Should I go into private practice?

Starting a private medical practice is a significant decision. It offers more control but requires balancing business and patient care. Your salary structure changes, and you must attract patients by identifying unmet needs and potentially accepting insurance. Credentialing is crucial. A practice manager can help with business operations, and ClinicMind software provides comprehensive practice management solutions, streamlining various tasks and improving patient care.
Board Issues – ChiroSecure
Hi everybody Dr. Stuart Hoffman here to talk to you Today about something that has been a big issue in chiropractic world. So many of you have issues with you license in court and I wanna share to you some of the things that happened so that we can hopefully try and reduce your risk. And when I tell you that the license in board issues are big. It has sky rocketed over the last year. And I think some of the reason for that is kind of simple. In that when I graduated 1981 from life college. If someone wanted to make a board complaint against me at that time they had to find the board. You don’t find them in the yellow pages for those of you that even remember what the yellow pages is and you had to actually find it in the separate section of the white pages under government agencies. And you found them, and made a long distance phone call which cost you money to get someone at the board once they actually picked up. They would then send you by mail an actual complaint letter. You fill it out and send it back in to the board. By the time all of that hassle happened most people that it was just on the edge just went away. Because lot of that motion that was build up had already passed. But on this teen age people need to get their feelings hurt and if you didn’t listen to them they’re gonna have it heard somewhere whether it just to be heard out or to hurt you. And simple fact is that they can go on Google and in nano second find the license in court and on the homepage click here if you want to make the complaint. It takes nothing and your license in board has the legal obligation to follow up on any on every complaint that comes in to that. So its our job to defend you if in you when get one of these complaint. And if you are with chirosecure and I hope you all are then I would expect that you would know we need you to let as know as soon as you get a letter or call from the board that they are just checking in something. They are investigating or there are something that they need to follow up on. Any and all of that means that there is an investigation. So always contact whether be us or who ever your courier is. Because they should be put on notice and you should have an attorney help or respond to any complaint to the license in court no matter what it is. And I have so many times that people will say to me “You know I hear you, but this is a stupid little thing I’m gonna send in a respond and be done with it.” Well that’s fine except that you have three of those people wind up coming back because now the board want to interview them in person and they now need the attorney when we could have resolved it perhaps with a good respond in the first place.
ChiroSecure Stroke Risk Management
In todays lesson we are going to discuss strokes. The stroke myth in chiropractic is one of those things that we absolutely cannot ignore and we have to deal with it. And in order to deal with it, is it essential that we take into consideration all of the relevant information that is out in the public. And that’s both PRO and CON. But you cannot dispute actual research and I’m gonna share a little bit of that with you today. So I wan’t to start by saying “Hey if you have somebody in your office and you adjust them and all of they sudden they start getting dizzy and they start vomiting, don’t run to the telephone to call me. Call 911! That is the number one thing you can do to not only save that person, but save yourself at the same time”. I get those calls. People don’t believe it when I tell them that people are actually calling me “Hey I’ve got someone vomiting all over the place what do I do?” Well what am I gonna do to help you at that point. But with the strokes situations. The faster you get emergency medical attention the better the outcome will be for that patient. If you prolong it, it could be a disaster for both the patient and for you. So don’t be afraid, if an ambulance shows up to your door, they can show up because someone passed out or anything else. It doesn’t always have to do with you. You do the right thing by the patient and it will also help protect you at the same time. So let’s talk about strokes in the United States. 750,000 stokes occur in the US annually. But strokes arising from dissection, which is what we are associated with, are rate of 1 per 133,000 people. If there are 315 million people in the US we can expect 2,368 of these strokes to occur each year. That means that we are not even associated in anyone’s mind with 750,000 of them. So strokes annually in the US, ours that we have any association are so insignificant. But to us they are everything. And if you think about it, if an average of 10% of the US population seeks chiropractic care annually then we could anticipate about 237 dissections leading to strokes to cross the path of chiropractor this year. And if we have 65,000 practicing doctors that means that 1 in 275 chiropractors will have a patient that winds up with the dissection leading to stroke each in every year. So as much as that sounds that nothing, it’s everything if it’s you. Realize that its estimated that one vertebral artery related stroke is associated, and I’m using specific words with you here so I hope you are hearing me not say cause, but have an association, with 1 to 2 millions cervical adjustments.
