Axxess Home Health

Commenti: Our company is a commonly owned group of home health and hospice providers located all across Texas. Because we were not pleased with all the double data entry and lack of features and functions provided by our previous provider, the company assembled a team of 16 home health agency software systems users: from the markets where we conduct agency operations, composed of each agency role; i.e. intake clerks, nurses, administrators, and billers, from all over the company; to objectively research the platforms and to choose the best platform to support the overall growth of our agencies into the 21st century. Before using Axxess Agencycore, we used HealthCareFirst, and reams of paper forms and spreadsheets. We use the browser-based version of Axxess so every update is immediately available. We purchased Axxess in August 2011, after an extensive process beginning in the summer of 2011. Our statewide team of HHA pros performed a search of national scope that included all of the most prominent providers of Home Health Agency Point of Care, Administration, Scheduling and Billing software. Our ‘final four’ included industry mainstays. The final four consisted of:
1. A large, well-known hospital based home care system.
2. A well-known home health platform which also has as an affiliated nationwide home care agency group; and
3. A heretofore-leading web based platform system, which has become a market leader since 2006. (This candidate was our pre-research favorite.)
4. Axxess After participating in demonstrations of features and functions from all the vendors and applying consistent testing based on common criteria involving the top 4, we narrowed our list down to two (eliminating #1&#2 on the criterion of functionality, monthly recurring, and implementation costs). We then conducted a semifinal round, pitting the two browser based systems on a head to head basis- We then applied ourselves to another round of demonstrations, this time pitting #3 vs. Axxess, head to head. The team was utilizing the predetermined criteria to assess the platform’s features and functionality. The implementation went smoothly, with training happening simultaneously. It took just over 60 days. It is easy to use with point and click and usable with tablets, iPads and laptops, as well as desktop Macs and PCs. After the second round, an informal team discussion was held, with all team members present. Because of our commitment to the process we had agreed to follow beforehand, the ultimate choice was put the decision to a vote of the team. The team voted overwhelmingly to choose Axxess, even though, at the outset, the company leadership had actually been leaning towards choosing #3. This choice was a lot more clear-cut than we had anticipated. We consciously chose Axxess over #3, which is a prominent browser based platform, which has been a market leader in the home health industry since 2006. Due to our thorough and deliberate due diligence process, which included in its scope the most prominent vendor platforms in the US Home Health Agency Software Market, we are convinced that Axxess has emerged as the clear market leader. We chose Axxess over the other finalist because it not only is competitively priced, but also reflects a customizable workflow orientation, and is comprehensive in scope. Axxess utilizes the most up to date .Net technology and provides the easiest route to efficiency and productivity through formal, attentive training of all the platforms we examined. An extra bonus is the attitude of Axxess’ trainers and customer support employees towards its customers. The Axxess Team is refreshingly enthusiastic and helpful. The Axxess culture is inviting, and their employees’ attitude towards their clients is encouraging. Axxess is enabling us to increase profitability. The company's 4 licensed agencies migrated to Axxess in September 2011. The migration was conducted over the course of a complete patient episode (60 days) by inputting into Axxess all our recertification patients from our previous platform, which did not have Point of Care functionality. Our CEO commented that this was the smoothest migration between platforms he has ever experienced in his 20+ years of home health agency experience. We are thrilled to be an Axxess client, and among the growing number of Axxess User Community members. Our confidence and efficiency provided by this change has enabled us to move forward in acquiring additional agencies in other regions of Texas, as well as to foster the continued growth of our current patient/client base.

Needs Improvement

Commenti: Overall, We are happy users of Axxess and they have been a great EMR partner. If they could just institute more frequent updates to the basic functionality to make the software even better and more thoughtful I would then be able to give a 5-Star review.

Aspetti positivi:

Windowed environment provides intuitive ease of use, anyone that is familiar with the basic operation of a Windows or Mac computer will find it easy to learn to navigate Axxess. However, Some basic functionality is lacking enough to be more than just an aggravation. Axxess training videos are excellent and much appreciated.

