I just had a very interesting conversation with the VP of sales for a company 
who sells a billing services and a  practice management system but does not 
sell an EMR.  I contacted him looking for specs to use as an example of what 
was needed by system.  

I mentioned that VistA does not have GUI registration and scheduling and to my 
GREAT surprise, his company doesn't either! He said they have been growing 
30% a year for many years and that the company is 25 years old.  They briefly 
tried a GUI interface but went back to roll and scroll on a UNIX based 
system.

His company was also willing and able to handle the current output from VistA 
as it is for what they need to provide complete billing services for a 
practice whether or not the practice management system is used.


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