ChiroSecure Malpractice Insurance Basics
Hi I’m Dr. Stuart Hoffman, president of Chiro Secure I wanted to make sure that the lessons I created for you where more than what you would ever expected. Which would probably be the typical and somewhere dry and scary topic of malpractice insurance. You know, this is how much coverage you need and this is why you need it etc. I wanted it to have real impact. And I wanted you to experience what really goes on in the world of chiropractic malpractice. The issues that cause my phone to ring every single day. The issues that you yourself may one day may experience. So I created seven special lessons for you from my experience as a risk management expert for over 27 years. Your gonna hear about situations you need to watch our for. How to handle certain situations and the expected outcome. Most importantly your going to hear stories real stories. From doctors just like you who where in the front lines every single day. Some of the stories will actually surprise you. And some will make you wonder what docs are thinking when they did some of these things. What I hope all of them do is to help you realize that we are all human and with 3 things come great responsibilities. And I believe that the 7 lessons will help you better deal with this responsibilities by lowering your risk while still maintaining your practice growth. So I look forward for your feed back and to any questions that you may have. Hi I’m Dr. Stuart Hoffman, president of Chiro Secure. And I’m here to help you with your understanding of malpractice insurance. So many people find it a little confusing as to what they need to purchase what they even have that they’ve already purchased. And how to make sure that they safe guard them selves and their practice base on their own insurance coverage. So I’m hoping to demystify some of this information for you Today. And what I want you to understand is why even have a malpractice insurance? Malpractice insurance is something that I think is essential in Today environment. Some people think its a choice, I think its a responsibility. And if you understand that a patient can sue in his teen age for anything. There are attorney that will take the most privilege things and send you legal papers. And that’s all because the patient think that they where wrong or receive some sort of negative outcome to their treatment. Insurance just simply help manage that risk while protecting you and your practice and your family from huge legal expenses from this potential pay out. But even more than the pay out, a Doctor will say will if I didn’t do anything wrong once I defend my self it will all go away. Well maybe, maybe not but either way it so important to understand that the number one concern we have in chiropractic medical legal realm is a straw claim.
Genesis Chiropractic Software Marks More Than a Decade of Integration with Cash Practice Software & Training
Genesis Chiropractic Software, the leading provider of technology solutions and chiropractic billing service systems, today marked more than a decade of integration with Cash Practice Software & Training, a solution that increases chiropractors’ cash collections and patient retention. For the past decade chiropractors nationwide have implemented this best-in-class integration that provides real-time synchronization of patients and payments. “For more than a decade, the synergy between Genesis and Cash Practice has provided chiropractors with unparalleled opportunity,” said Brian Capra, DC and President of Genesis Chiropractic Software. “Our best-in-class integration has been proven to save time, increase productivity and patient retention as well as cash collections and substantially increase profits.” Additional benefits for chiropractors include: Saving more than 40 payroll hours per month Both solutions are web-based Single sign-on Auto-posting of payments Delivers more than payment processing with easy access to Care Plans, Wellness Reports and Payment Processing – including gift cards and online payment forms Drip-Education email marketing system & auto-debit system Cash Practice Academy Increased convenience Unique features Cash Practice offers chiropractors include: Payments can be processed within the client record, whether it’s a recurring payment or one-time. A sales receipt can be emailed to the client. If a payment is declined – staff will know instantly with a pop-up on screen. The system will then email a patient directly giving them a button to click on, allowing them to pay online. In the Point of Sale Section, staff have the ability to process a payment. For example, if a nutritional supplement is sold, it will auto-populate with a patient’s information and allow staff to automatically email the patient a receipt as well as pre-fills, Drip-Education campaigns – including educational information, patient reminders and more. “Genesis initially reached out to us for payment processing because Cash Practice offers its clients so much more value than the competition,” said Miles Bodzine, DC and Owner of Cash Practice. About Genesis Chiropractic Software Genesis Chiropractic Software from Billing Precision, LLC was designed by chiropractic business owners with both patient experience and practice profitability in mind. It provides a complete chiropractic practice management system in the cloud that supports every role in a busy chiropractic practice, from the owner and practitioners to the front desk and back office. It automates the vast majority of standard tasks, including patient relationship management, revenue cycle management, compliance and office management. Its exclusive workflow functionality continuously improves productivity, control and predictability, fostering teamwork and time savings, which leads to greater profitability and practice growth. About Cash Practice Software & Training Cash Practice® Systems provides software and training for running a successful cash-based practice. Their suite of cloud-based programs are designed to reduce a doctor’s dependence on insurance and increase their cash collections whether they still accept insurance or not. The four systems include The Wellness Score® for creating report cards for health, the Cash Plan Calculator® for creating compliant payment plans, the Auto-Debit System® for recurring credit card payments and the Drip-Education® Email Marketing System for email marketing. For more information visit https://www.cashpractice.com/ or call 877-343-8950 ext.101.
