I'm not opposed to fees if we get appropriate service and value for it. Note to AC: you can charge more but at least promise faster/better service in relation to what you are charging for. As opposed to saying we're spending a lot of time on X, let's charge for it and continue same service as usual - that's what does not go over well.
Example: Labcorp interface was changed recently. Now if the patient demographics don't automatically match, we have to repeatedly match each panel result (bmp, cbc, etc.) I discussed with AC interface folks only to be told - that's the way it is. Well that's one thing when it's "free". If we're to pay yearly for the interface then AC had better fix the little issues that come up promptly.
I also asked them to streamline the manual patient matching for labs ( when not automatically matched). As it is you have to click type click type then click. Instead of automatically highlighting the last name field. It would be - type the last name, arrow up or down if needed to find name and hit enter. Was also told - "that's the way it is". Not good enough if they ask us to pay for interfaces.