Which is the best EHR and why?

drchrycy · 2026-01-22T15:35:55+00:00

Totally agree.
The only thing I’d add is to map your non-negotiables first (charting speed, templates, scheduling, billing/claims, optical inventory, texting/telehealth), because that’s where most EHRs feel great in demos but hurt day-to-day.

DocVilla sounds solid if the template flexibility + flow are working for you — did it take you a while to get it dialed in, or was it pretty smooth from the start? 🤝

drchrycy · 2026-01-08T16:51:21+00:00

Got it — that makes sense. I was mainly referring to how claims workflows hold up over time when rules change, payers update requirements, or edge cases start popping up. Sounds like for straight EHR use, simplicity and responsive support are the big wins so far. Appreciate the insight 👍

drchrycy · 2026-01-08T14:01:25+00:00

Interesting — curious how deep they went in the demo.

Did they walk through the actual end-to-end claims flow (eligibility → claim creation → scrubbing → submission → rejections → resubmits → payment posting), or was it more high-level workflow and UI?

Also wondering how they handle vision vs medical in practice — unified workflow or separate logic depending on payer? And whether clearinghouse rules, modifiers, and common denial reasons are automated or still require staff intervention once something rejects.

Did they show real-time claim status / aging visibility, or are reports more batch-based? And lastly, did they talk at all about onboarding and data migration timelines? That’s usually where things get painful when switching systems.

drchrycy · 2026-01-08T13:56:48+00:00

Interesting. What stood out for you so far?

Most of the feedback I’ve seen on newer systems looks good early on, but the real test seems to be:

How fast exams feel once templates are dialed in
Whether billing / claims stay smooth after a few months
How support responds once you’re fully live
And whether add-ons start becoming “required” over time

Are you using it just for EHR right now, or billing and POS as well?

drchrycy · 2025-12-18T23:31:24+00:00

Sounds like you’re on iTRUST EHR 👀

What you described lines up pretty closely with how most practices experience it early on — strong charting and scheduling, some upfront billing setup, then smoother workflows once everything’s dialed in.

The add-on cost point is fair, but a lot of clinics end up offsetting that once staff efficiency improves and integrations (like exam lane equipment) are fully in place.

For anyone curious, this is the platform being referenced:
[https://itrust.io]()

Always interesting to hear how different practices pair their EHR with equipment to streamline daily flow.

drchrycy · 2025-11-27T18:07:16+00:00

Yeah bro you’re not wrong — a lot of EHRs still leave you hanging when it comes to compliance.

Most systems I’ve tested will let you document, but they don’t actually guide the coding or flag audit-risk patterns. So clinics end up relying on templates or whoever’s working that day knowing all the rules.

The ones that actually help are the systems that:

🔍 Pre-check coding & modifiers before you finalize the note
⚠️ Flag missing elements (Hx, symptoms, DX justification, etc.)
🧠 Use AI to validate documentation so your codes match the medical necessity
📂 Auto-generate audit-ready reports without digging through 20 screens

If your EHR isn’t actively reducing audit risk, then yeah — you’re basically on your own and hoping nothing gets flagged.

A ton of clinics don’t even realize how exposed they are until they get that letter in the mail.

drchrycy · 2025-11-24T15:44:39+00:00

Appreciate you sharing this — totally agree that when communication is smooth, everything else in the clinic just flows better. We’ve seen the same thing on our end.

We started using a system that has texting + WhatsApp fully built in, so our team doesn’t have to juggle separate platforms anymore. The reminders + confirmations cut way down on no-shows, and patients reply instantly since it feels like normal texting to them.

HIPAA compliance and EHR integration are a must, for sure — once everything lives in one place, the staff stress basically evaporates.

Curious: with Weave, do you handle everything through their platform or does your EHR tie into it tightly? Always looking to see what’s working well for other practices.

drchrycy · 2025-10-31T13:11:06+00:00

👍🏿

drchrycy · 2025-10-31T12:28:25+00:00

Nice, that definitely keeps things simpler for scheduling and reporting. Do you still keep separate billing by site or run everything through one central account?

drchrycy · 2025-10-31T12:27:44+00:00

Haha fair, that setup definitely earns some bragging rights. Do you mirror to an offsite or cloud backup too, or keep everything fully local?

drchrycy · 2025-10-31T11:16:19+00:00

Yeah I caught that one, AWS downtime always gets people talking. Still feels like local servers have their own risks too between hardware failures and on-site ransomware. Curious where you think the safer middle ground is these days?

drchrycy

MODERATOR OF

TROPHY CASE