Top Rated EMR EHR Systems


Imagine a clinic where patient care isn’t delayed because of insurance paperwork. 

Cash-based practices allow medical professionals to focus on quality care by streamlining the entire billing procedures and overcoming insurance process challenges.  

Selecting the right EMR/EHR software further strengthens this model by minimizing administrative operations, facilitating smooth patient collaboration, and expediting documentation, making it a crucial tool for cash-based practices.  

This blog will explore the five leading EMR/EHR platforms for cash-based clinics that simplify operations. This blog will compare their features, pricing, and benefits to help you select the best healthcare software for your practice. 

Criteria for Evaluating EMRs For Cash-Based Practices

When selecting an EMR/EHR for a cash-based practice, it is critical to consider features that improve clinical operations, billing, and patient relations rather than just relying on basic functionalities.  

Here are a few essential requirements you should consider when evaluating an EMR/EHR system: 

  • Simplified Billing And Payment Processing: Integrated payment systems provide direct payment collection, assuring a seamless financial process
  • Transparent Pricing: Look for clear pricing plans with no hidden charges to manage finances efficiently
  • Customizable Documentation Features: Personalization of templates in an EMR/EHR system can help medical professionals tailor notes according to their specific services, saving time and improving workflows
  • Patient Management Tools: Scheduling and automated reminders option that supports easy booking, rescheduling, and cancellations can enhance patient satisfaction and reduce no-shows, ensuring better clinical efficiency
  • Reporting And Analytics: Data on financial performance, patient demographics, and service utilization helps cash-based practices track growth and productivity. Additionally, performance metrics enable medical professionals to make informed decisions and adapt services as required

Best EMR For Cash-Based Practice - Quick Comparison

Software Name   

Free Trial  

Monthly Cost  

Billing Automation   

Claim Management   

EHR Integration   

Customizable Templates   

Patient Portal   

Telemedicine Options   

Training  

SmartClinix 

❌ 

Starting at $50/month

✅ 

✅ 

✅ 

✅ 

✅ 

✅ 

✅ 

Kareo 

✅ 

Custom 

✅ 

✅ 

✅ 

✅ 

✅ 

✅ 

✅ 

NextGen 

❌ 

Custom 

✅ 

✅ 

✅ 

✅ 

✅ 

✅ 

✅ 

DrChrono 

✅ 

Custom 

✅ 

✅ 

✅ 

✅ 

✅ 

✅ 

✅ 

athenahealth 

❌ 

Custom 

✅ 

✅ 

✅ 

✅ 

✅ 

✅ 

✅ 

SmartClinix

smartclinix

SmartClinix is a cloud-based EMR and practice management software that can be tailored to meet the preferences and unique needs of cash-based practices. Accessible via mobile devices and desktops, the platform offers several features, including billing to automate payment processing, a patient portal to improve patient collaboration with healthcare providers, and telehealth solutions to enable virtual care. 

The following are some of its noteworthy features: 

  • Remote Patient Monitoring: Tracks patient health to provide quality care via integrated Bluetooth and LTE devices, artificial intelligence, automated alerts, and data analytics
  • Referral Management System: Enables practitioners to share patient information and reports to enhance collaboration and provide optimum patient care
  • Online Payment: Integrates with Stripe to accept online payments, reducing the need for paper money and minimizing manual errors
  • Event-Based Notifications: Reduces patient no-shows by sending appointment booking and reminder notifications via SMS and email

Pros 

Cons 

  • Automated alerts reduce no-shows
  • Seamless integration with several apps
  • Mobile app offers access anywhere
  • Online payments to replace paper money
  • Customer response time may slow down during peak hours
  • Customization options can be improved

How Much Does SmartClinix Cost? 

The vendor offers the following two SmartClinix pricing plans: 

  • Entry-level Plan: $50/month
  • Advanced Plan: $299/month

Additionally, the software also has service-based packages with custom pricing options, depending on your medical specialty and size.  

Which Specialty Does SmartClinix Suit The Most? 

The following medical specialties use it: 

  • Cardiovascular
  • Primary care
  • Urgent Care
  • Online labs
  • Dermatologists
  • Oncologist

Kareo

kareo

Kareo, now known as Tebra after its merger with PatientPop, is another top EHR system for cash-based practices that offers cloud-based practice management solutions. The software is known for its simplified billing system that optimizes the payment management processes. It offers several functionalities to streamline workflows, including e-prescriptions, scheduling, and charting capabilities.  
Kareo features include:

  • Documentation And Faxing: Users can store all the documents online, scan files, receive and send faxes, and organize and manage document batches to minimize manual input and enhance efficiency
  • Charting: Practitioners can create patient encounter notes, search and review specific patient records quickly, and add comments for future references
  • Patient Engagement: Improves patient satisfaction by offering several features, including appointment reminders, scheduling, online patient intake forms, and more
  • Robotic Process Automation: Automates the entire revenue cycle management process via ‘Unapplied Payment’ solution to keep track of insurance payments and deposits

Pros 

Cons 

  • Clinical notes are displayed on one page 
  • Mobile app provides on-to-go access 
  • Easy claims identification process 
  • Templates reduce charting time 
  • Not suited for mental health clinics 
  • Support ticket response time can be improved 

How Much Does Kareo Cost? 

Kareo offers custom pricing which can be tailored to suit your practice’s needs. 

Which Specialty Does Kareo Suit The Most? 

