Achieving Success through Flexibility and Functionality
About The Practice
- Dr. John Swicegood recently merged Advanced Interventional Pain & Diagnostics into Transcend Pain, Fort Smith, Arkansas.
- The practice has about 10,000 patient encounters per year.
- The patient base comprises those suffering from complex spine and major joint disorders, mostly older non-operative patients.


How it all began:
- The passage of HITECH Act 10 years ago assured the usage of Electronic Medical Records (EMR).
- The EMR mandate required healthcare providers to convert all medical charts to a digital format.
- Following that, CMS and ONC defined Meaningful Use and set standards for EMR Incentive Program.
This prompted me to look for an EHR that was compliant with Meaningful Use.
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What Problems Were You Encountering
Maintaining Paper charts was complex and time-consuming. A dedicated staff was required to maintain the patient charts.
The goal of complying with mandates, gathering information, and getting trained in the new compliance rules was taking a substantial amount of time away from patient care and personal use.
I have independent practice so, in addition to an EMR being Meaningful Use compliant, ease of use; software cost, and vendor support were some of the top-ranking factors while deciding to choose an EMR

What Solutions Did PrognoCIS Provide to Help You Achieve Your Goal?
The clinic was one of the early adopters of EHR and the good thing was that PrognoCIS EHR was federally compliant. Hence there was a big learning curve to enter appropriate data to fulfill the mandate.
Early on there were many problems, mostly learning to create templates, print templates, organize medical data, learning the Practice Management aspect of the system, incorporating PQRS, and then the endless dashboard mandates to be fulfilled to transition to MIPs.
The good thing is that PrognoCIS was, and continues to be, in a constant state of “evolution” to adapt to the ever-changing demands of Medicare, CMS, and ONC and to the changes in healthcare technology.
The implementation and training from PrognoCIS helped me accomplish my goal and create workflows that helped streamline the processes. The team successfully showed the meaningful use of EHR and helped me receive incentive money. Checkout PrognoCIS Pain Management EHR Features
EHR Solutions For Every Specialty
Key Features Of PrognoCIS That You Think Other Practices Will Benefit From
- PrognoCIS is far more developed now than 10 years ago. It needs to be pointed out that one must learn to use the “PrognoCIS language” of creating templates, print templates, Practice Management and billing nuances, building billing files, and posting.
- Cost-effective, responsive, and gets work done.
- The engineers work hard to be available, attentive, and diligently work on a problem to its completion.
Overall, despite the challenges anyone would face while adopting any EHR system, especially with ever-changing federal rules for compliance, I am confident that I will go with PrognoCIS again if asked to choose another EHR.
Dr. John R. Swicegood | Pain Medicine | Anesthesiology
Product Updates
PrognoCIS is constantly evolving and changing in line with the medical industry both locally and nationally.


Customer Success Stories
Most clinics face similar challenges with their EHR and Billing. We hope it provides a better understanding of our commitment to customer care
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Our Range of Services to Facilitate your Medical Practice
Revenue Cycle Management
Use our RCM services to process statements and handle your claims, while you connect with patients
Account Resolution Service
Accelerate patient communication for shorter billing cycles using our account resolution service.
EHR Integration
The most appropriate solution for enhancing the workflow and overall resourcefulness of a healthcare practice.
Credentialing
Quickly enroll your practice with third-party payers and begin seeing patients