Tebra EHR vs. Therap Electronic Health Records (EHR)

We love the system. Very user-friendly and any level of user can pick up the system without training. Being a trainer myself, this is an awesome selling point. I have not found a specialty that cannot pick up and run with the program. Kareo has eliminated our "wasted" time and given us new avenues to use our resources more productively.

Incentivized

Therap is best used by persons who primarily work on a computer. This would include administrative work and supervisors or direct care staff who work in a group environment and enter documentation on the computer. While there is minimal room to adjust any of the forms to reflect agency specific documentation, the form templates themselves offer flexibility within the template. The exception being that whatever standard one uses for measurement must be carried out throughout the form to which the measurement standard is attached. Much of the documentation entered into the system must occur in the browser making access through a mobile devise cumbersome. The daily documentation (ISP Programs, T-logs and MARS) are available on the mobile app itself and is pretty straight forward. In this regard persons who work in the field including any supervisory staff in the field can enter documentation easily on this app. There are significant limitations though in that there is no ability to save a return to a form and the default time out is 30 minutes.

Pros: EVV, all inclusive EHR including plans, documentation, forms, MAR and more, excellent reports to capture data across all documents, Ability to export reports by PDF and Excel, provides good training, feedback, and communicates disruptions to the system as well as a walk through of updates made to the system.

Cons: browser access is not mobile friendly, scheduling is cumbersome, inability to save as you go, inability to create plans for the same service year for multiple services, no time out warning on the mobile app.

Incentivized

• Catching missing patient info
• Catching missing insurance info
• Providing mailing addresses

• Therap has some very nice reports to track billing, documentation, end user activities, and much more!
• Therap did not disappoint in a smooth EVV process.
• Therap's billing is program works quite well.
• The alerting system works very well particularly for alerting T-log entries (we use this for our incident reporting)
• To be fair, they have a number of documentation tools that are very helpful (seizure logs, food diary, medical appointments and so much more) on the browser version of the program.

Incentivized

• Sales representative needs to know the product. We got tied into a miscommunication on the package (contract vs trial) when we decided to work with them
• Tutorials are good but can be overwhelming because there are a lot of features to learn
• Charging to migrate client data was a determining factor on whether we wanted to continue with the company. If we knew this upfront it would've allowed us to say "no thanks". And to add the charges are not cheap and they charge a la carte (i.e., demographics, billing, progress notes, forms/intake info)

Incentivized

• We provide a number of services to the same individual. VA requires a separate plan (ISP) for each service. Therap only allows one plan that covers a specific date and will not permit overlap.
• Because we provide supplemental services, most of our employees are field workers and rely on a table to access the record and enter documentation. the mobile app is very limited in what the user can document (T-Logs, MARs, and ISP Data). The browser version is far to cumbersome to use on a tablet and only the browser version contains some of the other useful documentation tools.
• Employees cannot save and return to data that has been entered. It must be completed in one setting before timing out.
• The mobile app times out in 30 minutes without warning creating issues with documentation not being saved.
• Scheduling is a nightmare. It is cumbersome and difficult to navigate. It does not seamlessly roll schedules over. It is also impossible for management to adjust schedules when away from a computer as the browser version (required to change schedules) is not mobile friendly and difficult to navigate on a phone or tablet.
• There is no measure available to prevent 'clocking out" before documentation is entered. This can create a logistical and time consuming processes to reconcile the billing and pay.

Incentivized

Kareo was a massive waste of money. It's an unreliable product without promised features and sold by a disingenuous sales team. We will stick to reliable services like Doxy, Therapy Notes, etc.

The user interface is fine but it the app constantly freezes or crashes.

I have used QuickEMR and Kareo hands-down is just more appealing and easier to enter all patient information. I did find that QuickEMR for administrative staff is more user-friendly. Kareo provides more patient information and is very good about seeing what is missing in order to file a claim.

The products that we have researched and used int he past are not listed as available options.

Lauris Online - completely customizable EHR system based on templates the agency uses. The process is cumbersome though in that each form has to be submitted to production with a wait time to go live up to 6 weeks. This can be challenging to business who have the ability to work on the fly and correct forms as they see fit. The reports are also challenging.

MITC - Capriccio Elite, LLC currently uses this program to supplement the pieces of Therap that do not work for us. This include a robust workforce management program (times sheet, clock in and out, documentation with ability to save, a number of alerts letting management know of no shows or late arrivals, completely mobile friendly, prohibits clocking out until documentation is complete, ease of use for administrators to make changes on a computer or mobile device.

Incentivized

• ROI definitely a positive

Incentivized

• The cost of the program is fantastic and doable for start up business to large operations
• Because of the price, it is easy to ignore Therap's deficits so long as there are other options available to fill in the gaps
• ROI on the time (= money) it takes to reenter information due to unannounced time outs creates dissatisfaction with the workforce and additional administrative time to walk through it
• ROI on time (= money) it takes to assure there is a match between clocking in and out and time entered on the billable documentation is pretty substantial. An agency can easily find itself under billing or over paying staff.

Incentivized