Aspetti negativi:

Orders Manager - With CMS, and Managed Care payors strict guidelines about timely signatures, the lack of document age, as well as the ability to easily document attempts to have documentation signed is a major flaw causing the need to build an outside tracking system which needs to be reconciled daily. Billing Manager: Batch remittance feature would be nice for managed care insurances. Ability to pre-select claims that should be split up by G-Code for easier billing with managed care (e.g. Medicaid requires authorization number for PT, ST, OT visits and those need to be billed separately from SN and HHA visits [which also require an auth. #]) Record Highlighters: All windows showing "lists" should have the ability to highlight records for easy viewing (like in the billing manager windows) Better Navigation: When viewing patient specific records in the billing manager (or other windows where applicable) there should be a link to tie back to the patients chart, as opposed to opening the charts window and searching for the patient. Patient "Vital Statistics": It would be nice to have an easier way to access patient information such as ICD-10 Codes, Address Information, Insurance numbers, SS#'s, etc. for quick copy so that they can be easily pasted into other billing applications and portals. As opposed to going to multiple windows to find the information, or edit screens where vital information could be accidentally deleted. Message Searching: Axxess Mail feature should have the ability to search mail by subject, by patient, by recipient, by sender, or by date. General Searching: All windows showing lists of records should be searchable including all windows of the orders manager. Patient Visit Guide: A special form/window should be created in the software where the case managing RN could document visit specific information such as, location of patient (where to park, what door to go to, etc...), patient specific visit preferences, and other relevant information about the visit for ease of communication between RN's and other staff about the patient.

Therapy staffing company for Canyon Creek Home Health

Aspetti positivi:

Its easy to use and simple. Some of your webinars are quite useful. Thank you for this.

Aspetti negativi:

1)Why, Why WHY do you send so much marketing information to us?? We like the software fine. We already pay for it. Why do you think you need to sell it even more? 2) THIS: I've been doing some chart reviews and noticed a few things from my PT's notes. Daily note issues: No place to add narrative under Homebound Status. Several of our companies have had audits and been dinged for this when clinicians aren't adding at least two reasons for HB status. One should based on the disease process and the other on a functional deficit that makes them homebound. The explicit instruction from the Home Health section of the APTA is to include items such as dependence on caregivers for management of assistive devices, supervision due to cognitive issues, etc. I would like to coach my clinicians to add this somewhere in the narrative or to ask Axxess to allow this. Any suggestions? How are other clinicians addressing the goals in their notes? While there is a 'progress made towards goals' section, I wasn't able to get the goals to copy and past into the narrative of my notes. No section to document coordination of care between disciplines, family, MD or ALF staff. I added this to the narrative but it would be great to cue the clinicians for this. Discharge summary: This is a light functional eval but without a treatment note, space for vitals, etc. Is there supposed to be a daily note attached to it? No way to compare progress since admit or towards goals. No place to document coordination of care for d/c planning - I added this to the narrative No cueing for discharge instructions to patient. Here is a response with tips from another admin here in the valley who uses this system: - Home Bound Status: it will flow over from the nursing assessment and must be modified there. This can be accomplished through staff training as well as quality assurance activities when processing the 485. -Goals can be copied and pasted from the therapy assessment. Go to the patient's chart, then the printer at the right of the assessment, then copy and paste onto your note. It will be on everynote there forward so long as you select the "copy previous note" from the upper right hand section of your note. -Communication comes through the communication tab in the patient's chart. You can select who you want to be included. This proves communication between disciplines. It goes out as secure emails to each person you select. I love this communication. - When you select the "view previous note" it will pull over the note you select so you can compare progress. - Yes, there is a discharge note per discipline, or you can use a regular therapy note. -Discharge instructions to the patient are on the discharge or transfer summary. You can build templates to drop down frequently used verbiage or use the templates already loaded. I don't like the templates - too wordy.

Zoey Health Services Report/Experience With Axxess.

Commenti: Let me share my recent experience with you.My biller does not know that medicare has new measures on home Health Agencies now on 'Rap Suppression'. Axxess billing dept.,put one of my patients on Rap Suppression by name Elnora Jones due to over late rapping. That not withstanding, a repeat late rap on the same patient occurred again and medicare implemented rap suppression.This is why I am demanding a refund and termination of their contract whether I breached the contract on not. I am still with Axxess home health system but not with billing dept. Axxess billing dept.does not have good reputation, if nothing is done to correct them, it is going to affect Axxess in general because 3 of my friends pulled out of axxess because of how the billers handled their problems.

Aspetti positivi:

Axxess is a complex organization big enough to contain almost everything required for a smooth running of Home Health Agency. Supper customer service ready to talk to you 100 times a day solving problems with happiness. There staff takes correction without frowning, makes amend their mistakes without victimizing there customers. In fact, this is a good quality with Axxess staffs they know that "Your customer is always right". I am talking with experience. Where I have problem is the " Billing Department".