Three Step Management
Everyone, Dr. Brian Capra here from Genesis Chiropractic Software. Tonight we’re going to talk about the three steps to management and this is where your software, your practice management software, ironically fails you. It’s about management at the end of the day. Practice management, air quotes, software that’s on the market these days really, I don’t consider management software because it doesn’t help you manage. It does some really cool stuff. When I started my practice, I used other software to be frank, I used Platinum System. It was cool. It did a lot of great things. It did a lot of automation. It did somethings for me that really helped. If you know my personal story, I encourage you to go listen to that. It really didn’t actually help me manage my business. It made things easier in certain circumstances, there was good reports, but it didn’t help me actually manage my business. As a chiropractor, I think I said this in my last video, it’s really important that we start to really shift from a doctor a business owner, pulling ourselves more and more and more out of the day to day life or being in practice, being an employee in our own practice. As a business owner, as a chiropractor, you have to understand that you really are two things at the same time, which really puts you in a very unique situation. You’re not only a business owner, but you’re an employee in the business. To be an effective manager of business, there are three things that you must do, and this is not chiropractic, this is any business. Give you a little perspective, you probably know by now, I own Genesis Chiropractic Software and Billing Network. We are a chiropractic software, we serve thousands of clients in the cloud, but we also do insurance billing and collections for thousands of providers and users in the cloud. You’ve got to understand that I have learned, I wish I knew what I know now, by building this business over the past 15 years, I wish I knew this when I was in practice because it would have saved me a lot of frustration, number one. It would have freed my time up so I could have been focused on things other than my practice while I was outside of the practice, I wouldn’t have had to be always thinking about all of the processes and procedures my team was supposed to be doing and whether or not they did it and thinking about which patients I haven’t seen in a while. I wish I would have known this 15 years ago plus, because that’s when I was in practice. I had a great practice, 400 plus visits a week. I wasn’t super high buying, but I did corrective care so we had a great practice, huge collections and it was awesome. We did some insurance, some cash. Here’s the thing, there’s three steps. This comes from the experience of building my company over the past 15 years, reading every business book I can get my hands on possibly and now I just want to just give this to you. It’s just three steps. Ultimately at the end of the day there’s only three things you have to do. It’s simple to understand, I’m not saying it’s simple to do. Okay. Number one, quantify. We talked people, process technology. We talked about process specifically. We talked about revenue, retention and compliance and the three types of processes in any business. So, this is quantifying means developing your processes. Step by step by step, clarifying your processes. If you have a new patient, it’s not that you just have a new patient, you have the phone call, you have the script. You have to schedule them. You have every step of what needs to happen in your technology. When they check in, after they’ve checked in, there’s a whole bunch of steps that have to happen after that. The doctor has to do their exam for it, the doctor has to do the recommendations for care. Somebody has to create their financials. Somebody might have to call insurance and verify benefits or maybe there’s no coverage. Then that has to be coordinated, create a financial and that has to be presented to the patient. After the first visit, a lot of times in practices that I know, I know I did this, I would call the patient after the first visit, the phone call. That’s just the new patient. There’s several steps right. Every single daily visit, there’s several steps that have to happen and they have to happen perfectly because like we talked about in people, processes and technology, like we talked about in process where we have revenue and patient retention/patient experience, everything has to happen perfectly. If it doesn’t happen perfectly, you’re affecting the patient relationship. If the relationship doesn’t happen perfectly, you’re affecting the ability of that patient to really understand chiropractics, stay longer, get great results and refer other people. This is, when you think about this stuff, it should be thought about with a sense of urgency. Managing should be in your life blood. It should be part of your core of who you are. It’s not like you want to manage a business. It’s just that you want to manage the patient experience the best you possibly can. Quantify the work, again management three steps. We’re going to talk about quantify. Sorry if this is, I don’t know if this video is kind of backwards, but it’s just the technology, the way it’s working right now. Quantify the work. That means your processes, and not just your processes, but every single step in a process has to be documented perfectly in detail. It has to be, like I said in the last video, it has to be revisited on a regular basis. I’m not saying every week, or even every
People Process and technology and the audit
