This is last of my questions about the "forest", instead of the "trees", for AC. Sorry in advance for the long intro to the question.
Practice management software has got to be some of the most complicated programs to code, IMHO. And with ICD-10 on the horizon, the stakes are huge, and the need for the emr and pm components to work well together are critical. As a rheumatologist, and for any physician in the musculoskeletal organ system area, ICD-10 is going to be a double pain for any problem that is left or right sided.
AC has a PM you say, but it seems like a billing service, for around 5% of net collections.
In my case, going with that would be more than the price for eCW, each and every year. More importantly, I would have to lay off billing staff to compensate, and my least senior biller is engaged and just bought a house, so that can't happen.
I want to buy and have the software on my server for PM, as we have for 12 years with Medisoft.
I am not trying to change AC, but give feedback that paying a percentage of collections is a major obstacle for specialists and larger practices going forward that are not having a problem with collections.
In support of AC, I am impressed that the meaningful use hurdle has been cleared so well, even if it put a major dent in the fit and finish of the emr for a little while, since it shows that the company has the motivation and ability to overcome the increasing regulations on emrs.
My concern is whether I would be better served by a program that has an integrated PM, even if the EMR is frustrating.
In that context, and because almost everyone on the board is combining AC with another PM, what problems are you having by combining EMR and PM, and/or do you have any concerns about combining AC with another PM when ICD-10 comes?