regular cash patient at that rate.
 
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Hey Fonz, one of the things that could maybe make the rates look a lot more palatable is if you listed the typical out of network coverage rate as well as the full cash payment. I was talking this over with my gf and (for example) 20 sessions of therapy at 50 dollars an hour out of pocket sounds not half bad. The idea of 20 sessions at 200 an hour sounds like a new source of an Axis I disorder.
 
I have not been posting much lately because the pp turned out to be way busier than I had anticipated. I appreciate everyone's feedback and support. I think these are all great ideas. Hopefully the information being shared on this thread can be useful to anyone thinking of starting a cash practice. The nice thing about private practice is you get to play around and test your ideas out.

Recent highlight of the pp: 1 severely depressed patient with a ton of medical problems and childhood hx of abuse/neglect. Just recently went into remission after antidepressant augmentation + short-term dynamic psychotherapy. I thought she was going to be along-term therapy patient but she was highly motivated and got better in 2 months. First time I have ever had a patient come to my sessions and take notes. It was nice receiving a hug, closing with her, and letting her go.

Anyways we have 24 patients at this point (almost 3 months in), 3/4 of them are med-management patients the other 1/4 are med/therapy. We are getting around 5 inquiries per day, adult:children is about 4:1. Only about 1:10 patients are able to afford the cost of treatment.

We have had 1 no show and 1 patient who's parent did not pay for the intake. The pool of patients have been very complex who have been through their share of insurance-based psychiatrists looking for a silver bullet or unwilling to wait for an appointment. 1 patient did not want his insurance company to know that he was being treated for a psychiatric condition. 1 patient requested a consultation and continued with his psychiatric nurse practitioner that has her own pp.

Only 1 patient has received reimbursement from self-submission from their insurance company ($100 toward their deductible when our intake rates are $375+). The rest are furious with their insurance companies. We have waived fees for financial hardships and provided free sessions. We have also provided emergency weekend sessions for semi-crisis situations.

I have been pulling my hair out recently because I feel like the work is non-stop! I have noticed that my wife and I have been a bit more irritable with each other because we'd be getting a phone call or an email from a patient during our time off. It's to the point where we aren't even considering lowering our rates because we do not want anymore patients! We also just filed for an LLC and need to get our business accounting together and it has been rather stressful. We have occasionally spoken about abandoning the pp but we are going to give it a year to see if we can adjust.
 
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F0nzie said:
I have not been posting much lately because the pp turned out to be way busier than I had anticipated. I appreciate everyone's feedback and support. I think these are all great ideas. Hopefully the information being shared on this thread can be useful to anyone thinking of starting a cash practice. The nice thing about private practice is you get to play around and test your ideas out.

Recent highlight of the pp: 1 severely depressed patient with a ton of medical problems and childhood hx of abuse/neglect. Just recently went into remission after antidepressant augmentation + short-term dynamic psychotherapy. I thought she was going to be along-term therapy patient but she was highly motivated and got better in 2 months. First time I have ever had a patient come to my sessions and take notes. It was nice receiving a hug, closing with her, and letting her go.

Anyways we have 24 patients at this point (almost 3 months in), 3/4 of them are med-management patients the other 1/4 are med/therapy. We are getting around 5 inquiries per day, adult:children is about 4:1. Only about 1:10 patients are able to afford the cost of treatment.

We have had 1 no show and 1 patient who's parent did not pay for the intake. The pool of patients have been very complex who have been through their share of insurance-based psychiatrists looking for a silver bullet or unwilling to wait for an appointment. 1 patient did not want his insurance company to know that he was being treated for a psychiatric condition. 1 patient requested a consultation and continued with his psychiatric nurse practitioner that has her own pp.

Only 1 patient has received reimbursement from self-submission from their insurance company ($100 toward their deductible when our intake rates are $375+). The rest are furious with their insurance companies. We have waived fees for financial hardships and provided free sessions. We have also provided emergency weekend sessions for semi-crisis situations.

I have been pulling my hair out recently because I feel like the work is non-stop! I have noticed that my wife and I have been a bit more irritable with each other because we'd be getting a phone call or an email from a patient during our time off. It's to the point where we aren't even considering lowering our rates because we do not want anymore patients! We also just filed for an LLC and need to get our business accounting together and it has been rather stressful. We have occasionally spoken about abandoning the pp but we are going to give it a year to see if we can adjust.
Click to expand...