Hey everyone, Dr. Brian Capra here from Genesis Chiropractic Software and Billing Network. Tonight I’m going to talk to you about how insurance companies leverage people, process and technology to beat the heck out of us and really kick us when we’re down, take our money and use it to audit other chiropractors. People, pretty simple one actually, a lot of their work is outsourced. We’re going to talk about automation with technology where they’re able to actually automate so many things where they don’t even need people. But when they do need people and you call, who do you get? You’re actually talking to somebody in India. So what do you think they’re paying them? They’re paying them maybe a dollar an hour. They’re paying them for your team member to call them. Hopefully it’s not you because it’s even worse if it’s you. But if you have a staff member calling them, maybe you’re paying them whatever you’re paying them, 12, 13, 14, 15, maybe more dollars per hour. That’s what you’re competing against. That’s the cost that they know they’ve got you beat as soon as you pick up that phone. Just by picking up the phone, you’ve lost. That’s the simple of it. That’s people, super simple. Process, let’s talk about your process. I have some notes. So forgive me if I’m looking down at my notes. Let’s talk about your process versus their process and how much manual labor there is on your end and how much manual labor there is on their end. Remember now, you’re paying somebody 15 bucks and hour. Let’s say they’re paying somebody nothing, well very little relatively for their manual steps. Let’s look at how many manual steps you have compared to them. So manual steps, benefit verifications, pre-certification, hunting and pecking for codes, modifiers, diagnosis code links, units, ordering your diagnosis codes, all that beautiful stuff. Documentation of your visit, submitting the claim, correcting claims that were wrong, posting EOBs, submitting to secondary insurance companies, finding unpaid, underpaid and denied claims, calling and following up on those claims, submitting supporting documentation when they ask for it, resubmitting claims, collecting patient balances, which is like a job in and of itself. Think of all those manual steps. You would need somebody to do them and you’re paying them whatever you’re paying them per hour. Let’s use 15 bucks an hour as an example. Now let’s look at the insurance company’s manual steps. Again, they’re leveraging all these things. Every business is made up of three things, people, process, technology. All they do is say, “How are we going to make it cost way more in people,, process and technology for the doctor than it will for us?” Not to mention, they have unlimited money. So let’s look at their manual steps. Answer the phone, when you call to follow up for an unpaid, denied underpaid claim, if you call, or if you call for benefit verifications, or if you call for pre-certs, then the other manual step is auditing you. That’s pretty much it. Why? Let’s talk about technology. They, again, have unlimited money and they have a huge database of doctors submitting claims to their database. They have massive amounts of money to invest in technology which includes automating all those steps, automating certain steps, and then using artificial intelligence to find the doctor that’s most likely to lose an audit. They look for trends. They look for trends in claims, your codes, your documentation, your follow up on claims, denials and underpayments and all that, or lack there of, if you don’t follow up. They automate the claim receipt. So they’re not actually having somebody receive a claim anymore and then process the claim. It’s just getting to them and it’s being processed through their technology in an automated way. They’re automating the claim receipt, the denials, the payments, the underpayments, the pre-certs, the ID of candidates for audits. So they’re automating all of that. Forgive me, I just lost my page here, so give me one second. They’re automating also, identifying the candidate, the people who are most likely to lose an audit because they have all of this mass amounts of data. This technology is spitting out, “Hey, this is the list of doctors that are most likely to lose an audit.” The insurance companies are not paying people to audit you. They’re not paying auditors in most cases. Those auditors are paid a percentage of what the actual settlement will be. There’s no loss for them. They don’t lose money, other than the technology they’ve invested in, once they find you and outsource you for an audit for the most part. I don’t want to oversimplify that. There’s a little bit more details. For the purposes of this video, just want to make sure you understand that once they outsource that and that person is getting basically a commission on your audit. Then there’s the audit, and now you have costs associated with that for yourself. Obviously, just the costs of hiring a legal team, but how about the fact that they send letters to patients saying, “Hey, FYI, your doctor is being audited.” How about a new patient killer or practice killer and attrition risk for your practice where patients are getting letters from their insurance companies saying, “Hey, your doctor is getting audited.” I’ve heard stories of clients that went through audits before they joined Genesis where they actually showed up at the patient’s home and knocked at the door at night waking the children up and saying, “Hey, did this doctor do this? Did you get these services at this doctor’s office? Because they didn’t support the proper documentation.” Just showing up at the patients’ houses. You also obviously have the legal defense. Those expenses are going to climb. You’re facing losing your license because once you get audited, there always a chance that … The best case is