Kareo is used by the following:  

  • Hematology
  • General surgery
  • Infectious disease
  • Nephrology
  • Internal medicine
  • Physical therapy
  • Occupational therapy

NextGen

nextgen

NextGen is a practice management and EHR system that caters to the needs of various medical specialties, including ophthalmology, dermatology, and family practice. This cloud-based platform is particularly beneficial for cash-based practices due to its extensive documentation and reporting abilities. It enables practitioners to manage detailed patient records and track practice performance efficiently. 

Here's a list of some of the top NextGen features: 

  • Telehealth:Offers HIPAA-compliant HD videos for optimum and secure integrated virtual consultations
  • Billing: Automates the entire billing process to collect patient payments easily without any errors, supporting clean claims via claims scrubbing technology
  • Regulatory Reporting: Integrates several types of reports, including CCM, CMS, UDS, HQM, MIPS/MACRA, and more, to track financial and clinical requirements
  • Scheduling: Provides fully integrated tools to automate routine tasks, including scheduling, appointment reminders, color-coded scheduling templates, wait-list management, and more

Pros 

Cons 

  • Hassle-free alert system 
  • Interactive training videos 
  • Easy to send charges from docs to billing 
  • View exact patient statements for quality care 
  • Customization options can be improved 
  • Inaccurate error messages for missing data 
  • Several steps required for payment processing 

How Much Does NextGen Cost? 

The cost of NextGen is based on the number of transactions processed. It offers a subscription-based pricing model with custom pricing based on the needs and size of clinics. 

Which Specialty Does NextGen Suit The Most? 

The software is used by:  

  • Pain management
  • Urology
  • Rheumatology
  • Osteopathic medicine
  • Behavioral health
  • Ambulatory care
  • Dental health

DrChrono

dr chrono

DrChrono is another EMR healthcare solution favorable for cash-based practices. The software streamlines various operations by offering several solutions, including e-prescriptions, patient charting, medical billing, and appointment scheduling. Its ability to provide ease of use, versatile features, and custom pricing options makes it one of the best EMRs for cash-only medical clinics. 

DrChrono functionalities include: 

  • Document Management: Supports multiple file formats and allows healthcare practitioners to upload any file to patient charts with a maximum upload limit of 100MB per document
  • Lab Integration: Connects with more than 40,000 labs, enabling medical professionals to submit lab orders directly from the web or thier phone
  • Patient Portal: Patients can manage their health using the secure OnPatient Portal to communicate effectively with clinicians
  • Patient Kiosk: Provides patient check-in and digital intake forms in multiple languages, including English and Spanish

Pros 

Cons 

  • Quick search for ICD10 codes 
  • Mobile app for remote access 
  • Clear video tutorials for support 
  • Extensive customization options 
  • Sending prescriptions might be challenging 
  • Deleting appointments erases notes too 

How Much Does DrChrono Cost? 

DrChrono has the following four pricing plans:  

  • Prometheus (EHR and Practice Management) – Custom Pricing
  • Hippocrates (Advanced EHR and Practice Management) – Custom Pricing
  • Apollo (EHR, Practice Management, and Medical Billing) – Custom Pricing
  • Apollo Plus (EHR, Practice Management, and Revenue Management Cycle Services) – Custom Pricing

Additionally, the software has a starting price of $30/month for the first provider, followed by $10/month/provider for each additional user. 

Which Specialty Does DrChrono Suit The Most? 

The following healthcare practices use it: 

  • Endocrinology
  • Dermatology
  • Cardiology
  • Pain management
  • Internal medicine
  • Chiropractic
  • Podiatry
  • Physical therapy

athenahealth

athenahealth

athenahealth is a cloud-based EHR system that enhances productivity and simplifies operations for cash-based practices. The platform offers various features, such as revenue cycle management, telehealth, appointment scheduling, and patient portal, to improve workflows and patient satisfaction.  

The following are some of the noteworthy features: 

  • Integration:Seamless integration options 800+ API endpoints to connect to various third-party applications along with HL7 and C-CDA interfaces to exchange data across systems
  • Documentation:Customizable templates that can be tailored according to the unique preferences of medical specialties, enabling practitioners to focus on patient care
  • Claims Management:Medical providers can submit cleaner claims that are in compliance with the regulatory requirements
  • Communication:Improves collaboration between patients and healthcare professionals via patient portal, enabling quality care

Pros 

Cons 

  • Safe transactions with no billing issues 
  • Text shortcuts and templates enhance operations 
  • Analytics tools enable informed decisions 
  • Self-scheduling options to book appointments 
  • Reimbursements are sent via separate bank 
  • Challenging to navigate between sections 
  • Excessive patient notifications 

How Much Does athenahealth Cost? 

The vendor offers custom pricing options, depending on the total collections of healthcare practices, with no hidden costs or annual subscription commitments.  

Which Specialty Does athenahealth Suit The Most? 

The software serves the following specialties: 

  • Pediatrics
  • Urgent care
  • Orthopedics
  • Primary care
  • Behavioral health
  • Women’s health
  • Emergency medicine

Choosing The Right Fit For Your Cash-Based Practice

Selecting the right EMR/EHR can have significant benefits for cash-based practices, such as boosting revenues, improving patient care, and reducing administrative burdens. The above-mentioned top picks offer diverse strengths tailored to varying healthcare needs. Whether you opt for SmartClinix’s patient-oriented approach, athenahealth for its customizable documentation templates, or any other software from the list, each EMR/EHR system comes with its own perks and benefits.  

Ultimately, the choice of finalizing the healthcare software depends on the preferences and requirements of your medical clinic.