#9 Overall Ranking

Practice Fusion

Founded 2005 San Francisco, CA 1-10 providers providers practicefusion.com
7.2
Overall Score
Usability
7.8
Pricing Value
9.0
Support
6.5
Interoperability
6.8
Mobile Experience
6.5
Telehealth
7.0
Billing/RCM
6.8
Customization
6.5
Onboarding
8.5
Patient Portal
7.0

Our Verdict

Practice Fusion occupies a clear niche in the EMR market as the budget-friendly option for very small practices that need basic clinical functionality without the cost of more comprehensive platforms. At $149 per provider per month, it is among the most affordable options available, and the straightforward interface means providers can learn the system quickly without extensive training. In our testing, charting workflows were simple and efficient for routine primary care encounters, though they lacked the depth and intelligence of higher-ranked systems. The platform's limitations become apparent when practices need advanced billing tools, robust reporting, or deep customization. The DOJ settlement in 2020 over undisclosed pharmaceutical company payments also remains a consideration for practices that weigh vendor ethics in their purchasing decisions. For solo practitioners and very small practices where budget is the driving constraint, Practice Fusion provides functional baseline EMR capabilities at a price that is difficult to undercut.

Key Features

Low-cost cloud-based EHR designed for very small practices
Simple, straightforward clinical charting interface
Integrated e-prescribing including EPCS
Basic lab integrations with major reference labs
Patient portal with appointment requests and messaging
Quick setup with minimal onboarding complexity

Pros and Cons

✓ Pros

+ Among the most affordable EMR options available for small practices
+ Simple, easy-to-learn interface that requires minimal training
+ Fast onboarding process allows practices to go live within days
+ E-prescribing with EPCS included in the base subscription
+ No long-term contract required, reducing commitment risk

✗ Cons

- Limited feature depth compared to more comprehensive platforms
- Customer support options are minimal and primarily web-based
- Mobile experience is browser-based and not optimized for small screens
- Customization options are restricted compared to premium alternatives
- Past DOJ settlement over pharmaceutical company marketing practices affects reputation
- Interoperability capabilities are basic compared to platforms with HIE partnerships

Pricing

Per provider/month
$149/provider/month
✓ 14-day free trial available
Practice Fusion offers one of the lowest per-provider monthly rates in the EMR market. The platform was formerly free and ad-supported before transitioning to a paid model under Veradigm (formerly Allscripts) ownership.

User Reviews

3.5
★★★☆☆
756 reviews
5
18%
4
25%
3
28%
2
17%
1
12%
G2 3.4/5

"You get what you pay for. Basic but functional for a solo practice on a budget."

Capterra 3.6/5

"Simple and affordable. Not fancy but it works for straightforward primary care."

Reddit r/medicine

"Started on Practice Fusion because it was free. Stayed because migrating is painful."

Best For

Very small and solo practices on a tight budget that need a simple, functional EHR without advanced features, and where cost is the primary decision factor.

Supported Specialties:
Family MedicineInternal MedicinePediatricsUrgent Care
Certifications:
ONC 2015 Edition Cures UpdateHIPAA Compliant

Compare Practice Fusion with Others

See how Practice Fusion stacks up against other EMR systems in a side-by-side comparison.