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EHR & Medical Practice Management software advice for doctors and staff

EHR Software Comparison: Brief Overview of the Top 10 EHRs

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The market for electronic medical records software reached $24.9 billion in 2014. By 2019, spending is predicted to reach $35.2 billion. In July, the Pentagon signed a contract with EHR vendors Leidos and Cerner worth $4.3 billion over two years to modernize the Defense Healthcare Management System.

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Due to a mix of government incentives and the general trend toward moving everything online, most healthcare settings now use EHR software. We surveyed those EHR software users for a soon-to-be-published report, and found that most buyers demo just two options before making a decision.

To make it easier to decide which EHRs to demo, I’ve briefly outlined the top 10 most popular EHRs. To learn more about how we ranked the vendors, check out the Capterra Top 20 EHR Software Infographic.

EHR Software Comparison Chart

Click to view a larger version.

1. eClinicalWorks v10 (EHR Suite)

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Overview

eClinicalWorks v10 (EHR Suite) is an EHR and medical practice management system. Its low cost and combined practice management make it a great choice for small practices.

Standard features

  • Appointment management
  • E-prescribing
  • E&M coding advice
  • Meaningful Use Stage 1 and 2
  • NC-ATCB Certified
  • Patient Portal
  • Voice Recognition

Bragging rights

  • The company has more than 600,000 users, including 100,000 physicians, according to the site
  • More than 54% of the federally qualified health centers (FQHCs) use eClinicalWorks
  • 20,650 unique health care providers have used eClinicalWorks to attest for meaningful use and receive government subsidies, according to the website.

“Healow,” or Health and Online Wellness is the eClinicalWroks’ patient portal, where patients can input lifestyle, health, and wellness data, as well as health data from mobile apps and information from wearables. Patients can also use the portal to request refills, referrals, and education material. They can also review health records, view test results, and ask questions.

Combining medical practice management and EHR makes it easier to move data from charts to billing. Providers can track claims and estimate the amount and timing of payments.

Standard features

  • V10 EMR is ONC-HIT 2014 Complete EHR Certified
  • ICD-10 compliant
  • ICD-10 search feature helps find ICD-10 codes quickly
  • Cloud or installed
  • Billing to submit claims electronically
  • Claims rules engine helps avoid billing errors

Cost: $450 one time

2. McKesson

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Overview

McKesson offers claims management, denial management, compliance, customer service, and business intelligence reporting. Detailed financial and operational metrics help make operations more efficient and long-term planning more effective.

Standard features

  • Appointment management
  • E-prescribing
  • E&M coding advice
  • Meaningful Use Stage 1 and 2
  • NC-ATCB Certified
  • Patient Portal
  • Voice Recognition

Bragging rights

  • Meaningful Use Dashboard helps you quickly and easily see progress across all 15 core Meaningful Use requirements.
  • Set five personal menu objectives and measure them in real time.
  • ONC-ATCB certified
  • Cloud hosted
  • McKesson offers lab integration and e-prescribing. For voice recognition, the McKesson Radiology workflow uses Nuance for web-based speech recognition reporting.

McKesson is ranked 15 on the Fortune 500 list for sales. The company has six EHR options. The most robust being McKesson Practice Complete which integrates EMR with practice management

On the cloud as well is the patient portal, in which patients can review records, schedule appointments, request refills, and also pay their bills.

Cost: $1 per month per user

3. Practice Fusion

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Overview:

Practice Fusion is a pure EHR, and does some, but not all of the automation associated with practice management. It’s designed for private practices with 1-10 doctors. The goal is to make EHR available to small shops. According to PracticeFusion Communications Associate Justin Jones, 112,000 providers use the software, making it the nation’s largest cloud-based EHR.

Standard Features:

  • Appointment management
  • Charting
  • E-prescribing
  • Meaningful Use Stage 1 and 2
  • NC-ATCB Certified
  • Patient Portal
  • Voice Recognition

Bragging Rights:

  • Practice Fusion is 100% cloud-based with nothing to download and works on all platforms through HTML5 responsive design. It’s updated every two weeks automatically, no updating, no IT work.
  • For charts, the software offers around 15,000 keyword-searchable community templates created and shared by other doctors. It is certified for Meaningful Use Stage 1 and 2 and ONC-ATCB Certified.
  • Practice Fusion also offers a patient portal where patients can find providers, book appointments, fill out their forms online (which can be customized by providers), and see their medical records.
  • Practice Fusion has 12 billing partners it works with to create a single, simplified superbill for ease of billing.

Cost: Practice Fusion is completely free for providers. There’s a small banner ad in the software.