Software Support Pitfalls – Chapter 14
Chapter 14 Software Support Pitfalls Where Software Support and Training Go off the Rails Software companies are notorious for overpromising and underdelivering. After you’ve paid for the software and start using it, you realize you’re not getting the support you need. At Genesis, we’ve identified what the problems really are: Having to stop your busy day and call the vendor every time you need support Wasting time on hold Leaving voicemails and sending emails that disappear into a black hole Forgetting that you sent the email or left a voicemail until days later when you need that problem solved again No way of knowing if someone is going to get back to you with an answer Getting their call when it’s not convenient for you What You Really Need What you really need is help when and where you need it. Usually, that’s in a specific part of the system. You need help relative to that problem in that part of the system. You don’t want to search the entire help system just so you can find the answer you need. You need the answer to your specific question right then and right there. What about new staff members? Who trains them? How often does that happen? You start on a system with the staff you have, and then you get a new team member. Who trains that person? Usually, the person who left is the person who knew the system the best. So how do you get the new staff member into the system and proficient in the system right then and there without you or someone else being responsible to train them? Genesis provides consistent training. If we didn’t, you wouldn’t get the most out of the system. I hear this all the time about other systems: “I don’t really use all of it. I don’t really know all of it.” This is an important concept. You need to be able to improve how you use the system over time, especially with Genesis. During the onboarding process, it’s easy to get the basic training on Genesis, but there’s so much more to Genesis. We make sure you get more and more out of the system as you go. The Onboarding Phase What data can be transferred from other systems? I get this question a lot, so it’s worth taking a minute to go over it. Patient demographics—name, birthdate, phone numbers, email address, mailing address—can be exported from most other systems and uploaded to Genesis. What cannot come over from other systems? The short of it is that data are stored differently in each system. They include billing and accounts receivable information (although you can add what the patient balance was in your old system), care plan data, images such as X-rays, and so on. The key to getting really great support with Genesis starts in the beginning with the onboarding process. Transitioning to a new system is never easy. There’s a lot that has to happen. Each new Genesis practice is assigned an onboarding manager who is dedicated to making sure everyone in the practice gets the training they need and that the practice is on track for the go-live date. Transitioning to Genesis usually takes six to eight weeks. On the first video call, the onboarding manager reviews things like these: Practice style, goals, and the go-live date Generating logins for each staff member System setup such as appointment types, fee schedules, hours of operation Mapping out the training steps for each staff member Sending test insurance claims Applicable third-party integrations such as credit card processing Each staff member’s required training tasks and how to use them Showing the owner/office manager how to track the staff’s training progress Where to find help in the system and how to reach the support team The schedule for future onboarding calls After the Onboarding Phase Training tasks Training tasks are role-specific for the practice, which means a CA’s tasks are different from an office manager’s tasks and a doctor’s tasks. Each staff member gets a series of tasks, one at a time. Each task is on a specific part of Genesis they will need to know. The task contains a training video and other explanation content, if needed. As staff members complete their training tasks, the Genesis team reviews them for accuracy and completion. If there are questions or corrections that need to be made, all of that is logged inside that specific task—sort of like a chat transcript. If screen-share training is needed on that task, there is a link the staff member can click on to schedule the session with the next available Genesis team member. That is a key step in the process that ensures everyone is “getting it” before the go-live date. In some cases, it also helps reassess if the go-live date is still realistic or needs to be adjusted. You’re starting to see how we’ve eliminated unnecessary phone calls and emails and improved results, accountability, and tracking. Showing the owner or office manager how to track the staff’s training tasks is the key step in transitioning to this new type of technology. In essence, this step is training the owner/office manager how to manage their staff using Single Point Management for everything in the practice moving forward. New Staff Members New staff training is vital to the ongoing success of a practice. Most software companies are unaware when a practice adds staff. At Genesis, we know exactly when that happens. In essence, we treat each new staff member the same way we did in the onboarding process. We proactively reach out and make sure their training tasks are mapped, ensuring a smooth transition to your office. Keep in mind that since Single Point Management is sending them tasks anyway, they are well aware of the things they need to do every day in your office. All you and your staff have to do is teach them how you would like them to
