
Monthly Price: Custom Pricing | Monthly Price: $199/provider/month |
Best for: Behavioral Health, Cardiology | Best for: Cardiology, Orthopedics |
Mobile App: iOS, Android | Mobile App: N/A |
Rating: 3.9/4 | Rating: 3.6/4 |
Electronic health records (EHR) play a crucial role in streamlining workflows, improving patient care, and enhancing practice efficiency. Their growing adoption is evident—according to the National Center for Health Statistics, EHR usage in residential care communities rose from 36% to 48% between 2020 and 2022.
This brings forth the need to choose a solution designed to cater to the physicians’ practice and requirements. In this regard, NextGen Office and Practice Fusion are two notable options – each offering competitive benefits tailored for healthcare professionals.
But how do you decide which one is the right pick for you?
In this blog, we’ll provide an in-depth comparison of NextGen Office vs Practice Fusion, exploring their key features, pricing structures, and user feedback to help you make an informed decision.

NextGen Office EHR is cloud-based software designed for small to mid-sized practices. It offers e-prescription, medical billing, lab interoperability, and specialty-specific templates within a user-friendly interface. Ranked as the #1 EHR for small practices by Black Book Research, it focuses on clinical efficiency.

In contrast, Practice Fusion EHR is designed specifically for independent practices with integrated billing services. The software offers intuitive EHR and billing solutions along with features like e-prescription, telehealth, and patient engagement. With a strong emphasis on usability, its customer-driven approach aims to simplify workflows and improve patient care.
Feature | NextGen Office | Practice Fusion |
Practice Management | ✓ | ✓ |
Revenue Cycle Management | ✓ | ✓ |
Voice Recognition | ✓ | ✗ |
Interoperability | ✓ | ✓ |
Telehealth | ✓ | ✓ |
Chart Retrieval Service | ✗ | ✓ |
Predictive Scheduler | ✓ | ✗ |
Integrated Clearinghouse | ✓ | ✓ |
Pros And Cons
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CONS | |
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NextGen Office and Practice Fusion are top EHR platforms designed to enhance patient outcomes and improve operational efficiency. Below is a breakdown of their core features for a direct comparison.
NextGen Office offers a customizable pricing model – tailored to the specific needs of practitioners. The vendor provides flexible pricing options to its users based on various factors such as their practice size, features, functionalities, and other such requirements.
Practice Fusion, on the other hand, offers a straightforward and simple pricing structure, starting from $199 per provider per month with a required annual commitment. This model also includes three signing staff licenses and unlimited non-signing staff licenses.
Overall, Practice Fusion offers a more transparent and comparatively affordable pricing structure, while NextGen Office has customizable options that might fit best for users looking for a flexible plan.
Looking for a complete breakdown of EHR costs? Read our comprehensive guide on the cost of EHR in 2025.
Disclaimer: Pricing is subject to change.
Users highlight different strengths and weaknesses of both NextGen Office and Practice Fusion. NextGen Office is frequently praised for facilitating increased productivity for users. They also appreciate its advanced technology that aids the success of users. One user from a hospital and healthcare organization has even highlighted its user-friendly feature and cost-effectiveness.
However, some users have shown concerns about the challenges they face when integrating the software with billing and scheduling. Users encounter occasional communication issues while contacting customer support for inquiries.
Practice Fusion is often appreciated for its affordability and easy adaptability. The users also find the navigation system user-friendly, along with the charting and scheduling feature.
Mark Sklar, M.D., F.A.C.P, while explaining his experience with Practice Fusion, states,
Prior to using Practice Fusion, I used paper records. Practice Fusion’s cloud-based solution using AWS has enabled me to have access to my patients records at all times. It also allows me to easily prescribe and renew medications. I can create lab flow sheets which is helpful in comparing lab values. I can access valuable patient data using the reporting feature. It makes it easy to keep in touch with referring physicians by sending them consultation reports and test results. Practice Fusion has made it possible to be more available for my patients at all times. I can follow them in the office or away from it just as easily.
However, on the downside, some users have reported its limited mobile functionality and occasional downtimes that may affect the quality of their work.

NextGen Office and Practice Fusion each offer essential features that cater to different types of healthcare management. NextGen Office offers state-of-the-art patient engagement tools with a HIPAA-compliant telemedicine facility that might make it a good fit for small- to medium-sized enterprises that require extensive integration and financial tracking.
Practice Fusion, on the other hand, serves its users with a simple and straightforward interface with a significantly short implementation time that makes it a practical option for smaller-sized businesses and independent practitioners.
Eventually, the decision depends on your priorities and requirements, such as features, budget, financial processes, and integrations. Make sure that you select the right EHR that streamlines your workflow and provides security for the data.