Implementing electronic medical record (EMR) systems is a significant financial and operational commitment for healthcare practices. A 2025 KLAS Arch Collaborative report found that implementations and training are among the biggest challenges providers face with their EMR software. To avoid these issues, it is important to choose an EMR system that aligns with your practice’s needs and ensures a smooth transition.
Among the most widely used options, NextGen Office and Allscripts (now Veradigm) stand out for their comprehensive suite of features, training options, and strong industry adoption, making them top choices for healthcare facilities.
In this NextGen Office vs Allscripts comparison, we will explore their key features, pricing, ease of use, and customer feedback to help you determine which system best supports your practice’s workflows.
Head-On Comparison
NextGen Office EHR is an all-in-one EMR and practice management solution designed specifically for small practices. This AI-driven platform enables providers to streamline clinical documentation, track clinical quality measures, and deliver high-quality care. Recognized for its capabilities, NextGen was ranked #1 EHR in 6–10, 11–25, and 26–99 physician groups across all specialties in the 2023 Ambulatory EHR PM user survey by Black Book Research.
Allscripts EMR, now known as Veradigm, provides electronic health record and practice management solutions designed for healthcare facilities of all sizes. The platform offers advanced analytics, interoperability, and data-driven tools to help providers enhance efficiency and optimize care delivery. The 2023 Best in KLAS report highlights Veradigm as one of the year’s most improved vendors, with its FollowMyHealth system seeing a nearly 16% increase in customer satisfaction from 2022.
NextGen Office And Allscripts: At A Glance
Feature
NextGen Office
Allscripts
Practice Management
✓
✓
Revenue Cycle Management
✓
✓
AI Scribe
✓
✗
Customizable Templates
✓
✓
Predictive Scheduler
✗
✓
E-Prescribing with EPCS
✓
✓
Patient Portal
✓
✓
RCM Clearinghouse
✓
✓
Pros And Cons
PROS
Easy custom form creation
User-friendly with role-based access
Extensive knowledge database access
Seamless co-payment processing
Detailed claim insights
Multi-functional scheduling system
Fast prescription transmission
Suitable for various specialties
Auto-generates patient orders
Efficient patient registration updates
CONS
Software updates reset custom settings
Exercise log completion can be slow
Poor tracking of support requests
No built-in support for fax or email
Difficult customer support access
Complex billing reports
Side By Side Comparison
NextGen Office and Allscripts are both comprehensive EHR platforms built to optimize clinical efficiency and support patient-centered care. Below, we will compare their key features to help you understand which solution best fits your practice’s needs and workflow requirements:
Practice Management
NextGen Office offers a fully integrated practice management solution that automates day-to-day administrative processes, such as scheduling, appointment reminders, and eligibility verification. The software also integrates with major labs, consolidates patient data, and provides robust reporting tools, ensuring smoother operations and improved workflow efficiency.
Allscripts provides a comprehensive practice management solution that helps streamline administrative tasks through a centralized interface. The system includes powerful task automations and reporting capabilities to optimize daily workflows and enhance operational efficiency. Additionally, its advanced scheduling capabilities help practices manage walk-ins, cancellations, and recurring appointments more efficiently.
Winner: Allscripts takes the lead due to its advanced automation tools and intelligent scheduling capabilities, which help reduce administrative burdens and optimize practice workflows.
AI-Powered Capabilities
NextGen Office offers an AI-powered scribe that transcribes natural patient-provider conversations into structured SOAP notes in real time. This tool helps physicians save up to two hours per day, reduces cognitive load, and eliminates after-hours charting. Additionally, it erases all transcripts and audio recordings immediately after note completion, ensuring HIPAA compliance and enhanced data security.
Allscripts offers an AI-powered predictive scheduler that streamlines the entire provider scheduling process. It forecasts patient demand, minimizes wait times, and optimizes appointment slots based on predicted volume. This improves patient access, reduces provider stress, and enhances revenue by managing no-shows and cancellations efficiently.
Winner: This round ends in a tie because both platforms offer one specific AI-driven feature to improve different aspects of practice management.
3. Reporting And Analytics
TalentReef provides powerful reporting and analytics capabilities to improve the recruitment process with data-driven insights. These tools allow organizations to track, evaluate, and refine their hiring strategies for greater efficiency and effectiveness.
Businesses can gain insights about their hiring metrics with the help of software’s reporting and analytics tools. Users appreciate the software reporting capabilities but want it to be more customizable.
UKG Dimension offers a ‘People Analytics’ solution that converts workforce data into meaningful insights, empowering organizations to make strategic, informed decisions. It offers a feature named ‘Centralized People Data’ that consolidates all employee-related data, providing decision-makers with a complete overview of their workforce. Additionally, it provides actionable insights with intelligent reporting while enabling managers to create proactive business strategies.
