Web-based vs Client/Server Comparison | Articles | Patient Account Services

10 things to Improve Your Practice

Screen applicants, Hire, and Train to find the best employees for the job. Your practice is only as good as the people it employs. Remember that your front desk is your first impression for your patients (customers!). Do your homework – call applicant references, require pre-screening math and grammar skills tests, verify qualifications and certifications listed on the employee application.

How do I know if I have a billing problem?

You cannot manage what you cannot measure and it’s very important to measure where a practice stands financially so that you can be more effective at collecting insurance money. If you don’t know how to measure your success, then you can never determine what’s happening with the money nor implement goals to improve productivity.

Why Should I use a Billing Service vs In-Hous...

The most attractive reason for using a billing service is: Cost.


Not only does a billing service reduce your cost of operations, it should increase your income as well – thus, putting more money in your pocket in both ways.

Why choose Patient Account Services?

Whether you need help submitting clean claims, managing denials, or pursuing unpaid claims, Patient Account Services, Inc can help you get paid the right amount as quickly as possible. Our highly trained and experienced account managers are organized to provide personalized service and comprehensive support by knowing your practice inside and out.

Web-based vs Client/Server Comparison

A comparison of web-based vs client/server systems, and a list of the advantages of web-based.

Training for ICD-10 Implementation

Web-based vs Client/Server Comparison

Feature Client/Server Web-based Advantage/Benefit
Computer Servers (multiple) Yes, 3 or 4 required. None required A web-based system saves $30-$100K on initial costs and $2-6K per year in service fees.
Third-Party Software Licenses Yes, for Microsoft® SQL and clinical features such as ePrescribing, reference library, and others. Included With a web-based system, your third-party licenses are included with your monthly fee, and we keep them current and active for you.
IT Staff Recommended to have your own or contract the services out. Not required An IT expert might cost a minimum of $65K per year or a service contract and an outside vendor could cost $10–$30K per year. Web-based systems do not require IT support.
Workstation Equipment In order to work reliably, all workstations need to be on the same release or version of the application software and meet certain specifications. Standard web browser is required for workstations Web-based systems save time and money. You can purchase equipment that gives you the best price performance; manufacturer and model aren’t important. Upgrades to the application program do not effect the workstation connectivity and performance.
Flexibility Long-term commitment, on average 5–7 years. Annual commitment You can access your data via the web from any connected computer in the world. You can terminate your contract if your vendor is not performing up to your expectations.
Using the Latest Features Yes, but only if you keep your servers loaded with the most current release and perform your scheduled server upgrades. Yes Your web-based vendor keeps all clients up-to-date with the most current release, eliminating downtime for software updates.
Data Backup/ Recovery Yes, data backup is usually performed at the end of the day. Many practices utilize remote backups in addition to tape backup, so data is easily recoverable. Recovery is possible if you have a reliable backup source from the previous day, month, or year. Total redundancy of data The web-based system backs up all data and keeps duplicate data sets in multiple locations to facilitate the best data security possible. Data is replicated in real-time for instant availability so no data is lost.
EDI: Claims and Eligibility You pay for claims, remittances, and eligibility. Included Savings on a web-based system can range from hundreds to thousands of dollars per month.
Data Lines and Communications You’ll need a virtual private network (VPN) to communicate with your remote offices and/or from home. Not required The Client/ Server system requires data lines between offices and the use of Citrix, Terminal services, and VPN software from home, adding significant expense to your network.
Operational Simplification Required application software must be loaded on workstations and can conflict with previously installed programs. No software is downloaded The Client/ Server system requires downloading multiple programs onto the workstation and creates potential conflicts with other programs. A web-based system does not need software downloads.
Resource Consolidation Each system needs to have all interfaces and data links implemented to their servers. All connections run to single location A medical office requires constant monitoring of all the data connections on multiple systems. With a web-based system, all data links are managed and connected through one central source, thereby increasing support performance and reliability.
Electric, Insurance, and Finance Each server, router, and onsite battery backup unit will require electricity. Three servers usually cost $400 per month. There are also equipment insurance and finance fees. No extra electricity or insurance costs Depending on your local energy rates, a Client/Server system might cost an extra $350 to $500 per month in electric fees. Insurance may cost $30–50 per month to cover all the central servers for thief, fire, and flood damage. These fees are not necessary with a web-based system.
Implementation Costs Typically $20,000–$60,000 based upon practice size. Usually less than $10,000 A Client/Server system requires more onsite set-up than a web-based system for hardware implementation, template building, and loading client programs on workstations. Billed separately, travel costs for IT staff are extra. Onsite training rates range from $100–$225 per hour plus expenses; Optum PM and Physician EMR charges $100 per hour.
Value Significant investment and implementation costs. Great value for investment In today’s highly competitive health care market, web-based systems provide the most value for your money. Being connected with the most up-to-date software means you can provide the best patient care while keeping your overhead low.

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