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    Overview
    ProductRatingMost Used ByProduct SummaryStarting Price

    eClinicalWorks

    Score7.9 out of 10
    N/AeClinicalWorks headquartered in Westborough offers their EHR / EMR solution, which can be upgraded to a full practice management solution at higher pricing tiers.

    $449

    per month per provider

    Practice Fusion

    Score4.9 out of 10
    N/AN/A

    $149

    per month per provider with a required annual commitment

    TherapyNotes

    Score9 out of 10
    N/ATherapyNotes, headquartered in Horsham, PA, offers a practice management platform specifically for behavioral health and therapy providers.

    $49

    per month

    Pricing
    eClinicalWorksPractice FusionTherapyNotes
    Editions & Modules
    RCM as a Service
    2.9% of Practice Collections
    EHR Only
    $449
    per month per provider
    EHR With Practice Management
    $599
    per month per provider
    3 signing staff licenses & unlimited non-signing staff licenses
    $149
    per month per provider with a required annual commitment
    Solo
    $49.00
    per month
    Group
    $59.00
    per month
    Enterprise
    $59.00
    per month
    Offerings
    Pricing Offerings
    eClinicalWorksPractice FusionTherapyNotes
    Free Trial
    NoYesNo
    Free/Freemium Version
    NoNoNo
    Premium Consulting/Integration Services
    NoNoNo
    Entry-level Setup FeeNo setup feeNo setup feeNo setup fee
    Additional Details———
    More Pricing Information
    Community Pulse
    eClinicalWorksPractice FusionTherapyNotes
    Considered Multiple Products
    eClinicalWorks
    Chose eClinicalWorks
    eClinicalWorks is easy to learn from a staff and provider standpoint. Tabs/links are clear and concise. Just by playing around with the system for a few hours, I was able to learn most of the important tabs/headings.
    Incentivized
    Practice Fusion
    No answer on this topic
    TherapyNotes
    No answer on this topic
    Key User Insights
    Would buy again
    0%
    Would buy again
    0 Answers
    No answers on this topic
    No answers on this topic
    Delivers good value for the price
    0%
    Delivers good value for the price
    0 Answers
    No answers on this topic
    No answers on this topic
    Happy with the feature set
    20%
    Happy with the feature set
    1 Answers
    No answers on this topic
    No answers on this topic
    Lived up to sales and marketing promises
    0%
    Lived up to sales and marketing promises
    0 Answers
    No answers on this topic
    No answers on this topic
    Implementation went as expected
    20%
    Implementation went as expected
    1 Answers
    No answers on this topic
    No answers on this topic
    Features
    eClinicalWorksPractice FusionTherapyNotes
    Billing and Claims Management
    Comparison of Billing and Claims Management features of eClinicalWorks and Practice Fusion and TherapyNotes
    Feature
    eClinicalWorks
    5.1
    18 Ratings
    38% below category average
    Practice Fusion
    8.2
    4 Ratings
    9% above category average
    TherapyNotes
    -
    Ratings
    Real-time eligibility verification5.117 Ratings10.01 Ratings00 Ratings
    Claims management4.715 Ratings10.01 Ratings00 Ratings
    Coding5.516 Ratings10.03 Ratings00 Ratings
    Patient billing5.516 Ratings10.01 Ratings00 Ratings
    Financial Reporting4.715 Ratings1.02 Ratings00 Ratings
    Patient Scheduling
    Comparison of Patient Scheduling features of eClinicalWorks and Practice Fusion and TherapyNotes
    Feature
    eClinicalWorks
    3.4
    22 Ratings
    77% below category average
    Practice Fusion
    5.2
    7 Ratings
    39% below category average
    TherapyNotes
    -
    Ratings
    Rule-based scheduling4.221 Ratings5.05 Ratings00 Ratings
    Automated appointment reminders4.417 Ratings8.06 Ratings00 Ratings
    Automated patient check-in2.117 Ratings5.05 Ratings00 Ratings
    Multi-location support1.720 Ratings7.23 Ratings00 Ratings
    Calendar interface4.617 Ratings1.07 Ratings00 Ratings
    Electronic Medical Records
    Comparison of Electronic Medical Records features of eClinicalWorks and Practice Fusion and TherapyNotes
    Feature
    eClinicalWorks
    3.4
    25 Ratings
    72% below category average
    Practice Fusion
    6.4
    7 Ratings
    12% below category average
    TherapyNotes
    -
    Ratings
    Charting / document management2.925 Ratings7.07 Ratings00 Ratings
    Templates4.323 Ratings6.06 Ratings00 Ratings
    Patient portal4.020 Ratings7.14 Ratings00 Ratings
    Mobile/tablet support6.015 Ratings9.94 Ratings00 Ratings
    Fax integration3.322 Ratings10.04 Ratings00 Ratings
    Integration with other EMR and PM systems1.618 Ratings7.73 Ratings00 Ratings
    Workflow automation1.623 Ratings1.04 Ratings00 Ratings
    Speech recognition5.015 Ratings9.01 Ratings00 Ratings
    Customization2.120 Ratings1.06 Ratings00 Ratings
    E-prescribing3.123 Ratings5.06 Ratings00 Ratings
    Medical Security and Privacy
    Comparison of Medical Security and Privacy features of eClinicalWorks and Practice Fusion and TherapyNotes
    Feature
    eClinicalWorks
    3.8
    23 Ratings
    74% below category average
    Practice Fusion
    7.2
    7 Ratings
    14% below category average
    TherapyNotes
    -
    Ratings
    HIPAA compliance8.022 Ratings5.07 Ratings00 Ratings
    Role-based permission levels3.122 Ratings4.06 Ratings00 Ratings
    Data backups and redundancy3.120 Ratings9.84 Ratings00 Ratings
    Local mode / networking failsafe1.117 Ratings9.93 Ratings00 Ratings
    Workflow and Scale
