Fusion

Avantages

It gets the job done and gives a decent summary of our financials.

Inconvénients

That it doesn't sync with Microsoft Office calendars and that it doesn't link with WebABA or WebABA's billing software. It creates an additional nightmare for our office having to run two EMRs and two billing platforms through two different brokerages. It would be best if Fusion would just add in ABA billing. Also, the recent cost increase announced doesn't coincide with any fabulous improvements we have seen on the user side.

Avantages

Automatic claim generation is very useful and speeds up time between therapy taking place and reimbursement. Also very helpful to be able to email/fax out of the system directly to a provider.

Inconvénients

It would be useful to be able to print off patient's appointments from their chart without having to generate a report through insights. You also cannot filter out paid and unpaid invoices, which makes printing off invoices extremely cumbersome. Because of this, I have to combine all paid invoices for one patient into one invoice so that I am not sifting through thousands upon thousands of invoices each billing cycle. I still have over 3,500 invoices two years after implementing Fusion and combining paid invoices into one. I have to individually select each invoice that I want to print and have to do them in batches since Fusion cannot generate a download that is that large at one time. I don't believe the Fusion is necessarily the best choice for a clinic of our size (1000 active patients at a given time and 55+ therapists). The suggestion feature doesn't seem to make a difference. It seems like random features/updates get added that aren't really useful at all. There is a fee or charge associated with the updates a lot of the time as well, which can be frustrating. No option for sending a reminder about a past due balance either.

Avantages

I like the simplicity of the system overall. The look is not overwhelming. The ease of documenting, searching claims, setting up new accounts, etc. are all helpful.
Please note my critique below is not meant to be negative, but rather opportunity for improvement and just notes on how some components could be cleaned up to better serve the purpose.

Inconvénients

1. How the goals are set up. There is so much confusion for the goals that have been achieved, but we need them to show up on an updated POC (Progress Note), so we can document that they were achieved, so we cannot archive them. But there is so much confusion with goals that appear before the start date of the new POC and the ones that don't get archived at the end of the POC. There should be a start and end date for every goal. If we are carrying that over to the next POC, that should be an option. Our goals often look disorganized because of the transition with POCs/Progress Notes.
2. That you are unable to make any adjustments to an appointment after it is checked in without having to delete the document. It would be great if there was a way to override, if a claim has not yet been submitted.
3. That you are unable to provide an attachment for a secondary claim. We have to file secondary claims manually, since they require the primary EOB.

Avantages

It is an easy EMR to learn which makes it user friendly for providers. I appreciate having clear features.

Inconvénients

There are many things that I feel like Fusion is not up to date on. Their reporting is not always clear & concise. Additionally, there is no way to link reminders to accounts for payment plans or sibling accounts together. You can link accounts together for payment (so you can just run 1 invoice) but then there is no way to separate these 2 through a statement. We are also missing the ability to automatically add modifiers to claims, this has to be done manually.

Avantages

appointment scheduling and the ability to send notes directly either email or fax

Inconvénients

way too many steps to do some task, when a check is not reconciled the steps involved to fix are way too many! The reporting does not give the information needed. It does not summarize by insurance company and patient. Reports are all by charts and graphs they do not break down in detail by patient name and insurance company. Cannot get an accurate count of what is outstanding. The reports are not in a printable option to work on. Excel format is too much work to go back and forth. The chat app representatives are not available on a regular basis sometimes takes several days to get one. And if you open up a case it is several days later sometimes when they get back and by that time I have forgotten what I needed or figured out how to fix. The online help sessions are only 15 minutes and are not very helpful. I have asked questions and they do not get answered

Avantages

Fusion is easy to navigate for basic tasks.

Inconvénients

The lack of customizability, our practice has additional staff that work with families beyond therapists, and everyone is labeled "Therapist" in Fusion. This became an issue for us, during a court case, where an educator was labeled as a "Therapist".

