Finding software can be overwhelming. Software Advice helps clinicians choose the right Web-based EMR software so they can store health records online and access patient information remotely.

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athenaOne

athenahealth recently named 2020 Best in KLAS: Small Practice Ambulatory EMR/PM, athenaClinicals, for 10 or fewer physicians, and Ambulatory RCM Services, athenaCollector, is providing cloud-based services for electronic health re... Read more

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Recent recommendations: 318 recommendations

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DrChrono

DrChrono’s iPad and iPhone compatible EHR and medical billing platform allows medical practices and healthcare providers to manage patient intake, patient care, clinical charting, billing and revenue cycle management. It includes ... Read more

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Recent recommendations: 295 recommendations

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AdvancedMD EHR

AdvancedMD is a unified suite of software solutions designed for mental health, physical therapy and medical healthcare organizations and independent physician practices. Features include practice management, electronic health rec... Read more

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Recent recommendations: 287 recommendations

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RXNT

RXNT’s integrated suite of EHR, Practice Management, and Medical Billing software optimizes clinical outcomes and revenue management and includes free setup, training, and ongoing support. RXNT’s affordable pricing is predictable,... Read more

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Recent recommendations: 268 recommendations

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Kareo Clinical

Kareo is a Web-based EHR, medical billing, and practice management used by thousands of physicians across the United States. This system suits small practices and billing companies. With Kareo, practices can schedule patients, con... Read more

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Recent recommendations: 131 recommendations

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Elation

Elation Health is a cloud-based clinically focused electronic health record solution for physicians looking for an ONC-ATCB certified EMR along with patient scheduling, a patient portal, e-prescribing and e-faxing. The solution ca... Read more

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Recent recommendations: 85 recommendations

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PrognoCIS

PrognoCIS EHR and PrognoCIS Telemedicine have earned a reputation for fast, flexible individual provider workflow. The software package offers a full suite of highly desirable features and functions. PrognoCIS provides a cloud-bas... Read more

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Recent recommendations: 69 recommendations

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Compulink Healthcare Solutions

Compulink Healthcare Solutions is an integrated hybrid medical solution that provides medical service providers functionalities such as electronic health records (EHR), practice management, revenue cycle management, inventory mana... Read more

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Recent recommendations: 64 recommendations

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NextGen Healthcare

NextGen Healthcare offers NextGen Office—a cloud-based EHR – specifically designed for private practices. NextGen Office is a fully integrated practice management solution that includes specialty-specific content, a claims clearin... Read more

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Recent recommendations: 47 recommendations

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PatientNOW

patientNOW is a hybrid integrated Practice Management (PM) and Electronic Medical Records (EMR) solution for aesthetic medical practices like plastic surgery, medical spas and cosmetic dermatology. The solution can be deployed eit... Read more

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Recent recommendations: 45 recommendations

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AdvancedMD Billing Services

AdvancedMD is a medical office software suite with cloud-based, integrated physician-patient workflow solutions including: practice management/medical billing, electronic health records, telemedicine, patient engagement, practice ... Read more

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Recent recommendations: 38 recommendations

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Remedly

Remedly is a cloud-based medical solution designed for plastic and cosmetic surgeons and medical spas. It is an integrated solution that encompasses functionalities such as practice management, electronic health records, patient p... Read more

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Recent recommendations: 36 recommendations

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ECLIPSE

In 1985, a chiropractor and software developer teamed up to create ECLIPSE, an ONC certified Complete EHR now used by thousands of providers nationwide. Designed for single practitioners, ECLIPSE is routinely used by multi-discipl... Read more

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Recent recommendations: 32 recommendations

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CareCloud

CareCloud Charts is an integrated electronic health recording (EHR) solution offering collective benefits of EMR, practice management and medical billing services. The solution helps physicians to streamline clinical operations an... Read more

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Recent recommendations: 32 recommendations

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AestheticsPro

Aesthetics Pro Online is a cloud-based, HIPAA-compliant medical spa management solution that offers staff management, calendar management, client management, point-of-sale and marketing management functionalities within a suite. ... Read more

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Recent recommendations: 31 recommendations