    Comparison of Workflow and Scale features of eClinicalWorks and Practice Fusion and TherapyNotes
    Feature
    eClinicalWorks
    2.1
    22 Ratings
    113% below category average
    Practice Fusion
    2.7
    7 Ratings
    94% below category average
    TherapyNotes
    -
    Ratings
    Task tracking2.119 Ratings6.04 Ratings00 Ratings
    Specialty-specific workflows2.120 Ratings1.05 Ratings00 Ratings
    Multi-office / multi-physician capabilities2.121 Ratings1.05 Ratings00 Ratings
    Best Alternatives
    eClinicalWorksPractice FusionTherapyNotes
    Small Businesses
    athenaClinicals
    Score10 out of 10
    athenaClinicals
    Score10 out of 10
    No answers on this topic
    Medium-sized Companies
    CareLogic EHR
    Score10 out of 10
    CareLogic EHR
    Score10 out of 10
    No answers on this topic
    Enterprises
    Epic
    Score8.6 out of 10
    Epic
    Score8.6 out of 10
    No answers on this topic
    All AlternativesView all alternativesView all alternativesView all alternatives
    User Ratings
    eClinicalWorksPractice FusionTherapyNotes
    Likelihood to Recommend
    2.0
    (25 ratings)
    1.0
    (8 ratings)
    9.0
    (3 ratings)
    Likelihood to Renew
    2.0
    (1 ratings)
    -
    (0 ratings)
    10.0
    (1 ratings)
    Usability
    2.1
    (4 ratings)
    3.0
    (1 ratings)
    10.0
    (1 ratings)
    Availability
    -
    (0 ratings)
    1.0
    (1 ratings)
    -
    (0 ratings)
    Performance
    4.0
    (1 ratings)
    1.0
    (1 ratings)
    -
    (0 ratings)
    Support Rating
    1.0
    (3 ratings)
    9.0
    (1 ratings)
    -
    (0 ratings)
    In-Person Training
    2.0
    (1 ratings)
    -
    (0 ratings)
    -
    (0 ratings)
    Implementation Rating
    4.0
    (1 ratings)
    -
    (0 ratings)
    10.0
    (1 ratings)
    User Testimonials
    eClinicalWorksPractice FusionTherapyNotes
    Likelihood to Recommend
    eClinicalWorks
    eClinicalWorks should be used in most medical situations. The program generally speaking works the way it should keeping track of patient records and the like. They have recently added an inpatient module for ASCs. Seems to work pretty well for smaller practices that don't require a lot of additional features or integrations.
    Incentivized
    Read full review
    Practice Fusion
    The best scenario is a small non-profit clinic who needs a great EMR but cannot afford one like EPIC. I might also recommend this to colleagues who are starting a small business because I think PF would be a good, easy, and more affordable to get up and running. I think this EMR makes less sense in the setting of large academic institutions who need lots of easily manipulable data and a huge amount of support.
    Incentivized
    Read full review
    TherapyNotes
    TherapyNotes is ideal for any size practice with single or multiple providers/clinicians. Its scheduling, billing, EHR, and online portal are great for English speakers but not at all user-friendly to Spanish speakers. It is definitely affordable for a start-up practice and fees associated with merchant services are low compared to competitors.
    Incentivized
    Read full review
    Pros
    eClinicalWorks
    • One of the strengths of ECW can also be a weakness depending on the user's perception. ECW has a lot of redundancies. There are multiple pathways to perform a task. It can be appealing to advanced computer users because of the versatility. I have found that it tends to confuse lesser experienced computer users.
    • The creation of templates is very easy and any provider in our system can create one. It definitely makes documentation more efficient. By creating a set of templates for the clinic, we are able to standardize the orders/procedures along established guidelines.
    • We have converted our scheduling to open access. ECW allows us to set the follow up time and the end of the visit and then an alert is created. Front office staff can run the report and schedule patients closer to the actual time. It has improved our no show/cancellation rates.
    Incentivized
    Read full review
    Practice Fusion
    • Document storage- You can upload documents and attach them to specific patients. As well as flag documents that need to be signed, and assign them to specific doctors.
    • Charting- Very detailed integration for charting.
    • Reporting- We really enjoy the reports we can pull from within the software.
    Incentivized
    Read full review
    TherapyNotes
    • Connect with clients through the client portal and allows you to share documents.
    • Submits claims to the insurance companies and connects with CAQH.
    • Tech support is phenomenal.
    • Free, secure telehealth platform.
    Incentivized
    Read full review
    Cons
    eClinicalWorks
    • Meaningful Use Reports should be capturing data in real time and generated fairly quickly instead of the MAQ dashboard extraction process.
    • Their support teams are not very helpful at certain topics such as the definition/logic of Meaningful Use calculations. These are generally difficult to determine but several cases in regards to Meaningful Use take several days before it gets addressed.
    • Training videos would be helpful on their support website.
    Incentivized
    Read full review
    Practice Fusion
    • Have Physician Assistant as a provider status.
    • Make the notes section of each patients account displays towards the top of page and not the bottom.
    Incentivized
    Read full review
    TherapyNotes
    • Spanish documents are not available. There is not a way to use Spanish documents that can be filled out online like the English documents; instead, the practice must upload a PDF into the Library, share with client via portal and have then print, fill out manually, and upload for organization review and approval.