4. CureMD

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Overview:

CureMD hit the market to provide an alternative to large industry players.  It’s aimed at both hospitals and private practices of all sizes. According to CureMD Marketing Analyst Maryann Lambert, it is also the first specialty specific, cloud-based integrated EHR and practice management system which is geared toward small to medium sized practices, both in terms of functionality and price.

Standard Features:

  • Appointment management
  • Charting
  • E-prescribing
  • E&M coding advice
  • Meaningful Use Stage 1 and 2
  • NC-ATCB Certified
  • Patient Portal
  • Voice Recognition

Bragging Rights:

Each practice gets a dedicated account manager who is responsible for not only helping a practice go live but also ensuring that round the clock support is available.

  • Ensures clinical components are in place for measurement and getting meaningful use credit from voice dictation
  • PQRS and ICD-10 consultancies
  • Notes include components integral for complete documentation for your specialty
  • Contains its own credentialing services and clearing house
  • When the doctor completes the notes and presses the ‘create e superbill’ button, the E/M code is created automatically

“A provider does not want to be penalized just because their EHR vendor was not able to provide them with the technology to stay abreast with recent healthcare regulations,” Lambert said. “We are amongst the first batch of vendors to be certified for all government regulations. This gives our providers time to easily prepare to meet government regulations and not be penalized. Moreover, we also provide consultation services to our practices to help them meet all government requirements.”

“The focus is shifting to value-based care,” Lambert said. “Right now a physician gets paid for the number of patients he sees every day. There is a gradual shift in which reimbursement will be on the basis of the quality of care provided.” For this reason CureMD includes disease type, visit type, etc. in documentation.

The patient portal for CureMD offices is actually integrated into practices’ websites. In it, patients can send providers secure messages, receive alerts from providers, look at their medical records, update demographic information, and request refills. For physicians, what’s available in the portal is customizable, they can remove options like medical records access or alerts.

Cost: $295 per month

5. Allscripts

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Overview:

Allscripts Professional EHR is aimed at small to mid-size practices.

Standard Features:

  • Appointment management
  • E-prescribing
  • E&M coding advice
  • NC-ATCB Certified
  • Patient Portal
  • Voice Recognition

Bragging Rights:

  • The 2014 Black Book ranked it “Best of the Best” in Ambulatory EHR Functionality & Performance: Interoperability, Communications & Connectivity.
  • Chart templates are customized by specialty
  • Partners with 3M Health Information Systems coding and ICD-10.
  • 3M Medical Necessity Dictionaries updates monthly with compliance edits and Medicare Part A and Part B NCDs for the ABN process
  • Allscripts is certified for Meaningful Use Stage 1 and 2 and the website claims 11,423 Meaningful Use attestations.
  • Over 50,000 pharmacies are connected to Allscripts
  • Doctors can handle lab work in-house, or send it to external facilities via Laboratory Information Systems (LIS) and Radiology Information Systems (RIS)
  • Procedure IT search engine simplifies lookup of otherwise complex CPT codes, in provider-friendly terms

3M Medical Necessity Dictionaries are embedded into Allscripts Enterprise Order and Charge modules to validate medical necessity in a pre-service and pre-billing environment. Medical necessity validation reduces Medicare denials and write-offs and claims rework.

The interface alerts physicians to potential allergies and interactions. Pharmacies can send electronic refill requests directly to the provider using Professional EHR. Refill requests and pharmacy preferences come to Allscripts from FollowMyHealth.  Allscripts Electronic Prescribing of Controlled Substances (EPCS) enables prescribers to digitally sign and electronically send prescriptions for controlled substances to participating pharmacies.

Allscripts Professional uses NoteSwift 2.0 for dictation. It uses Dragon Medical speech recognition to complete patient documentation with fewer than five clicks per note, according to the website. For example, the system automatically captures and parses dictated prescriptions without clicking. NoteSwift claims to capture patient narrative as well as structured data to include all relevant and billable data which. This enables “robust” billing, for fewer denials. For example, you can include “Reason for Visit” via dictation, recorded as structured data to support MU guidelines.

Cost: By request

6. Cerner’s PowerChart Ambulatory EHR

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Overview:

Cerner’s PowerChart Ambulatory EHR is aimed at hospitals and private medical practices. It serves family practice and internal medicine, as well as specialties including Cardiology, Gastroenterology, General Surgery, Neurology, Obstetrics/Gynecology, Orthopedic Surgery, Podiatry, and Pulmonary Disease. Cerner’s hosted software uses ASP. It is high in interoperability.

