One Clean System
Dr. Ifeyinwa Stitt is a gynecologic surgeon and co-owner of Caronette Fibroid & Pelvic Wellness Center, a two-surgeon practice in Maryland. When she joined in October 2025, the office still ran on paper, and no one could tell which patients had paid.
Three months later, on NexHealth, she could see a patient’s chart five minutes after they finished their intake forms, see every payment the moment her staff took it, and plan for a surgery schedule booked for months out.
Unpaid balances the practice had to write off at the end of 2025
In December 2025, the office moved its forms, payments, and records onto NexHealth
Intake forms reach the chart in five minutes; 45 surgeries booked in two days
Dr. Ifeyinwa Stitt has wanted to be a doctor since she was five, watching Trapper John, M.D. at her grandmother’s house. She went to medical school at Meharry, trained at Walter Reed, and served seven years as an Army physician.
In the military, she was working in electronic medical records in the early 2000s, while most private practices were still on paper. The reason was safety, not convenience. As she puts it, “You can’t misread a typed order the way you can misread handwriting.”
Backwards
Then she left the military, and the technology went backward.
Her husband’s practice at the time was a small, family-run office: manila folders stacked toward the ceiling, intake forms piled on the counter. Working from paper charts, she was never sure she had the full picture. “I was always looking for something,” she said, digging through a folder and hoping the last update had been filed in the right place.
Around 2010, she moved that office onto one of the first electronic record systems built for small practices.
Thirteen years later, in October 2025, she joined her husband, Dr. O. Lawrence Stitt III, at the practice they now run together: Caronette Fibroid & Pelvic Wellness Center in Maryland. The two met in medical school and have been friends for twenty-five years. “It’s really kind of easy when you’re working with your best friend.”
The business
Caronette is a small practice: two surgeons, four staff, and a part-time biller who works offsite. A new practice lives on the money that comes in the door, and an insurance claim can take 30 to 45 days to pay. That makes the copays and deposits collected up front the difference between meeting payroll and missing it.
And no one could see that money clearly. “We couldn’t keep track of the money,” she said. Patients would say they had paid, and no one could confirm it either way. The unpaid balances added up all year, until the practice had, in her words, “a lot of outstanding debt in 2025 that we just had to write off.”
One morning, her office manager was at the front desk calling a patient to ask for a payment the practice had missed, on the same day that patient was scheduled for surgery. Dr. Stitt was mortified. Her husband put it more bluntly. "The business is going to close if we keep doing this."
One clean system
Then one day, Dr. Stitt answered a sales call from NexHealth. She had been on the phone about a minute, still picturing the stacks of forms her staff had to scan in by hand, when the representative said the one thing she had been trying to solve: the practice could send its forms out to patients, the patients could fill them out, and the answers would come back into the medical record on their own.
“You had me at hello,” she said. “This was exactly what I was searching for, but I didn’t even know that it existed.” While the representative talked, she looked the company up and read reviews from other providers in real time.
By December, the practice was running on NexHealth, connected to eClinicalWorks, the electronic health record they already used.
What sold her was where the information ended up. When a patient booked an appointment, they received a nine-page packet of intake, history, and consent forms. Within five minutes of the patient finishing, Dr. Stitt could find all of it inside the medical record, sorted into the categories she had set up, instead of waiting in a separate inbox for someone to file by hand. “I literally just go to two things,” she said.
Payments worked the same way. Copays posted in real time, surgical deposits were collected before the day of the procedure, and her staff reconciled each day’s transactions within 48 hours. “The money is here,” she said. “We don’t even have checks.”
Other parts she set up herself. Using saved text-message templates, she offered surgery dates to patients and booked 45 of them in two days, filling the calendar through May.
When a snowstorm closed the office, she notified every scheduled patient the night before and moved their visits to telemedicine, so her staff could stay home. Every appointment was kept. “We lost nothing,” she said. “Game changer.”
New patients booked directly from the practice’s website. During the interview itself, she watched two new appointments come in.
Up and running
The part Dr. Stitt doubted was the support. “I honestly didn’t believe it was going to happen,” she said. What she found was that when she calls, someone picks up within a few rings and gives her a straight answer, even when the answer is no. Her NexHealth onboarding specialist, Veronica, had the office up and running in under three weeks.
She brought up the criticism herself, the online posts claiming NexHealth’s support is hard to reach. “I have not found that to be the case,” she said.
Three months in, the waiting room she had imagined, one that feels more like a hotel spa than a doctor’s office, is the one her patients walk into.
“And with NexHealth, we’re achieving it.”
The form lands in the chart, not an inbox.
NexHealth writes directly into the medical record a practice already uses. Intake, payments, and scheduling post to the record itself, so no one re-enters them by hand.