Avantages

Ease of billing, tracking for auths/scripts/reports, task list, messaging, faxing documents

Inconvénients

Insights reports are difficult to customize and generate. Resources needs to be in a section accessible to everyone not just admins to add resources. Sign off rules should be more customizable by user (or soaps vs reports). Also once a report is started the appointment can’t be edited. We’d like them to be more separated so we can still generate the report or start it ahead of the appointment time but then still reschedule the appointment if needed. Also, adding fees for texting after we had already come on board with this feature included was frustrating.
We’d also like to be able to fax patient files rather than just documents.

Avantages

Fusion is a good all in one EMR focused on PT,OT,ST. Billing is quick and easy. Posting is even easier. Adjusting the claim info directly on the claim form within Fusion before sending out is super helpful. Everything is in one place unlike our previous EMRs. Support is usually pretty easy to deal with and can get you an answer quickly. Its cost effective. Ive seen some EMRs that are 3 or 4 times the cost. The new electronic eligibility checks have been a great addition.

Inconvénients

Reporting can sometimes be a mess. Legacy vs new. New only updates at 7am every morning so real time updates arent available unless you're in legacy but they don't give the same options.
Sending out reminder texts for appointments based one 1 reminder per hour of appointments means that our adults that may be getting 3 therapies across 2.5 hours get 3 reminders and they only read the last one and get confused on times. Theres no way to change this.
Invoicing - instead of creating 1 invoice per patient each month with the total balance due, it creates what was marked as due in the last 30 days so 1 patient may have 3 invoices and they get confused. To get a statement with everything, you have to manually create it yourself which is ridiculously time consuming.

Avantages

I love that it is very pediatric friendly, and the ease of scheduling and writing documentation is great.

Inconvénients

1. The home exercise add on is so close to being great, but you can not leave comments to parents on how to implement activities for their individual child

2. I wish you could remove a child from your patients and goals if you are no longer seeing them even if they are still at the practice. Example: if I evaluated a child but they go on another caseload I do not want them still in my patient list

3. I would love a monthly schedule view or a working schedule area for therapists. Where i could have a master schedule when building weekly recurring appointments.

4. I would love a way to edit progress and re-assessment reminders. For example, if a child comes in with an outside evaluation the system does not notify when a progress report is due

Alternatives envisagées 

SimplePractice

Pourquoi passer à Fusion

Seemed more user friendly and had more options

Avantages

I love the documentation for Speech as it is efficient, diminishes documentation time and also makes documenting not so daunting. I've worked in the field 35 years and always dreaded documenting, but with Fusion its been great! Best EMR I've experienced!

Inconvénients

My assistant who manages all my insurance and billing finds the billing system taking alot more time that another system she uses for another professional. Because it is a headache for her without great answers for making it smoother when she has inquired, that would be what I'd say I like least.

I do wish it were a little less expensive, OR a discount be offered for those long timers like myself.

Avantages

Easy interface, intuitive tools, features (pull forward, etc.)

Inconvénients

Would love to see pull forward available for single items instead of whole section (for example, pull forward individual therapy goals). Our billing department has mentioned frustration/difficulties with billing multiple services on one day and needing to utilize a third-party program for those patients.

Avantages

The cost is good for the features. I like the fact that you can see the actual claim to make changes if needed. I like the authorization reminders. I like the automatic email reminders. I like different colors on the schedule for different types of appointments.

Inconvénients

There are not enough reminders. For example, we have created a separate spreadsheet to track POC signatures. There is the prescription reminder but that is different than a POC signature. We like the waitlist feature but we created another spreadsheet so we could hold more information than what is on the fusion waitlist. We put notes when we call and offer appointments so we can see at a glance that they have been offered appointments. We used to use the intake paperwork feature but many families could not figure it out. They would end up sending us blank paperwork. It would be nice from a patient standpoint to be able to fill out paperwork and hit 'submit' and not have to upload/download and then send back to fusion.