Standard Features:

  • Appointment Managing
  • Charting
  • E-Prescribing
  • E/M Coding
  • HIPAA Compliant
  • Meaningful Use Certified
  • NC-ATCB Certified
  • Patient Portal
  • Voice Recognition

Bragging Rights:

  • KLAS-award winning
  • Helps practices identify which patients are eligible for Medicare annual wellness exams
  • Aggregates health data, with registry functionality and scorecards

Cost: $25 per month per user

7. PrimeSuite by Greenway Medical Technologies

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Overview:

PrimeSuite is an integrated, single-database EHR, PM and interoperability solution with clinical, financial and administrative functionality. It combines ambulatory healthcare and clinical research business solutions to serve more than 33,000 healthcare providers in 30 specialties. Greenway Health’s software development teams include physicians, nurses and other medical professionals.

Standard Features:

  • Appointment Managing
  • E/M Coding
  • HIPAA Compliant
  • Patient Portal
  • Voice Recognition

Bragging Rights:

  • KLAS-award winning
  • Backed by the Greenway Meaningful Guarantee

Cost: $20,000 one time

8. iPatientCare EHR

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Overview:

iPatientCare is a cloud-based EHR and integrated PMS, Patient Portal, and HIE. It serves the ambulatory, acute/sub-acute markets and is a Preferred MU Partner for more than 42,900 physicians/users nationally. Our reviewers say it offers quick response times to urgent problems and a very good interface between EHR and billing software.

Standard Features:

  • Appointment Managing
  • Charting
  • E-Prescribing
  • E/M Coding
  • Handwriting Recognition
  • HIPAA Compliant
  • Meaningful Use Certified
  • NC-ATCB Certified
  • Patient Portal
  • Voice Recognition

Bragging Rights:

  • mHealth
  • Certified for Meaningful Use stage 2 Ambulatory and Inpatient
  • Selected by NASA Space Medicine, US Army, numerous Regional Extension Centers (REC), hospitals
  • Has been designated as a Test EHR by the CMS

Cost: By request

9. Epic

Overview:

Ambulatory EMR software for mid-size and large medical groups, hospitals, and integrated healthcare organizations. Epic works with community hospitals, academic facilities, children’s organizations, safety net providers, and multi-hospital systems. One of our reviewers said it was “So easy to use! Makes charting a lot easier!”

Standard Features:

  • Appointment Management
  • HIPAA Compliant
  • Patient Portal
  • Voice Recognition

Bragging Rights:

  • Rated #1 by KLAS Enterprises.
  • Highly interoperable, information is shared securely in two ways: Care Everywhere, where the doctor controls the flow of data across organizations, and the Lucy PHR, where patients control their own health information
  • Epic is private and employee-owned
  • Epic develops, installs, and supports all applications in-house

Cost: By request

10. athenahealth

Overview:

Cloud-based practice management, EHR, and patient communication services. It offers baked-in Meaningful Use functionality. According to our reviewers, “It is extremely easy to attest for Meaningful Use and transition to ICD-10.” For support, calling the help line connects customers to the best specialist for the page they are working on. One of our reviewers said that it never takes more than a couple of minutes to speak with someone knowledgeable. They also said, “We hardly notice when there is an update.”

Standard Features:

  • Appointment Management
  • E-Prescribing
  • E/M Coding
  • HIPAA Compliant
  • NC-ATCB Certified
  • Patient Portal

Bragging Rights:

  • Ranked #1 in usability by KLAS
  • Single patient facesheet summarizes relevant information
  • Epocrates drug monographs are embedded inside the EHR at the prescribing moment

Cost: By request

Conclusion

There are lot of good EHR options on the market. To estimate costs, you may find how much  EMR software cost helpful. After that, you may want to check out Capterra’s listing of the most popular EHR software.
What features do you wish we’d included in this comparison? Let us know in the comments!

Looking for Electronic Medical Records software? Check out Capterra's list of the best Electronic Medical Records software solutions.

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About the Author

Cathy Reisenwitz

Cathy Reisenwitz helps B2B software companies with their sales and marketing at Capterra. Her writing has appeared in The Week, Forbes, the Chicago Tribune, The Daily Beast, VICE Motherboard, Reason magazine, Talking Points Memo and other publications. She has been quoted by the New York Times Magazine and has been a columnist at Bitcoin Magazine. Her media appearances include Fox News and Al Jazeera America. If you're a B2B software company looking for more exposure, email Cathy at cathy@capterra.com . To read more of her thoughts, follow her on Twitter.

Comments

Cdrive is EMR Software development company for billing companies with awesome features and we distribute the electronic medical records software to billing companies as per customize the software what our client need. Here in your capterra so many EMR software companies got vendor membership, in that list Cdrive is willing to tie-up our Health Records Software, so kindly may know what are the procedures. For our Product visit @ http://www.cdrive.us

nice selection of professional healthcare blogs. but still i think there is one site i found a year later doing legendary work in healthcare IT field. they’re doing innovative work in the field of PHR (completely free – which i personally use to store my health records) along with amazing information on various health topics : http://mediklik.com/

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