When Should You Outsource? – Chapter 10
Chapter 10 When Should You Outsource? Disclaimer: I own Genesis. Many of our clients outsource their follow-up to us. You might think that makes me biased. The truth is that many of our clients keep billing in-house as well. Each practice is different. Genesis makes a profit in either case, so my real incentive is to make sure every practice has real control over their insurance department and that we offer the best option for them. Since we offer both in-house and outsourced support, Genesis clients have the option to switch back and forth as their needs change. Step 1: Choose the Right Technology As you can see, if you do not have Single Point Management with everything integrated in the cloud, you are behind the eight ball. Step 2: Gain Control, Accountability, and Transparency Leveraging the Genesis system means you can see exactly how many claims need follow-up at any given time, from anywhere. You can see if your accounts receivable is within normal limits. What is within normal limits? The national average for AR >120 days is 17.7%. That means that on average, any given doctor does not collect 17.7% of the money he or she should from insurance companies. Statistics prove that if it takes you longer than 120 days to collect money owed to you, the chances of ever collecting it go down to almost 0%. With Genesis, you see how many claims need follow-up each day (and if your staff is keeping up) and your % AR > 120 days in real time. The Genesis average Across thousands of users, our average client % AR > 120 days is 7%. Many are 0%. Do the math: 17.7% – 7% = 10.7% increase in collections when using Genesis. Step 3: Decide What’s Best for Your Practice and Be Flexible You may already have a superstar biller. Leveraging Genesis will make their life easier and more efficient. My personal opinion is always to outsource because a great biller could also be great at doing other things in your office like helping get new patients. That being said, if you keep things in-house with Genesis and, God forbid, something happens to your biller and you need to outsource, it is as easy as flipping a switch. Genesis can take over right where the biller left off, with no fall in income. You can even outsource some billing such as Medicare only, for example, to Genesis. Step 4: Track the Results Regardless of what direction you go, with Genesis you always have a simple way to see if your billing department is up to par. You are no longer in the dark. You have more control and accountability than you have with any other in-house solution, even when you outsource with Genesis. The choice is yours. You are in control
Streamlined Interface – Chapter 9
Chapter 9 Streamlined Interface You might be thinking this all seems complicated. There is some truth to that. Winning isn’t easy, but the work it takes is not all on your shoulders. The smartphone is more complicated than your old flip phone, but you were willing to do what it took to learn the new interface because of the tremendous value it brought to your life. Genesis is like that smartphone, and it’s also like an iceberg. There is a lot to it, but most of the work is hidden—automated—and you do not have to look at it. For the office that uses Genesis, there are only a few places that you need to get used to interacting with it. Some of these are similar to what you are used to with other software, like the keypad on your smartphone. Then there is what is different. Here is a breakdown of what is the same, what is similar, and what is different. What Is the Same? Features that are the same are more advanced with Genesis, but there is a smaller learning curve. Scheduling Reports Patient information and transactions What Is Similar? Documenting your visits. What Is Different? The biggest difference is what we call the workbench. That is where you and your staff find all the tasks Genesis is bringing to you. Remember, these tasks are mission-critical for revenue, patient retention, and compliance. The fact that you do not have to find them anymore means you’ve just saved a ton of time every day for you and your team. The fact that in many cases Genesis is finding things that are frequently missed means your business will grow. There is no more wasted time looking for work in reports. There is no more wasted time doing work that could be automated. Now you just do the work that comes to you and make sure everyone did their work by the end of the day, just by looking at one number. If you can make this little but massively important shift in how technology is being used to beat insurance companies and serve more patients in a compliant way, you will experience a new level of freedom and satisfaction you would have never thought possible before. The following chapters are questions Genesis receives all the time. Many times, there are misconceptions about how various software platforms address these issues. For example, the traditional problems that doctors encounter with outsourced billing services no longer exist when they use Genesis. Many older software companies say that cloud-based software is less secure or that cloud-based software prevents doctors from owning their patient data. I am not sure if they are purposely not telling the truth or if they simply do not know the truth. In either case, you should know the truth about cloud-based software, so I’ve included a chapter dedicated to that.