Avantages

Fusion is very good for the individual therapists, with quick phrases and document templates that make writing daily notes simple. The integrated fax system to send documents to PCPs within the portal is also extremely helpful. The document tab is also very helpful for keeping up with notes that either need to be completed or signed

Inconvénients

Fusion has no integrations with other HIPPA compliant applications, this makes several tasks extremely tedious. Appointment confirmations are difficult and require downloading the schedule in a .csv file and uploading to an appointment messaging and confirmation system. The same goes for the Fusion reports, which are rudimentary at best. The tools provided in Fusion to organize and interpret the data often miss the mark and so said data must be exported to a different program to be useful. The is also a noticeable lack of anything resembling an audit log to see who and when a schedule is changed, patient moved, document edited, etc.

Avantages

What I like most about Fusion is its excellent customer service. The support team is always responsive, answering my questions promptly, and if they don’t have an immediate answer, they make sure to follow up. Additionally, the therapy side of the program is very user-friendly and easy to navigate.

Inconvénients

What I like least is the administrative side of the system. After using Fusion in the front office for eight years, I have not seen any significant improvements. There are still many opportunities for errors, and the system lacks the updates needed to improve efficiency and accuracy.

Avantages

THE COMBINATION OF DIFFERENT TOOLS IN ONE APPLICATION.

Inconvénients

SOME OF THE TOOLS DO THE JOB, BUT COULD BE MUCH MORE ROBUST. THE INTAKE FORMS FOR EXAMPLE. THEY ARE A NICE FEATURE TO HAVE, BUT ARE VERY BASIC WHEN COMPARED TO PRACTICEQ'S INTAKE PRODUCT. THE TEXT REMINDERS ARE GOOD TO HAVE, BUT SINCE YOU CAN'T SEE RESPONSES FROM CLIENTS, IT ALLOWS FOR A LOT OF CUSTOMER RELATION ISSUES.

Avantages

It's a great place to start for an EMR. It's baseline functionality is good.

Inconvénients

It does not allow nearly enough customization/filtering across all aspects (Billing, scheduling, waitlist, reports, etc.)

Avantages

We like the daily documentation is user friendly and geared towards pediatrics

Inconvénients

That it won't sync to my personal gmail calendar for visits scheduled. That reports are easily programmable. Data type is not flexible, not able to build our own for example MMT 3-/4 2+/5 etc. doesn't allow for use to adapt to our needs

The price continues to go up, we shouldn't have to pay extra fees for admins/schedulers and billing individuals to access our account

That screens for scheduling can be small and not see all therapist the entire day or week.

Alternatives envisagées 

WebPT

Pourquoi passer à Fusion

Pediatric based EMR and at the time great customer service but as you have grown customer services is not good

Avantages

The fact that it is centered around pediatrics

Inconvénients

The cost and the poor function of some of the features- text messages, intake, lack of Ai.

Alternatives envisagées 

WebPT

Pourquoi choisir Fusion 

Easier to use, more centered around Pediatrics

Pourquoi passer à Fusion

The fact that it was pediatric based is what sold us.

Avantages

I love the scheduling features, the insight reports, the documentation and the goal charts.

Inconvénients

What I like least is having some many PRN therapists that maybe just work a day a week or just fill in if someone is sick and having to pay for them for the full month. I wish there was an option on the schedule to move a whole day to a different therapist, and then also on the billing side if they covered for a therapist that we already pay for if there was a credit for them or discounts for employees working 4 days or less a month.

I also would like to have the option to not have a daily note populate when we do an evaluation or a progress report.

Another suggestion would be to be able to set the goal mastery the same for all of the goals instead of having to click on the mastery for each individual goal.

Avantages

I LOVE that it is pediatric based and the customer service is TOP NOTCH!

Inconvénients

No way to email a client from inside their chart or easy way to email groups of clients from inside the program.