From what you have seen do you think starting a more traditional private practice that accepts insurance but offers less access to you all would be any less stressful?
 
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F0nzie said:
I have not been posting much lately because the pp turned out to be way busier than I had anticipated.
Anyways we have 24 patients at this point (almost 3 months in), 3/4 of them are med-management patients the other 1/4 are med/therapy. We are getting around 5 inquiries per day, adult:children is about 4:1. Only about 1:10 patients are able to afford the cost of treatment.

I have been pulling my hair out recently because I feel like the work is non-stop! I have noticed that my wife and I have been a bit more irritable with each other because we'd be getting a phone call or an email from a patient during our time off. It's to the point where we aren't even considering lowering our rates because we do not want anymore patients! We also just filed for an LLC and need to get our business accounting together and it has been rather stressful. We have occasionally spoken about abandoning the pp but we are going to give it a year to see if we can adjust.
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I understand the stress of business accounting/legal organization, but how can you be that busy with only 24 patients ( a majority of which are med-management)?

Is it that you are personally spending too much time on the inquiries of perspective patients (many of whom can't afford or are unwilling to pay your rate)?
 
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michaelrack said:
I understand the stress of business accounting/legal organization, but how can you be that busy with only 24 patients ( a majority of which are med-management)?

Is it that you are personally spending too much time on the inquiries of perspective patients (many of whom can't afford or are unwilling to pay your rate)?
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I am so used to just showing up to clinic, seeing patients, then clocking out. Not at all used to running things. I am having to respond to all the emails and calls from patients (I may be seeing med management less frequently but I am still their doctor 24/7), be a secretary, amateur biller, maintain the website, revise the contracts, accounting, filing system, inventory, marketing (takes up a huge amount of my time), correspond with therapists, primary care physicians, and family (a lot of uncompensated time). All said and done I am probably making $10/ hour right now.

I honestly don't know if it is financially worth it when I can get paid $150/hour at a community clinic and clock out. I definitely see the impact we are making in private practice by offering very intensive and personalized services with psychotherapy. I also do not want to lose my therapy skills (I am already having to revise certain CBT protocols). Word of mouth is on fire right now and I want to continue growing the business, but I will need to find a way to preserve my sanity.
 
But yea, probably spending too much time answering inquiries. I am not ready to hire an answering service so I've set up an automated voicemail that will direct new patients to the website. There was one day were I was answering calls the entire day and I felt wiped out.
 
I literally know nothing about this, but from what your writing it sounds like a teasonable thing would be to hire someone else part time to do all this non-doctoring stuff. The opportunity cost of you spending time on a lot of this stuff is massive, if you can bill a patient hundreds an hour, seems bad to spend that hour doing something someone making 15$ an hour could do just as well as you. Granted hiring someone is I'm sure infinitely harder to do in practice than theory.
 
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Armadillos said:
I literally know nothing about this, but from what your writing it sounds like a teasonable thing would be to hire someone else part time to do all this non-doctoring stuff. The opportunity cost of you spending time on a lot of this stuff is massive, if you can bill a patient hundreds an hour, seems bad to spend that hour doing something someone making 15$ an hour could do just as well as you. Granted hiring someone is I'm sure infinitely harder to do in practice than theory.
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Excellent point on opportunity cost. Yea I am in a new city and do not know anybody around here. I need somebody that I can trust with sensitive credit card information, medical records, etc. Also I have had some negative experiences with secretarial staff that are rude to patients. Trying to get my mom to help out but she's in the northeast.
 
F0nzie said:
Excellent point on opportunity cost. Yea I am in a new city and do not know anybody around here. I need somebody that I can trust with sensitive credit card information, medical records, etc. Also I have had some negative experiences with secretarial staff that are rude to patients. Trying to get my mom to help out but she's in the northeast.
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or just find a way to automate everything.
 
A lot of cities have businesses that specialize in handling the secretarial stuff for private practice physicians. You basically 'time-share' secretarial staff. Might be something to look into
 
Can one offer tele psych services across the United States? Or only one state?
 