Aspetti negativi:

The Billing department has to be re-structured. More experienced billers are needed, and or frequent up dates through in -service training are required of the billers to be current.Secondly, they are not suppose to be harsh and rude when addressing a frustrated customer whom out of Axxess billers mistakes and in-experience made the customer loose money.This bad attitude to work makes them not to realize their mistakes and carelessness so they are not ready to change quite unlike Axxess software staffs. Obstructing business cash flow is dangerous.

Great for billing and charting transparency

Commenti: Please build a notes functionality that is reportable for Billing. We would also benefit from a reporting function for the Stick notes AND the Status Names from Activity Logs. Also, please build a CRM that links to the patients, Physicians and Referrals! This will help us keep the tracking of patients or referrals in one place. Keep up the Great Work!

Aspetti positivi:

Simple to use and mostly intuitive. A good tool would be to have a curriculum / test for each module "How to complete and OASIS ' based on their permissions. This shows the Administrator that a new / current employee is competent in completing such a task.....Video, then test, where they need to pass 80%. if not, the employee stays on 'probation'. Of course you can give the administrator to wave the testing and let them 'wing it' at their peril.

Aspetti negativi:

Need deeper reporting functionality that enables the Administrator to understand what steps, employees are delaying the OASIS, RAP and Final process. We need a report that becomes a checklist of steps needed to complete for each patient's claim.....by insurance, by task, tied to the RAP/Final status, tied to an ability to input contact withe the RN's for Tasks and MD's / MD offices for Orders.....i.e., 'Contacted dr Jones 5/4, sent 2nd fax of order 5/27, Office closed for holiday 6/2-9.' Agencies more transparency as to what is holding up a RAP or Final and an ability to simply report this graphically / metrically with team members. Keep up the great work!

The most horrible product, customer service, and people to have to actually work with in the industry and I have been in it for 20 years!

Commenti: This company has cost our company significant revenue loss and cost us the loss of employee's and we have gotten cited on deficiencies from State audits due to the incompetence of this companies obvious lack of experience and intelligence in this area of healthcare. This company and it's employees also have the attitude that they know better than the client what the client needs, they don't want to hear what you want or would like for your business. They take on the attitude that they are better and superior and can't possibly be wrong and this creates the massive issues that we have now with nothing working at all! They aren't interested in the customer being happy they are interested in doing what they want when they want. They will make changes not tell you and implement them with no reasoning and it will make all other systems fail because it won't integrate correctly with them. There is little or no testing and they never ask the customer how they feel about any of it.

Aspetti negativi:

This product is not even adequate. Our hold time on 1/29/2018 was 3 hours and 15 min, on 1/24/2018 it was 1 hour 45 min on 1/22/2018 it was 2 hours 10 min and this goes on and on. I have personally left over 20 messages asking a supervisor to call me back and not one single call to address this issues of not able to bill, not able to complete nursing notes, glitches in the wound note, errors everywhere and no one cares. WARNING stay away from this product they DO NOT CARE about any client and they do not have the resources to run a competent company. BEWARE!!

Worst Customer Service center in the business

Commenti: If you never need assistance, the software works as it should but once as there is an outstanding problem, good luck with anyone helping you with your issue... they don't care about their clients and just want to automatically debit accounts for monthly fees which is their main goal at all points in time.

Aspetti positivi:

The billing software was generally good and easy to use until the organization decided to raise the pricing to use the billing only software 250% after which we exited our relationship with the company entirely.

Aspetti negativi:

Customer service representatives NEVER call you back when detailing an issue with the system. I have had a problem after terminating our use with their billing system for 3+ weeks and they still have not contacted or attempted to resolve the issue. The customer service line are message takers and can never resolve any issue themselves, and always state they have contacted the department associated with the issue but you never receive a call from the department that can actually help you with an issue.

Terrible Customer Service - Too Many Changes - No Training

Aspetti positivi:

At the moment, nothing! It used to be a good company. When we opened our doors in 2014, the customer service was great, although we had to train ourselves on the system. No one completed trainings via computer, at our facility, etc.

