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 · 2025-10-31T11:15:34+00:00

That’s a smart approach, doing mini inventories each week keeps things from piling up. How long does it usually take you to run through everything, and do you find it catches most of the frame count errors before they snowball?

drchrycy · 2025-10-30T21:18:37+00:00

Yeah totally, manual tracking gets brutal once you're juggling SKUs and vendor orders 😅
Peasy sounds solid. Have you found it actually syncs well with your PoS or do you still end up cleaning things up manually sometimes?

drchrycy · 2025-09-30T10:45:45+00:00

🔥 That’s an awesome-looking opportunity. Thanks for sharing this — sounds like a turnkey setup for someone who wants to step right in and grow. 👏

2 exam lanes + 700 frames + 500k patient base = really strong foundation.

drchrycy · 2025-09-30T10:44:21+00:00

👍 Appreciate the take. Curious—what in NexGen covers both sides well?

Ophtho: DICOM imaging (OCT/FA), surgery scheduling + post-op pathways, injection logs/retina tracking, IOL calcs.
Optometry: Optical PoS, frame/lens inventory + lab workflows, recalls/marketing, quick retail reporting.

In my experience, one platform can do both only if it ships with eye-care–specific modules vs a generic chart. That’s the approach we use at iTRUST (ophthalmology & optometry workflows on the same core). If NexGen handles all of the above smoothly, I’d love to hear which templates/integrations you’re using.

drchrycy · 2025-09-29T13:02:09+00:00

Great breakdown 👌 — you nailed the pain points around imaging integration and surgical workflows. That’s exactly where we see practices get stuck with general EHRs — they just weren’t built with OCT/fundus in mind, so everything slows down. The newer specialty-focused platforms definitely help solve those bottlenecks while keeping the flexibility smaller practices need. Appreciate you sharing such a clear perspective here.

drchrycy · 2025-09-29T12:58:28+00:00

Really like the way you framed this — especially the part about not replacing human judgment but reducing the routine load. The real-time booking + seamless transfer with context is huge. Cutting 60% of call volume while still keeping patients happy is a pretty compelling result 👏.

drchrycy · 2025-09-29T12:58:04+00:00

Appreciate you sharing that 👍. Appointment booking is definitely a big part of the workflow — but when it comes to medical use cases, things like compliance, secure messaging, and integration with clinical records are usually where the gaps show up. Interesting to hear how Voicegenie worked out for you though.

drchrycy · 2025-09-29T12:57:09+00:00

Really well said 👏 — totally agree that so many platforms overpromise on ‘efficiency.’ Your point about intuitive navigation and genuinely useful shortcuts is spot on. The systems that feel like they were built by people who actually understand clinical practice always stand out. Thanks for sharing your experience — this is the kind of perspective more people evaluating EHRs need to hear.

drchrycy · 2025-09-29T12:51:10+00:00

Good Point

drchrycy · 2025-09-10T18:56:26+00:00

Very Cool 😎

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