Your mom (or whoever) doesn't have to be in the same city as your practice to help out if all she is doing is talking on the phone. This is the whole idea behind outsourcing.
 
F0nzie said:
I am so used to just showing up to clinic, seeing patients, then clocking out. Not at all used to running things. I am having to respond to all the emails and calls from patients (I may be seeing med management less frequently but I am still their doctor 24/7), be a secretary, amateur biller, maintain the website, revise the contracts, accounting, filing system, inventory, marketing (takes up a huge amount of my time), correspond with therapists, primary care physicians, and family (a lot of uncompensated time). All said and done I am probably making $10/ hour right now.

I honestly don't know if it is financially worth it when I can get paid $150/hour at a community clinic and clock out. I definitely see the impact we are making in private practice by offering very intensive and personalized services with psychotherapy. I also do not want to lose my therapy skills (I am already having to revise certain CBT protocols). Word of mouth is on fire right now and I want to continue growing the business, but I will need to find a way to preserve my sanity.
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are those salaried $150/hr community jobs the type of jobs that you wouldn't either hate, have to see an insane number of patients, do questionably ethical things, have one mild;y unpleasant encounter after another, or some combination of all of those though?

I know people working outpt agency jobs that pay close to that, but they tend to not have high job satisfaction? It's more like hit and run/drive by psych. the agency/community jobs that I see people working in which are more tolerable and actually allow one to practice reasonably pay more like $100/hr.
 
Quick update:
  • There has been a noticeable drop in the number of referrals we have been receiving over the last month. I am wondering if it has to do with the holidays coming up. We also ran out of steam with our networking efforts. Good thing we have part-time jobs, the instability is a bit worrisome.
  • Our practice is currently 50/50 for adults/children. Initially mostly adults patients, child quickly caught up.
  • We recently paid off our overhead for the entire year- hurrah!
  • To all those that ask the question, it is clear that cash is a viable option.
  • The effort: Definitely not easy as an out-of-network provider. There have been several times frustration kicked in to the max and we spoke about closing the practice. Getting patients is simply not that easy. Persistence, patience, and getting yourself out there is key.
  • Med management is unfortunately dominating by a wide margin which significantly raises our caseload, responsibility, and administrative hassles.
  • Current plan: Maintain our ground and restart networking in January 2014. Next July we will look at the year's worth of data (income/expenses, patient turnover, and our time) to determine if this is going to fit our lifestyle and worth the investment in the long run.
 
Question: do you think it'd be significantly easier if it was a one physician (child/adult) practice?

It seems to me that starting a two doc practice would be hard because then you're trying to pay two doctor salaries instead of one. More overhead.
 
digitlnoize said:
Question: do you think it'd be significantly easier if it was a one physician (child/adult) practice?

It seems to me that starting a two doc practice would be hard because then you're trying to pay two doctor salaries instead of one. More overhead.
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A child/adult psychiatrist definitely has a better advantage in pp. If I removed myself from the equation (since I am seeing all of the adults), profits would be close to double for a single provider.

Child psychiatrists are also in short supply and most of them do not go into pp (another advantage for you).
 
F0nzie said:
Quick update:
  • There has been a noticeable drop in the number of referrals we have been receiving over the last month. I am wondering if it has to do with the holidays coming up. We also ran out of steam with our networking efforts. Good thing we have part-time jobs, the instability is a bit worrisome.
  • Our practice is currently 50/50 for adults/children. Initially mostly adults patients, child quickly caught up.
  • We recently paid off our overhead for the entire year- hurrah!
  • To all those that ask the question, it is clear that cash is a viable option.
  • The effort: Definitely not easy as an out-of-network provider. There have been several times frustration kicked in to the max and we spoke about closing the practice. Getting patients is simply not that easy. Persistence, patience, and getting yourself out there is key.
  • Med management is unfortunately dominating by a wide margin which significantly raises our caseload, responsibility, and administrative hassles.
  • Current plan: Maintain our ground and restart networking in January 2014. Next July we will look at the year's worth of data (income/expenses, patient turnover, and our time) to determine if this is going to fit our lifestyle and worth the investment in the long run.
Click to expand...
That's one clear lesson I can echo. Business rises and falls on your networking. The hope of course is that successful cases lead to more referrals, but it takes a while to get to the point of that being self-sustaining. Like any business, it's about advertising. Since in many ways you're advertising yourself, networking in person is one way to do it.
 