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ChartLogic EHR

ChartLogic offers an ambulatory EHR suite that includes electronic medical record, practice management, revenue cycle management, e-prescribing and patient portal. The solution caters to primary care, surgical care and other compl... Read more

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Recent recommendations: 31 recommendations

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AllegianceMD

AllegianceMD is a cloud-based medical software system that is designed to serve the needs of small and midsize practices, as well as ambulatory surgery centers. The solution includes practice management functionality for billing a... Read more

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Recent recommendations: 30 recommendations

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WebPT

WebPT is a cloud-based, multi-product platform for outpatient physical, occupational, speech therapy, and chiropractic clinics. At its core, WebPT is an electronic medical records (EMR) system that enables therapists to produce an... Read more

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Recent recommendations: 28 recommendations

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ChiroTouch

ChiroTouch is an electronic health records (EHR) and practice management system designed specifically for small to midsize chiropractic practices. It combines electronic health records, billing, patient scheduling, outcomes assess... Read more

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Recent recommendations: 27 recommendations

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Modernizing Medicine

Modernizing Medicine offers an integrated telehealth platform within its specialty-specific EHR system, EMA. Called modmed Telehealth, it offers synchronous audio and video telemedicine capabilities for specialty physicians as wel... Read more

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Recent recommendations: 26 recommendations

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Buyers guide


Last Updated: June 10, 2021

If your view of Web-based electronic medical records was formed five years ago—or even one year ago—it’s time to look again. Web-based, or Software-as-a-Service (SaaS), applications have gained tremendous momentum thanks to Microsoft, Google and innovative technologists that have enhanced core SaaS technologies. Physician practices and their patients are a prime beneficiary of these advances. SaaS systems for electronic medical records and practice management now provide the security, interactivity and dependability that they may have lacked in the early days. However, because there are so many different options, designed for every different kind of facility, selecting a program can be tremendously confusing. This buyer’s guide is designed to assist the buyer in understanding the market and knowing where to start.

Here’s what we’ll cover:

What Is Web-Based EMR Software?
Deployment Strategies
What Type of Buyer Are You?
Benefits and Potential Issues
Market Trends to Understand
The Web-Based EMR Vendor Landscape

What Is Web-Based EMR Software?

Electronic medical records manage the clinical data within a healthcare organization. They store online patient records and charts, track demographics, print (or electronically send) prescriptions, facilitate laboratory and device integration and include templates for SOAP notes.

What distinguishes online medical records from on-premise systems (which are locally installed and hosted by the practice) is that all the information will be accessed remotely, and sometimes the interface is even accessed through an Internet browser. This has a number of advantages, which we’ll address below.

Deployment Strategies

There are two types of Web-based EMR systems, with a subtle difference: application service providers (ASPs) and browser-based systems. Browser-based systems, just how they sound, use an Internet browser to access the information. The benefit of this is that the information can be accessed from anywhere, and it always looks exactly the same as you’re used to. ASP describes a client/server system, where the practice installs a very light software “client” onto their computers, but all of the data is hosted by the vendor on a remote server. Most ASPs will also be “Web-enabled,” meaning that information can be accessed through a Web browser if necessary, but the browser access will tend to have certain disadvantages, like slower load times and less intuitive functionality.

Other than deployment type, the biggest decision you’ll face is whether to implement a standalone electronic medical records system or a single, integrated system that comes along with billing and scheduling modules. Standalone web EMR applications are generally better for buyers with unique needs that full-suite systems can’t address, buyers who outsource their billing, and those who have already invested in a billing and scheduling system they do not wish to replace. Many popular vendors sell their systems in modules, meaning that the buyer can decide whether they want just the Web-based EHR or the medical billing and scheduling systems as well.

What Type of Buyer Are You?

EMR vendors have customized systems for just about every medical specialty and clinic size: outpatient or inpatient, solo practice or hospital, primary care or specialist, the choices number in the hundreds. In general, these programs can be grouped according to certain criteria:

Size. Managing the medical records at a small practice with one or two physicians is much simpler than at a large facility with 100+ providers. Though both are looking to eliminate paperwork and improve efficiency, the ability to transfer information and store tens of thousands of patient records is an expense small practices don’t need to incur.

