The primary features of Practice Fusion software include charting, e-prescribing, labs and imaging management, a patient portal, reporting and appointment scheduling. Practice Fusion starts at $199 per user/month for Practice Fusion EHR, with a free version and free trial also available. Practice Fusion is designed for small practices, with 95% of reviewers from small businesses and 56% in medical practice, and also serves mental health care and hospital and health care organizations.
Cyborg Score Rationale
Practice Fusion maintains a strong market position in the cloud-based EHR space for small to mid-sized practices with integrated billing capabilities and broad feature coverage. However, pricing concerns, support inconsistencies, and limited advanced reporting functionality constrain the rating. The company's historical compliance challenges (fined $145 million in January 2020) are material legacy concerns for a healthcare IT vendor.
Top Insights
95% of reviewers are from small businesses, indicating strong market penetration in the target SMB healthcare segment.
Pricing concerns are a key friction point, with users citing unexpected fees, required add-ons, and difficulty canceling subscriptions.
In January 2020, the company admitted to accepting $1 million in kickbacks and was fined $145 million by the Department of Justice.
Pricing starts at $199/provider/month with a yearly commitment.
Named Competitors
NextGen Healthcare EHR — EHR and practice management for independent and small healthcare organizations
AthenaOne — Cloud-based medical EHR and practice management for healthcare providers
eClinicalWorks — Cloud-based EHR with practice management and patient engagement tools
Epic — Enterprise EHR system for large health systems and hospital networks
Recent Developments
(June 2018) Transitioned from free ad-supported model to paid subscription-based system
(January 2020) Admitted to accepting kickbacks from opioid manufacturer; fined $145 million by DOJ
(As of June 2026) Continues offering integrated EHR + billing platform for independent practices with cloud-based architecture and automatic updates
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