Staff says the EHR is down. The EHR is fine, and something it depends on is not.

We trace the connections behind missing results and failed transactions, and manage the equipment your staff depends on. When the EHR vendor blames the lab, we get on the phone with both.

Ask one IT question

We work for you.

Our managed IT has no long-term contract and no onboarding fee, and clients stay for decades anyway.

Our clients' systems are watched around the clock by a staffed security operations center, every day of the year. Very few IT companies offer that to a small business, and we do.

We do not advertise and we do not do hard sells. Almost every client has been with us more than ten years. Most have been with us about twenty.

We resell nothing and take no vendor commissions, so nobody pays us to recommend their product.

Within our scope, we document the domains and administrative accounts your business controls. That documentation is yours whenever you want a copy, including when you leave.

The record moved to the cloud. The practice did not.

The check-in desk of a small practice: a monitor showing an indistinct schedule grid, a card reader, a printed day sheet on the counter and a wall of colour-tabbed chart folders behind.

A result does not post. A prescription will not transmit. An eligibility check times out with a patient standing at the counter. To everybody in the building the EHR is down, and the vendor's status page is green, because from where they sit nothing is broken.

Behind the screen, an interface can send orders as HL7 ORM messages and return results as ORU messages, and an imaging result can carry a link to images stored somewhere else. So the call goes in a circle. The EHR blames the lab, the lab blames the interface, and the interface belongs to a third company nobody in your office has a number for. Meanwhile the scanners, label printers, card readers, network and workstations are still yours, hosted record or not.

We make those calls instead of you, because your practice manager already has a job.

An outage you did not cause can still stop your cash flow

In February 2024 an attack on Change Healthcare, which UnitedHealth says it identified on 21 February, left many providers unable to process a substantial portion of their claims or complete eligibility checks, according to the American Hospital Association. Nothing in those offices had broken, so nothing in those offices could fix it.

The practice knows which button it clicks to send a claim. That is not the same as knowing who carries it, and the names change. Aetna's own vendor list reads Optum (formerly Change Healthcare), Waystar (formerly NaviCure and ZirMed) and TriZetto Provider Solutions (formerly Gateway EDI).

What helps is having the route written down beforehand. We record which clearinghouse carries your claims, which enrollments exist and what a second way to submit would take, so "can we bill at all this week" has an answer before the week it matters.

Your EHR vendor backs up the EHR. Check what else is in that contract.

The scanned documents on the file server, the fax archive, the images on the modality workstation and the spreadsheet your biller actually runs the month on may sit outside that backup. And CISA notes that many ransomware variants try to find and delete or encrypt accessible backups.

We keep backups separate from what they protect, and we run the restore rather than reading the report. Then we agree on the recovery order while the schedule is still running: how patients reach you, whether clinicians can reach the chart, and when claims have to start moving again.

What has your staff quietly learned to work around?

Ask us anything. One IT question, answered straight, no charge and no pitch.

Maybe it is an interface that fails every Monday, a report nobody trusts, or a claim nobody can trace. Send us whichever one it is.

Do you already have someone doing your IT? Ask anyway. If they have it handled, that is what you will hear.

Call (817) 265-5000 or email info@bdunn.com.

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