Aspetti negativi:

EVERYTHING! All the changes have been too many at one time. There are too many non-working, non-functional parts to the system. It should not have been released in January, if it wasn't ready for the public. It is now March and the changes are still being made (actually some that are made are going back to the way Axxess worked previously). We have lost nurses due to the fact that Axxess system was erasing their info and making them have double the work. This morning we got on the system and all of our POC's from January forward are unable to view. They are going to have to be re-opened and re-submitted to our physicians, this is around 300 POC's and extra work on our employees. We called Axxess, was on hold for an hour before they took the call, then the lady we spoke with had no real answer to what had happened. We requested to speak with a supervisor and she could not reach one. Basically we were told that we would have to re-do all 300+ POC's.

Good starter

Aspetti positivi:

I like the layout of charts. It looks simple and nicely organized. It's easy to schedule visits, and review the record of each discipline. Axxess has tried hard to respond to the change of regulations and modified the format of the documentation to meet the requirement. They have offered more webinars lately to educate users. They also have CAHPS services as well. They automatically generate the list of patients and send out the survey. It's convenient. You can also see the details and review the report.

Aspetti negativi:

I have a feeling that their help center doesn't have enough staffs. When you call them, it takes time to be connected with the representative. You can create a ticket for the issue you have, but it also takes some time to resolve the issue. With the recent updates, there were glitches. I informed Axxess and they are working on it. However things are not resolved yet. The fee for Axxess CAHPS service is higher than I used to pay to the previous vendor.

Started out strong but fizzled out

Aspetti positivi:

When we started with the company in 2013 we were somewhat pleased with the software. It had it perks.

Aspetti negativi:

This software had us so out of compliance with the COPs and state regulations that it has taken us 7 months to begin to get back in to compliance. We had to change software in order to do this. Then we had a nurse who was not doing her job and using the copying feature which we were advised was a great thing by Axxess but ended up getting us further out of compliance. The customer service was horrible and my staff and I not only called, emailed support but upper management without calls back or follow ups. After stopping payment they shut us off midday jeopardizing patient safety. We pulled our records but most were corrupted and blank.

It is Simple

Commenti: In its simplicity, it is very step intensive, it does not think for itself. Everything it does has to be directed by the user, at the simplest level. A good system would let you set up preference at one time for each insurance and then the system would take that information and use it to simplify the steps. This system does not! For billing you have to manually create every claim, for every patient. It does not allow for mass billing, of billable visits, or multiple claims at one time. What I used to be able to accomplish in a day with my old system now takes me weeks. In this system, you cannot search by invoice number or track anything accurately. When you post a payment, you do so in each claim, and you physically have to go back in, find the claim and mark it paid. Everything is simple, not hard, but I might as well go back to paper. Everything has a work around, because nothing works the way it was intended! Very, very frustrating, especially on the accounting!

Aspetti positivi:

Its Simple to learn

Aspetti negativi:

See the review....

Need Updates

Aspetti positivi:

System is User Friendly for the most part. Provides a lot of reports (would be nice to custume some agency specific reports) Wide variety of customizable Templates

Aspetti negativi:

Need central calendar with interactive ability to move patients between staff without having to "reassign" each patient one by one. Need a form of "progress towards goals" documentation with use of clinical pathways/nurses notes/yTherapy notes Biiling for other pay sources than Medicare should be simplified Forms should be more customizable. Upcharges for every improvement that should be made anyway (i.e offline charting, visit verification, billing, CAHPS)

Frustrated!

Commenti: Software is good overall, but they are not ethical in their dealings.

Aspetti positivi:

Ease of use. It has all the features to simplify your work. I like the EVV as it the put staff at the point of care without worrying about visit fraud.

Aspetti negativi:

They charge you as they like without approval from the agency. Agency monthly rate was increased by adding services not required. They add their product to your charge without consent. Trying to resolve it goes nowhere. I wrote emails three times, spoke with customer services so many time and left messages but and still no response. I can wait to switch. One of the rep said "I don't care if you switch"

Generic Lower Priced EMR system

Commenti: Overall affordable lower end of the EMR systems, very commonly used in the home care industry, get what you pay for kind of a program. Fulfills all of our basic needs.

Aspetti positivi:

Easy to use, and easy to educate those on field visits along with those in the office. Recently underwent a transition of EMR software from one to another and was easier to input new information into axxess in comparison to our previous EMR vendor.

Aspetti negativi:

Horrible customer service. They go through periods of not answering or answering but the tech on the line does not know what the question is and/or what our home care needs are to properly answer

Not keeping up with the Home Health industry

Commenti: This software has many unintuitive and serious flaws are present that Axxess has been slow to address, if at all.

