For the third consecutive year, physician software and billing services vendor Kareo has been ranked first among small physician practices in billing and integrated electronic health records, according to a Black Book client survey.

In its annual user poll to determine the highest ranked EHR and billing software systems for 2015, the firm aggregated client experience and customer satisfaction scores on 18 key performance indicators and Kareo again came out on top. Other top performing integrated EHR/practice management/revenue cycle management vendors in the user poll of almost 33,000 healthcare records professionals, physician practice administrators, and ambulatory group leaders were: ADP AdvancedMD, athenahealth, Greenway, HealthFusion, McKesson and NexTech.

Also See: Cloud-Based EHRs Rate High among Small Practices

“High performing vendors have emerged from the pack as practice implementations succeed and fail, meaningful use attestations are reviewed, and users assess their vendor’s capabilities to meet their individual practice needs, particularly managed care reimbursement and ACO billing ,” said Doug Brown, Black Book’s Managing Partner. “The majority (70 percent) of smaller and solo practice physicians have still not settled on a technology suite or set of products that deliver to their expectations on meaningful use, clinician usability, and coordinated billing and claims, hence, the relentlessly moving EHR marketplace.”

Brown added that revenue cycle management and integrated EHR vendor loyalty among small physician practices is “still on a significant upward trajectory” and that EHR/practice billing vendors’ abilities to meet the evolving demands of interoperability, networking, mobile devices, accountable care, patient accessibility, customization for specialty workflow, and reimbursement are the main factors driving the replacement mentality and that late adoption remains volatile especially among solo and small practices.

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