Congratulations on the new practice, how exciting for you. :D Do you do any work with eating disorders? I can post a link to your page on one of the patient support sites if you do. There's a permanent sticky thread for recommended therapists and treatment programs, just that most members are looking for eating disorder treatment plus whatever other co-morbid problems they might have. In the meantime if I come across anyone specifically looking for a therapist in your area I'd be happy to give you a recommendation. From what I've seen of your posts and general attitude on here, I'd be pleased enough to have you as a Doctor.
 
Ceke2002 said:
Congratulations on the new practice, how exciting for you. :D Do you do any work with eating disorders? I can post a link to your page on one of the patient support sites if you do. There's a permanent sticky thread for recommended therapists and treatment programs, just that most members are looking for eating disorder treatment plus whatever other co-morbid problems they might have. In the meantime if I come across anyone specifically looking for a therapist in your area I'd be happy to give you a recommendation. From what I've seen of your posts and general attitude on here, I'd be pleased enough to have you as a Doctor.
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We certainly do work with eating disorders. Greatly appreciate you posting our link. Thanks for the praise :)
 
F0nzie said:
We certainly do work with eating disorders. Greatly appreciate you posting our link. Thanks for the praise :)
Click to expand...

No worries, done. :) You might consider listing yourself on the Something Fishy Website for Eating Disorders Treatment Finder as well. I know a lot of patients and their families who go through there looking for therapists. I think you can register an account and place your name on their list via this link http://www.something-fishy.org/treatmentfinder/members/user_register_account.php
 
I'm glad to see the evolution of this thread. Fonzie, you are right regarding the 24 7 thing getting annoying when you are not working. I'm finding that to be annoying as well. I will have to find a way to set limits regarding that aspect.

BTW, Congrats on everything and for having another child on the way!

I like the updates to your website. You have excellent information including explanations regarding billing so prospective patients understand.

I haven't decided about LLC yet. Can you tell us a little about why you think it's a good idea?
 
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GroverPsychMD said:
I haven't decided about LLC yet. Can you tell us a little about why you think it's a good idea?
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Starting up I'd recommend launching as a sole proprietor. Get a feel for things before committing to an LLC.

3 major reasons we decided on an LLC:

1. Business was picking up and our social security numbers were floating around too much (via superbills and insurance companies) as sole proprietors. If we were to get separate EINs it would have been easier to just get 1 EIN for the company.
2. Less scrutiny from the IRS come tax time.
3. Accountants like it better.
 
Thanks for the follow up. I understand what you are saying re: ssn floating about. Why is it less scrutiny from IRS? I really hate extra paperwork. But if it decreases chances for what you said, it makes much more sense to do the paperwork on the front end. Why do accountants like it better? Mine is pushing for it too.
Thanks to whoever posted the information of the fee schedules of other psychiatric practices as well. It is nice to get a feel for other docs websites.
 
Isn't one of the big advantages of an LLC that your liability is limited to the funds available in the LLC itself? Meaning in the event of a lost lawsuit, they can come after your LLC-owned office but not your privately owned home?
 
notdeadyet said:
Isn't one of the big advantages of an LLC that your liability is limited to the funds available in the LLC itself? Meaning in the event of a lost lawsuit, they can come after your LLC-owned office but not your privately owned home?
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Right. The only difference in medicine is LLCs do not protect physicians from malpractice suits. Your personal assets are still up for grabs. If a patient trips on your carpet and sustains an injury you do have LLC protection there.
 
Tip of the day:

GET A WEBSITE

4th year residents or attendings if you plan on starting a cash practice 6 months down the road start working on your websites NOW.

I have received a really nice HANDFUL of patients just from people finding our website.

Here's a how a website works to your advantage:
1. Non-insured patients will search the internet. Believe it or not there are a lot of business men that do not have comprehensive health coverage.
2. Patients who are referred are very likely to look you up on Google. Your website pops and BAM!
3. Referrals sources will be looking up your phone and fax number through your website.

The effort you put into your website counts. People will look at it and make an appraisal. If your site looks like you aren't trying, they will feel you won't try with them!

