Why Dr. Ayo Left eClinicalWorks for Total Clinical Control

Starting a new private practice is one of the most challenging transitions a physician can make. Between securing a location, hiring staff, and building a patient base, the last thing a new practice owner needs is software that fights them at every turn.

For Ayo Akinrinlola, MD, FACS, RPVI—a highly credentialed vascular surgeon launching Prime Vascular in Virginia—his initial choice of Electronic Health Record (EHR) quickly became a liability. He implemented eClinicalWorks (eCW), expecting an enterprise-grade solution. Instead, he found a system that was overcomplicated, difficult to learn, and poorly suited to the specific workflows of a solo vascular surgeon.

Worse yet, the complexity of the system was masking a critical revenue leak.

The Challenge: An Overcomplicated EHR and a Silent Revenue Leak

As a solo provider building a brand-new practice, Dr. Ayo needed efficiency. But eCW’s interface was dense and rigid. Charting felt like a chore rather than a clinical tool, and the system demanded that he adapt to its generic workflows rather than adapting to his specialty.

But the interface wasn't the only problem. Prime Vascular was experiencing significant cash flow issues. The practice's biller was struggling to navigate eCW, leading to improperly coded claims and incorrectly entered insurance information. Because the system was so opaque, these errors went unnoticed, resulting in denied claims and delayed payments. For a new practice, this kind of revenue disruption can be fatal.

Dr. Ayo needed a system that was intuitive to use, customizable to vascular surgery, and backed by a team that actually understood revenue cycle management (RCM). He found that in Tarevo.

The Tarevo Solution: Custom Engineering and a Simple Interface

When Dr. Ayo transitioned to Tarevo, the first thing he noticed was the contrast in usability. Tarevo’s interface is designed to be clean, simple, and easy to learn. But simple does not mean basic.

Because Tarevo operates on a "Boutique Engineering" model, we didn't just give Dr. Ayo a blank slate—we built the system around him.

Custom Vascular Workflows

Our engineering team worked directly with Dr. Ayo to build a highly customized SOAP note specifically for his vascular surgery practice. We integrated specialty-specific macros and robust voice-to-text capabilities, allowing him to dictate complex surgical notes rapidly and accurately.

Compliance and Documentation

We also engineered a custom PDF printout feature that seamlessly included locked note addendums, ensuring his documentation was not only fast but fully compliant and easy to share with referring physicians.

Direct Access

Instead of waiting on hold with a massive corporate helpdesk, Dr. Ayo had direct phone access to the Tarevo architects building his system. If he needed a tweak to a template, it was handled immediately.

The RCM Rescue: Fixing the Revenue Cycle

While the clinical side of Tarevo gave Dr. Ayo his time back, the Tarevo RCM team went to work saving his revenue.

Our billing experts conducted a deep-dive review of the claims previously submitted through eCW. They quickly identified the root cause of the cash flow issues: the previous biller had been improperly coding claims and incorrectly entering patient insurance data.

Tarevo’s integrated RCM team took over, correcting the coding errors, streamlining the insurance verification process, and resubmitting the claims. The impact was immediate—Prime Vascular saw a significant and sustained increase in collected revenues.

The Result: A Thriving Practice, 3 Months In

Just three months after switching to Tarevo, Prime Vascular is operating exactly as Dr. Ayo envisioned when he opened his doors.

He is no longer fighting an overcomplicated interface. He charts quickly using custom macros and voice-to-text. His billing is accurate, and his revenue is growing. Most importantly, he has total clinical control over his practice, supported by an EHR partner that is just a phone call away.

Is your legacy EHR overcomplicated and hurting your revenue?

Stop adapting to rigid software. Schedule a Strategy Meeting with a Tarevo architect today to see how we can build a system around your specialty.