Alternatives envisagées 

ClinicSoftware.com

Pourquoi choisir Fusion 

It never was pediatric therapy practice friendly, regardless of what they said. It was never written for pediatrics and that made it extremely clunky and time consuming. I am hoping with all the take overs in your company, you will not try to make Fusion a product for all but keep it true to pediatrics.

Logiciel antérieur 

WebPT

Pourquoi passer à Fusion

It was for only pediatrics and only for therapy. Customer service was good.

Avantages

The pediatric specific information already in Fusion.

Inconvénients

The slow nature of the response time. Frequently when I switch to another section, it will skip up or down to a different section and then I have to scroll back to find it. Also, frequently, when I go to search for a patient, I will start to type their name and then it will refresh and take out what I have already typed.

Alternatives envisagées 

WebPT et Jane

Pourquoi passer à Fusion

The pediatric specific content and ease of documentation.

Avantages

I really appreciate the note format, the ability to move from a summary to a fuller note quickly. This is fantastic for quick recording/less than 3 minutes. I love that billing to insurance companies is quick, there are automated alerts if an item appears missing or errant. I love the way; I can pull up a patient easily and refer to all of their documents/DOS. I like the automated integration of remits.

Inconvénients

I wish we could add more tests to fill-in evaluations/Progress Note: REEL, Rosetti
Reoccurring schedules could be made for a set week AND day of the month, ie 1st Monday of every month or 1st/3rd Tuesday, ect.
It would be helpful for 2ndary billers to be able to see the original remittance from the primary payor; when reviewing claims; as many are requesting this; and, while we can manually print, it would be best if it could occur electronically and simultaneously with 2nd payer submission.
Wish they had a intro billing option for smaller/starting businesses with caseload managements less than thirty.

Avantages

They have added some new features like searching by phone number or DOB instead of by name so the improvements make this program great.

Inconvénients

There are a few options I wish would be added to Fusion such as being able to pull a report based on therapist caseload.

Avantages

Able to store everything in a digital chart and can access all the notes. Fusion creates nice professional documents, waitlist prevents client loss, lets me know what notes I have remaining, it tracks when things are due, pull forward feature, different colored appointments for different types of appointments.

Inconvénients

Unable to sync with google calendar, having to pay extra for each little thing such as intake forms even when paying for above basic packages, does not create a Rx, does have more difficulty using on a phone/tablet than computer (main schedule page).

Avantages

I enjoy the ease of scheduling and accountability to Bill for and complete the note after you have scheduled.
The notes are easy to fill once you have set them up

The evaluation documents are extensive and inclusive.

Inconvénients

The signing of notes for managers or supervisors is arduous and repetitive.

Avantages

Its intuitive - has easy functions - it allows for an unfamiliar person to learn it quickly.

Inconvénients

I don't like that I have to pay for 5 users when I only need two - its a HUGE waste of money but its a good product.

Avantages

Ease for providers as far as scheduling and documentation. Lots of reporting functions. Quick payment posting process. Patient check in process, and intake paperwork so much easier now than our previous EHR.

Inconvénients

Some of the reporting options are clunky. I'd love a "last viewed patient" function, and a DOB displayed when you hover over an appointment. Importing data from forms to patient chart would be nice, too.

Alternatives envisagées 

Jane et SimplePractice

Pourquoi choisir Fusion 

Not enough of the features we needed at the time with their program,

Pourquoi passer à Fusion

Ease of use, layout of schedule, reporting functions, patient portal option.

Avantages

General functionality for day to day tasks for OT/PT/Speech therapy clinic

Inconvénients

Charges for each add on, inconsistency, lack of accuracy and inability to run certain reports.

Avantages

I like how easy it is to write notes for the pediatric population by customizing the objective and by building your own homework and handout section

Inconvénients

I dislike the having to put in the time when it doesn't change from week to week. I dislike the goal tracking because is is difficult to word my goals so it is easy to decipher the progression toward the goal with use of percentiles, and times accomplished so I typically make my goals yes and no measures. I dislike that it is so difficulty to pair with AI and I have to copy and paste everything which takes more time than necessary

Avantages

SOAP notes are easily entered and data is readily available for tracking progress.

