Adapting to MACRA Regulatory Demands Virginia Cardiovascular Specialists (VCS) has been executing their mission to improve the heart health of central Virginia since 1977 and is the largest cardiovascular practice in central Virginia now with 8 practices, a brand new ambulatory surgical center (ASC), and 38 physicians. Before partnering with NextGen, they were still managing documentation very similarly to when they opened decades earlier, on paper. When the Medicare Access and CHIP Reauthorization Act (MACRA) came out, it essentially mandated implementation of electronic medical records.

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