Small Practice | EHR Insider

Practice Fusion

forrest — Mon, 26 Jan 2026 20:50:33 +0000

Practice Fusion is a cloud-based electronic health record (EHR) platform designed primarily for small to medium-sized ambulatory medical practices. Founded in 2005 by Ryan Howard and acquired by Allscripts (now Veradigm) in 2018 for $100 million, it has grown to become one of the largest cloud-based EHR systems in the United States, supporting over 30,000 medical practices and 5 million patient visits monthly.

Key Features

The platform offers a comprehensive suite of features including medical charting with customizable templates for over 30 specialties, e-prescribing with EPCS certification for controlled substances, lab and imaging integration with over 150 medical labs including Quest Diagnostics, a patient portal (Patient Fusion), appointment scheduling, and billing integration capabilities.

Best For

Practice Fusion is designed to be an affordable, user-friendly solution that allows practices to go paperless while maintaining HIPAA compliance. As part of the Veradigm network, Practice Fusion provides access to additional resources and integrations to enhance practice efficiency and patient care coordination.

Tebra

forrest — Mon, 26 Jan 2026 20:50:33 +0000

Tebra is a comprehensive cloud-based digital healthcare platform created in November 2021 when Kareo and PatientPop merged to form a unified solution for independent medical practices. The name “Tebra” is derived from “vertebrae,” symbolizing the company’s role as the backbone of practice success. The company reached unicorn status in 2022 with a valuation exceeding $1 billion and now supports more than 150,000 healthcare providers covering approximately 123 million patients in the United States.

Key Features

The platform offers an all-in-one solution that includes certified electronic health records (EHR), billing and payments, practice management, patient engagement tools, telehealth, and marketing capabilities. Tebra’s EHR+ provides flexible, customizable tools for clinical charting, documentation, e-prescribing, and lab ordering, all integrated with HIPAA- and HITRUST-certified telehealth. The system also features AI Note Assist, an ambient listening technology that transcribes and structures clinical notes in real time.

Best For

Tebra is purpose-built for independent practices and billing companies rather than large health systems. The platform integrates with over 60 third-party applications and has bidirectional interfaces with major lab providers including LabCorp and Quest Diagnostics.

Kareo

forrest — Mon, 26 Jan 2026 12:30:39 +0000

Kareo is a cloud-based EHR and billing platform designed for independent practices. It offers a free EHR option with integrated billing services.

Key Features

Kareo provides clinical documentation, practice management, patient engagement, and billing services. It emphasizes ease of use for small practices.

Best For

Small independent practices seeking affordable, easy-to-use solutions.