Winner: UKG Dimensions leads in reporting and analytics with its predictive analysis and actionable insights that help businesses generate comprehensive reports.
Patient Communication Tools
NextGen Office provides a comprehensive set of patient communication tools designed to enhance engagement and streamline interactions within small practices. It includes text and email appointment reminders, direct messaging, e-faxing, and an embedded patient portal. Patients can conveniently schedule appointments online, request medication refills, make payments, and access virtual visits, improving accessibility and efficiency.
Allscripts offers a robust patient communication solution focused on seamless connectivity and proactive engagement. Its mobile-first platform, FollowMyHealth, enables patient interactions before, during, and after visits through telehealth services, direct health data access, and goal tracking. The platform also supports remote patient monitoring, allowing providers to track health metrics and initiate interventions when necessary.
Winner: Allscripts edges out NextGen Office due to its integrated, mobile-driven platform that extends beyond standard communication.
Clinical Documentation
NextGen Office focuses on simplifying clinical documentation with flexible, intuitive workflows that reduce administrative burden. Providers can document encounters using touch, voice, or typing and customize notes with templates to fit their preferences. This cloud-based EMR system also helps users integrate patient-specific details, vital signs, and exam findings directly into encounter notes. Overall, its accessibility across multiple devices ensures that clinicians can document anytime, anywhere.
Allscripts offers a highly customizable documentation solution designed to integrate smoothly into existing workflows. Its one-click templates auto-populate visit notes based on past orders and patient conditions to streamline the data entry process. The software also displays risk adjustment factor (RAF) and risk scores based on EHR documentation, supporting value-based care initiatives.
Winner: NextGen Office stands out with its multiple data input options, offering greater flexibility and efficiency in clinical documentation.
Revenue Cycle Management
NextGen Office integrates revenue cycle management services with its EHR and practice management system to enhance billing transparency and efficiency. It features a predictive rules engine that helps ensure 98% of claims are accepted on the first submission. The system also includes advanced reporting and analytics dashboards for financial tracking, along with staff training options to improve claims management.
Allscripts streamlines revenue cycle processes with a high first-pass claims acceptance rate of 98%, helping practices reduce denials and accelerate payments. The software’s Rule Manager identifies and corrects coding errors in real time to reduce accounts receivable (A/R) days. Additionally, its Veradigm clearinghouse, Payerpath, has been recognized as a top-ranked solution for three consecutive years by Black Book Research.
Winner: This is a tie as both systems ensure a high first-pass claims acceptance rate and offer comparable automation tools to improve billing efficiency.
Pricing Comparison
NextGen Office offers flexible pricing plans designed for small practices. The cost depends on the size of your practice, specialty, and the features you need. This allows healthcare providers to select a plan that aligns with their budget and operational requirements.
On the other hand, Allscripts offers flexible pricing options to suit various practice needs. The Veradigm ePrescribe solution starts at $59 per month per prescriber, while Practice Fusion EHR is available for $199 per month. Pricing for other modules varies based on the practice's size, specialty, and required features.
Disclaimer: The pricing is subject to change.
Overall, both NextGen Office and Allscripts offer scalable pricing models that cater to different practice sizes and needs. The right choice depends on your practice’s budget, feature priorities, and long-term growth plans.
Want a detailed analysis of EMR pricing? Check out our comprehensive guide on EMR costs in 2025.
What Users Have To Say?
Based on first-hand discussions and interviews with over 50 NextGen Office and Allscripts users, we gathered insights into how these systems perform in real-world practice settings.
NextGen Office is widely appreciated for its customizability and ease of use. A practice manager from an urgent care clinic shared, “we have been able to customize almost every feature to meet the unique needs of our practice, and this flexibility has been incredibly useful.”
Many users also praised its intuitive layout and found it easy to check patient eligibility and benefits. However, some users expressed concerns about customer service response times, mentioning delays when seeking support.
Allscripts is valued for its scheduling features. Users find scheduling, rescheduling, and updating patient details simple and intuitive. A clinician from a mid-sized dermatology clinic highlighted, "The day-to-day appointment management functions are straightforward, and setting up or modifying appointments is simple.
Many providers in high-volume practices also appreciate how the system streamlines prescription management. However, some users find the interface cluttered, with too many icons that don’t always add value. Others mention that customer support response times can be inconsistent, making it challenging to get timely assistance.
Final Thoughts: Which EMR Offers Better Value?
Both NextGen Office and Allscripts offer strong EHR solutions, each suited for different practice sizes and requirements. NextGen Office is a great choice for small practices looking for an intuitive and customizable system that helps streamline daily operations without overwhelming smaller teams.
Allscripts, on the other hand, is better suited for mid-sized to large practices that require advanced features to manage high patient volumes efficiently.
Ultimately, the best choice depends on your practice's size, budget, and specific workflow needs. For verified reviews and detailed comparisons, visit Software Finder.