A website will cost anywhere between $500-10,000 depending on the technical difficulty and the number of pages. Yearly maintenance can cost $500-$2k. These costs will easily PAY OFF. You need to consider the value of even 1 referral (a lifetime patient, a lifetime referral source, and word of mouth).

Our practice has picked up a lot of speed recently and our existing patients are keeping us strong. The key is riding out the dry spells and being OK with uncertainty.

If you need some advice on websites. PM me.

Only those who will risk going too far can possibly find out how far one can go.- T. S. Eliot
 
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Very helpful.
You are reminding me I need to look into my website and make updates!
Any SEO advice?
 
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Keywords in your url and title tags are the big ones. External links are helpful as well. SEO is complex and always changing.
 
digitlnoize said:
Question: do you think it'd be significantly easier if it was a one physician (child/adult) practice?

It seems to me that starting a two doc practice would be hard because then you're trying to pay two doctor salaries instead of one. More overhead.
Click to expand...

Typically the overhead per doctor is lower, however, in multi-doc practices.
 
billypilgrim37 said:
I bill a lot of my appointments at 4s, noting them as 25 minutes spent and 15 minutes with counseling and coordination of care. That is accurate to what I'm doing, and I don't need to worry about missing something else in the note. If the appointment goes over 45 minutes, chances are a lot more than half was counseling and coordination of care. I could probably call those rare 5s a 4 with a psychotherapy add-on and that would be fair as well. Time-based just seems clean, and if anybody audits me, they'll see my schedule is open enough that these things make sense. "Counseling and coordination of care" is one of the most vaguely defined things I've ever heard. I'm working at a pretty sick sub-sub-sub specialty clinic, so it makes sense our kids get this extra attention to prevent admissions and such.
Click to expand...


This is what it means:

Counseling

Involves a discussion with the patient and/or family about one or more of the following:

1. Diagnostic results, impression and recommended procedures;
2. Prognosis;
3. Risks and benefits of treatment options;
4. Instructions for treatment and/or follow-up;
5. Importance of compliance with chosen treatment options;
6. Risk factor reduction; and/or
7. Patient and Family education.


Counseling need not be provided at every patient encounter.


Coordination of Care

Coordination of care involves arranging ongoing care for the patient with other providers.


…okay, back to the topic at hand..
 
F0nzie said:
Keywords in your url and title tags are the big ones. External links are helpful as well. SEO is complex and always changing.
Click to expand...

With google you used to be able to just bang a heap of meta tags in to your HTML, do all the other recommended stuff, and hey presto you've got a ranking on the first page. Google don't use meta tags, except for the description one, now - or so I'm lead to believe (it's been quite some time since I've done web page creation or SEO).

Personally I would still use Meta Tags as some search engines do still crawl for them, but apart from that, like Fonzie said, Keywords in your URL and Title tag are pretty key. Also try working key words into the written content on your page, but without sounding like a completely tosser (ie don't just repeat words ad nauseum thinking it'll make your page rank higher on a page, remember you are creating a page primarily for people to view, not search engine crawlers.)

This might help, for the person who asked about SEO.

http://static.googleusercontent.com.../search-engine-optimization-starter-guide.pdf

Edited to Add: Key Word "Stuffing" will actually be detrimental to your page ranking with the way Google is now running in its search engine. It's more important to place strategic words within an overall well written, easily accessible page, than it is to stuff a heap of words into online content and hope that will boost your online presences. These days it seems they're looking more for strategy, design and substance.
 
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any feedback on EMR for cash practice? I know we do not need any billing part but we might need it as an option in the future incase we go with billing. also what software we use for superbill? Fonzie I will appreciate your comments too if possible.
 
keep said:
any feedback on EMR for cash practice? I know we do not need any billing part but we might need it as an option in the future incase we go with billing. also what software we use for superbill? Fonzie I will appreciate your comments too if possible.
Click to expand...

I use Practice Fusion which has an integrated superbill option. Valent and Allscripts are also good choices.

A good EMR should be affordable, reliable, and user friendly. Anything less will cost you time and money.
 
thanks. how you like practice fusion so far?
 
Thank you so much. Any recommendations for website like where to start and options. I also sent you a PM?
 
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