Inconvénients

The functionality of only one user being able to access an account at a time without being kicked out. This is incredibly frustrating when therapists have students, assistants, or managed therapists under them. The supervisor can't edit notes, access initial or re-evaluations to edit and the supervisor needs to have multiple schedules up at one time when the students are seeing the same clients on their caseload. This is a major design flaw with Fusion considering how user-friendly the rest of the EMR system is.

Avantages

I like the EMR system and how detailed it is. I like the support I receive with the claims and I like how Fusion helps with billing secondary insurance.

Inconvénients

Sometimes it's hard to reach support. I wish they were more available in the chat. Though Fusion is organized sometimes it's hard to find what I need.

Avantages

The best thing about Fusion is the time it has saved me filing claims. If time is my currency, then Fusion has been priceless.

Inconvénients

My experience transferring bank accounts and all the extra work it gave me. Wish there had been an easier way.

Alternatives envisagées 

SimplePractice

Pourquoi passer à Fusion

The cost, the walk-through for setting up, and I stayed with Fusion because your billing team seems competent.

Avantages

Easy for my therapists to learn and easily document sessions

Inconvénients

There is a lack of cohesiveness with regard to the intake process. Fusion is one of the most expensive platforms out there for OT/ST use and yet we are expected to pay extra for intake paperwork. Also, the fact that I pay full price for many of my team members who only use it part-time is a huge cost burden.

Avantages

Streamlined, adding of tests, the layout of the reports.

Inconvénients

Faxing coverpage that has signature already there and easier ability to see sent faxes; ability make personalized eval templates within the current membership & coding of non-timed codes, this really does not make sense for ST. I also wish it had the ability to have self-generated profile fields, we have to do all sort of strange things to be able to pull reports for our practice.

Avantages

* easy to learn
* many features for scheduling, doc, reports, etc

Inconvénients

* not able to hold objective activities in notes and overall difficult to do point of service documentation
* when completing re-evaluation goal updates do not pull from the last daily note so you have to look back through each goal history and copy and paste each one into the re-eval or download the last note and copy and paste
* re-evals do not track previous and current scores for tests
* default is new goals on re-evals only on Plan of Care when it should be BOTH documents
* last couple of new editions of standardized tests (M-ABC 3, PDMS-3) not already built by Fusion
*

Avantages

User friendly for the most part. Carry over of information from previous note for easy comparison.

Inconvénients

Default on goals during reeval should be "both docs." I have never worked in a setting in which "POC" would be the default for new goals. STOP CHANGING the no. of 'tab' hits it takes to add information in notes and reports. I develop very strong motor plans that allow me to quickly get thru those things, and it REALLY messes me up when you all change that.

Avantages

ease of use particularly the billing section

Inconvénients

controls in place that are not user friendly like not allowing back dating notes. with no access to computers when in therapy notes get jotted down then transcribed later so it looks like the notes are written way later than they actually were.

Avantages

It’s easy to use, it’s functional, great for timely paperwork.

Inconvénients

I wish there were a few additions: an app to easily use on the iPad and rescheduled option- instead of only cancelled.

Avantages

It's easy to use and straightforward. I like the SOAP note setup. I really like how the schedule/calendar system is set up and organized.

Inconvénients

There are so many unnecessary "clicks" (for example: to document goal data, you have to click into the area, then you are able to input data. If you click on the last goal it scrolls to the top of the goals and you have to scroll back down. Why can we not just enter the data?). In progress notes, it would be nice to have access to the scheduled appointments in order to calculate attendance, instead of having to close the document and go to the patient profile to see the sessions. Better yet, can we set a date range and Fusion calculates attendance for us? Overall, Fusion can get a bit repetitive in longer documents such as evaluations, reassessments, and progress notes but for daily documentation it is pretty easy.