Medical specialty. Most EMR vendors customize their templates to every different kind of medical specialist—internal medicine, pediatrics, OB/GYN, cardiology and so on—as well as to specialists with other designations like chiropractors, psychologists, therapists, counselors and optometrists. These systems facilitate a doctor’s workflow much better than a generic system that just stores basic information.

Facility type. Buyers at inpatient facilities like hospitals and acute care centers need to manage additional details like patient beds, shifts and physician rounds, which ambulatory care facilities don’t need to consider. Although these types of facilities tend to lend themselves better to an enterprise system than to a Web-based model, there are a few SaaS solutions for inpatient facilities.

Benefits and Potential Issues

Web-based EMRs have a number of key benefits over locally installed systems:

  • Limited IT burden: With a Web-based EMR, data is kept at a remote centralized location and monitored by IT staff that handles all of the routine back-ups, upgrades and maintenance. The resulting security and maintenance support is typically far superior to anything a practice—particularly a small practice—could implement on its own, particularly if it doesn’t already have a server.
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  • Ease-of-use: Since the user interface is essentially a Web page, it tends to be highly intuitive and easy to learn. This, in turn, reduces training time and expenses.
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  • Remote access: Many physicians—particularly those who spend a lot of time on call—appreciate the ability to access their EMR from outside the office. This feature comes standard with any browser-based system and most ASPs, but not necessarily with an enterprise solution.
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  • Lower up-front costs: Rather than paying a large installation fee, Web-based systems come on more of a subscription basis—by paying a monthly fee, the costs are relatively low, but ongoing, becoming an operational expense rather than a capital expenditure.

One of the biggest drawbacks to an online EMR system is that it is dependent entirely on Internet accessibility. If the connection goes down, the ability to access Web-based patient records goes down with it. This will be a huge problem if your Internet connection has any history of unreliability. (Note: ASPs may cache some data, allowing you to locally store information for a few days at a time.) They’re also traditionally harder to customize to the practice, although this is a trend that is beginning to change.

One concern that medical practices often express is regarding data security, since HIPAA compliance such an important consideration. But it should be a given that program marketing itself as an EMR should be HIPAA compliant. Different programs do have different levels of security, however (for example: some programs will have different levels of data accessibility for administrative staff than for doctors), so it’s still a good question to ask when reviewing a system.

The final issue to consider when buying any kind of program is user buy-in and training. Sometimes people become attached to the old way of doing things, and don’t like being told now that they have to do something different. The best way to overcome this is to have all users involved in the decision-making process. By feeling some ownership over selection of the EMR, adoption of the system will be a much smoother process.

Market Trends to Understand

These electronic medical record market trends should be considered as you select a product and vendor:

Patient portals. Support of smartphone and tablet devices is one of the most rapidly growing segments of technology adoption. EMR vendors have caught on to this demand, so if you use mobile devices in or outside of your practice, ensure that mobile functionality is a primary consideration. For more information, visit our buyer’s guide on tablet PC EMRs.

SaaS for larger practices. Once upon a time, a Web-based deployment was the exclusive domain of small practices who couldn’t afford the up-front costs associated with a locally installed system. That is no longer necessarily the case. More and more vendors are targeting larger practices, offering solutions that compete in functionality with the enterprise systems, offering the best of both worlds.

More customization. Traditionally browser-based systems have lacked the ability to customize the program to the practice. This is beginning to change, as web EMR technology is advancing and the vendor market becomes more competitive.

The Web-Based EMR Vendor Landscape

Based on your buyer type, the following chart should give you a general indication of some of the top contenders in the EMR vendor landscape.

This type of buyer... Should evaluate these systems
Primary care MDs/DOs and related specialists eClinicalWorks, Allscripts, Greenway, Aprima
Specialists with other designations (DC, OD, PT, PhD, LCSW etc.) Valant, Netsmart, AdvancedMD, CareTracker
Small practices eClinicalWorks, Greenway, Aprima
Mid-sized to large practices NextGen, Sage Intergy, Allscripts
In-patient facilities NextGen, CareTracker