AdvancedMD

“My experience”

Pros

Having real time access to our own data is huge!! The automation goes far beyond the standard 'out of the box' setup so bringing on more providers hasn't meant hiring more staff to keep up. Scheduling stays reliable even with multiple locations and lots of providers plus the notes and forms are flexible enough that we shaped them around how we actually work instead of changing our workflow to fit the software. It also supports single sign on and SCIM provisioning which means staff use the same Microsoft or Google login they already use elsewhere and accounts are automatically created or disabled as people come and go. That's been a big advantage for both security and admin work once you have more than a few users (even though most buyers don't think to ask about it). It also handles complex payer mixes without any trouble! We set up our EDI agreements one payer at a time and ended up eliminating 98% of paper billing. After four years of heavy growth, it has continued to keep pace :))

Cons

Despite the praise, this software does have some drawbacks. At the beginning, it is somewhat difficult to figure out and the price runs higher than the smaller practice systems which is probably the complaint people bring up most often. I don't think that argument means much unless you actually look at the return. Software cost is minor compared with payroll and if the platform cuts manual work and speeds up the time from visit to payment, that price difference tends to disappear within the first quarter. Support is where I see the most room for improvement. When the issue is more complex, it can take a few tries before it reaches someone who really understands the deeper parts of the system. Still I understand that no vendor is perfect there and I've dealt with worse. The bigger problem usually isn't even on the vendor side: a lot of practices set everything up at go-live, never revisit the configuration and then blame the system for behaving exactly the way the defaults were left. More than any other platform I've used, this one pays off when you put real effort into setup. Understanding how to aim it at your cash flow and then scale it for enterprise-level throughput and volume is what really determines the value you get. If a practice plans to stay the same size forever and never change how it operates, a lot of what this system offers will probably go unused.

“Good software but not flawless”

Pros

Everything ranging from the last note, ratings, documents, messages, labs and prescriptions is visible from the clinical screen and THAT is genuinely helpful (keeps everything in one place!) The templates work for both providers and patients and can be customized which adds a lot of flexibility. It also includes useful elements like an addition function that comes in handy for things like calculating a PHQ-9 total score. Notes are ultimately rendered in MS Word so you can take advantage of Word's tables and field codes which is impressive! With AI now in the mix, that power is much more accessible even if you are not a coder so older complaints about complexity feel less relevant. The billing module is also solid, with filters and claim recommendations that help improve first-pass claim acceptance.

Cons

On the downside, the electronic prescribing setup follows NCPDP-driven pharmacy priorities so the workflow feels built more for pharmacy usability and safety than for prescribers :/ Because of that, the process is extremely click heavy and inefficient which becomes a constant annoyance. With EPCS you have to choose each medication to send, then select each one all over again inside EPCS, click through multiple steps, enter your personal password and then provide a rotating 6 digit access code. It is honestly hard to imagine a more inconvenient workflow. There is also no medical director guiding the organization and that gap is noticeable. Having staff guess what providers need clearly does not translate well in practice. Cost is another major issue since this EMR runs about 30% to 50% higher than competing systems for small to mid-sized practices. Also, because the company is owned by private equity, it often feels like the priority is extracting as much revenue as possible from users :(

“An Expensive Regret from Start to Finish”

Pros

I found nothing positive to say about this EHR

Cons

Its negatives are overwhelming and have made this purchase an expensive regret. The platform is excessively complicated and the training was both time-consuming and minimally beneficial, while promised psychological assessment tools never materialized. Customer service is absolutely horrifying, routinely passing callers to other departments without offering any real help and the telehealth platform works less than half the time. Patients are unable to easily self-schedule and for the price, the system offers terrible value especially when more affordable and functional alternatives exist. To make matters worse, cancellation has proven deliberately difficult, with billing continuing long after the reviewer requested to terminate service.