Avantages

I love the ability to have graphs in reports. This helps my clients and case managers see the progress in a simple way. I also love the billing system. It helps me keep track of what has and has not been paid. It has already caught a few errors and helped me get paid more.

Inconvénients

I would love there to be a make up session option in the appointment options. This will tell me how many more make ups I have on the authorization for the client.

Alternatives envisagées 

SimplePractice

Pourquoi passer à Fusion

The graphs in the reports were a main feature that I loved.

Avantages

Ease of use and everything I need in one database. Scheduling, reminders for families, messaging between users, billing, and customer support when you need it (though honestly, not often). My documentation is definitely much quicker using this system.

Inconvénients

I wish there was an alert for birthdays - unless there is and I have not found it?

Avantages

send docs thru emr
pull forward options
visit signature
easy to schedule on
ability to send claims

Inconvénients

1)poor support, have send 2 questions thru contact support and never get a reply
2)being charged a fee for a student when told they will not have a charge
3)reports seem very lengthy

Avantages

I enjoy the versatility of it and the many domains where I can locate notes, intake, resources, and patient information.

Inconvénients

Sometimes finding certain domains or items can be a challenge. For my agency we rely on using an excel sheet to keep track of staff caseloads and perhaps it’s because I am not too well versed in Fusion for adding an excel sheet/staff caseload of clients on Fusion, however, that would be a benefit to have a list or sheet to add on Fusion of patients/staff caseloads.

Avantages

Very easy to integrate and teach new therapists. Good content and very few glitches

Inconvénients

Hard to get a hold of anyone to actually discuss issues with. Would be nice to have an actual customer service rep to talk with. I also feel the price is quite high compared to other EMR's and this a loyalty discount could be a nice option. We have used Fusion for over 7 years - how about a price break when you reach 5, 7, 10, and 15 years? You want customers that are in for the long haul, not those who jump from EMR to EMR.

Avantages

User friendly interface, therapists like the ease

Inconvénients

No AI documentation. adult outpatient clinics are already offering AI documentation integration into their systems.

Avantages

It is very user friendly when it comes to scheduling!

Inconvénients

The evaluation templates are not always the easiest to fill out.

Avantages

Clearly designed for rehab professionals and streamlined in many ways

Inconvénients

I feel that lack of ability of individual users to create their own keyboard shortcuts significantly slows down efficiency. I am familiar with EPIC which allowed us to type abbreviations (e.g., "pt" for patient) that would then automatically substitute. Having to remember short cuts created by others is challenging. I also think it would be hugley helpful to allow use of bullet points as well as increased flexibility for individual users (rather than admin only) to create and modify report templates.

Avantages

Easy to use when multiple therapists see the same kids. We can easily see if they are overlapping on therapy time.

Inconvénients

You can’t message multiple users at the same time (I.e. update both parents in split home of progress). I also find it frustrating that sometimes it won’t let me select a patient until I backspace when typing their name in the search bar.

Avantages

Intuitive
Builds are easy
All functions clinical and business from the home page

Inconvénients

Does not have the most robust revenue cycle reporting. It seems like they are holding back so you will buy their rev cycle services. But we made a few changes on our departments and we can get everything thing we need to run an effective efficient front and back office including billing functions in house

Avantages

Having everything in one location is very helpful.

Inconvénients

The billing division of Fusion is untrustworthy and drains funds from clinics with minimal explanation "you signed the contract" on repeat. During a zoom meeting with 5 Fusion employees, one employee grinned and smirked the entire meeting as we attempted to have a professional discussion. They drained close to 14,000 dollars from our account for "attempting" to make collections, NOT for actual collections. The majority of the attempts were for claims that had already been paid. They can just sit and click, click, click and gain 8% each time, regardless if the claim is paid. That is NOT what was described to us during our onboarding meetings.

Alternatives envisagées 

Jane et SimplePractice

Pourquoi passer à Fusion

I guess they had a better sales team. At this point, I just know I made a bad decision going with Fusion.