Aspetti positivi:

"Windowed" environment in browser allows for multiple windows to be viewed at once. Cloud based functionality means you can work anywhere, anytime.

Aspetti negativi:

Restrictive, system-wide lack of intuitive ease of use, built in reporting features are severely lacking.

CHANGES ARE KILLING FOR NURSES, WAS THE BEST BEFORE 2018

Commenti: PLEASE, AXXESS, GO BACK TO WHAT YOU WERE BEFORE, YOU WERE THE BEST. NOW IS THE WORST SOFTWARE FOR FIELD NURSES.
HOW COME?????

Aspetti positivi:

AGENCY OWNERS ARE NOT NURSES . THEY ARE AMAZED AT FIRST SIGHT WITH AXXESS. NURSES WILL ALWAYS HAVE LATE CHARTING DUE TO RECENT CHANGES DONE

Aspetti negativi:

CHANGES RECENTLY DONE HAVE TURNED 180 DEGREES . NOW NOT USER FRINDLY FOR NURSES. SLOWER, DISORGANIZED. CHNGES RECENTLY DONE ARE NOT BASED IN ACADEMIC NURSING. NEW TERMS WERE ADDED BY LAY PEOPLE. THIS SOFWARE WAS THE BEST LAST YEAR.

8 year experience has been great with much ease of usage and software always stays compliant with regulatory.

Commenti: Keep up the excellent work in updating the software for compliance.

Aspetti positivi:

Oasis, SNV note format always keeps in compliance with regulatory, and very easy to use. Plan of care stays in compliance as well keeping everything needed on a easy to read format.

Aspetti negativi:

Report center could be a little better. Commonly used reports such as employee payroll, weekly schedules, census by physician etc etc. could be a bit more user friendly.

great product

Aspetti positivi:

the entire program is so user friendly. Everything is straight forward.

Aspetti negativi:

It's too easy for clinicians with permission to edit task details to change the dates and then the visits are out of frequency. AxxessDDE should have a functionality for direct data entry to bill. We get a lot of PT evaluations returned back to us from the doctor because there isn't a place for DOB.

Easy to Use!

Commenti: I wish you had hospice as well.

Aspetti positivi:

I love how easy it is to use. It has all the functionality we need; we've never had any issues. From office staff to clinicians, we love this software!

Aspetti negativi:

If I had any complaints, it would be the frequencies and how to track them. It is hard to know everyone's frequencies and put them in the 185 which is where they are pulled from. And if the frequencies change during the episode, which it often does, there is no way to update that and continue using your tool.

Axxess Home Health

Commenti: Excellent

Aspetti positivi:

What I like best is the patient face sheet module. Its so simple to put patient information.

Aspetti negativi:

it easy to maneuver. The step by step is easy to teach and very understandable.

I think it's the world best home health software

Commenti: Vancouver Home health Care Agency (vhhca.com) has been working with Axxess since 2014 and we are very happy to be in association with Axxess …At Axxess.com tried them on for size you want regret it....

Aspetti positivi:

I know I can't keep this software to myself but as much as I love it I have to recommend it to anyone who mentions software for their business and home health.

Good Quality

Commenti: I I think Axxess is a good product that greatly facilitates my work as QA. Very easy to use. I have used Axxes for about 4 years and I think it is generally very good.

Aspetti positivi:

You can use it anytime, anywhere. Webinars

Aspetti negativi:

I do not like it when you guys make updates to the system during our the office hours.Because the system gets very slow.

So far the one of the best softwares that I have used

Commenti: Software is very good and easy to use.

Aspetti positivi:

This software keeps not only the agency but the nurse in compliance with CoPs. I know my license will be protected with this software.

Aspetti negativi:

The ever changing Conditions of Participation make it difficult to master the software because it is changing so often.

Software is good, customer support is bad

Commenti: Why is Axxess not willing to send notifications when there is a software change in billing?

Aspetti positivi:

Easy to use, all inclusive software. Allows for patient signature and for staff to complete paperwork on phone.

Aspetti negativi:

We receive no notifications on changes to our billing by AXXESS. We find out when our claims are rejected by insurance companies, costing months in delayed payments and time to figure out what changes Axxess made but did not bother to notify us of.

it's a great product but could use some better reporting.

Aspetti positivi:

ease of use with exceptional customer service!

Aspetti negativi:

that you cannot have both DDE and Regular Axxess up at the same time without timing out Regular Axxess