    • Sync feature from Client History Form is inconsistent. It may work with some clients but not with all. Sometimes the user has to completely log out and log back in in order to obtain partially parsed information to use in a treatment plan or psychotherapy note.
    Incentivized
    Read full review
    Likelihood to Renew
    eClinicalWorks
    If we had an option to easily switch to another EMR product we would. However, an EMR keeps you invested solidly in it - once you've started you're then going to be stuck with it. The investment into the data in the system are such that you have no real option to back out of what you are in and move into something else. Again, if we could, we would immediately move to another EMR. The ability to use it and be supported by the vendor has decreased nearly to the point of inability to use.
    Incentivized
    Read full review
    Practice Fusion
    No answers on this topic
    TherapyNotes
    I am a creature of habit and other than some areas (Spanish user-friendliness), TherapyNotes fits the bill for what I'm looking for in an EHR
    Incentivized
    Read full review
    Usability
    eClinicalWorks
    [In my opinion] the features allowed by the system are not designed for providers. [I think] the systems are inefficient, and new features tend to be "bolt on" features either as products purchased and added from other providers or simply a module created and strapped onto the software. There doesn't seem to be much idea around making things easier for the provider, though they like to state that provider burnout is something they are working on.
    Incentivized
    Read full review
    Practice Fusion
    In my opinion and experience, they have a lack of customization so you have to constantly create hacks to make their system work for your practice.
    Read full review
    TherapyNotes
    It's just so simple to use. It's made for therapists, so you don't have to bend or twist it into place to meet your needs
    Incentivized
    Read full review
    Performance
    eClinicalWorks
    I often cannot assign a proper diagnosis under the assessment section; and as mentioned, sometimes (about once a month) the dictation just freezes because "the request has timed out" (even restarting the iPhone/ laptop does not help).
    Read full review
    Practice Fusion
    No answers on this topic
    TherapyNotes
    No answers on this topic
    Support Rating
    eClinicalWorks
    You put in support cases through a support portal. [I believe] for no apparent reason, the company decided that their support cannot have access to actual patient records and as a result, it's required that they have to connect remotely to a computer system in our network, and log in as one of our users to do anything. This also entails that they are completely incapable of diagnosing problems and require significant amounts of user input and time to try and begin any sort of work on the problems. [In my opinion] this takes away from patient care and other concerns. Also, while you can put in as detailed a ticket as you want, when you are called, you have to go over the ticket again, as they don't seem to read or care what you put in, as it's more important to them to go over everything in painful detail. Often times you must explain to the tech how the process works. In the past month, we were upgraded overnight with zero warning, which caused issues the following day as we had to update every single computer in our network (over 300) and it requires administrative privileges so couldn't be done by a user. This also doesn't update any information in the programs list, so there's no way to tell whether the update happened or not.
    Incentivized
    Read full review
    Practice Fusion
    We always get a return call within the time stated. There are many available topics on the forum and it is often easy to find the issue you are seeking more information on. When we have tried the live chat feature we have been satisfied with the timeliness and response.
    Incentivized
    Read full review
    TherapyNotes
    No answers on this topic
    In-Person Training
    eClinicalWorks
    Paid for training, did not help. They trained prior to go-live, but it was so long ahead that users weren't able to function well when it actually happened, they seemed unable to provide adequate support. [In my experience] further support is typically very boilerplate, and is thus not useful, and has additional cost.
    Incentivized
    Read full review
    Practice Fusion
    No answers on this topic
    TherapyNotes
    No answers on this topic
    Implementation Rating
    eClinicalWorks
    It's very important to limit your schedule during the weeks after go live but it is equally important to have a resource that is the lead at the practice that ensures that milestones are met leading up to the go-live date. Someone must be the point person at the practice otherwise milestones will be missed and the implementation will run into problems.
    Incentivized
    Read full review
    Practice Fusion
    No answers on this topic
    TherapyNotes
    It is easy to do, can be done overnight, and requires no special skill set or guidance from TherapyNotes
    Incentivized
    Read full review
    Alternatives Considered
    eClinicalWorks
    I was attracted by the final note format of ECW. I said then and still say that most EMR's clinical notes are terrible to try to read and follow in orderly fashion by comparison...BUT the devil is in the data entry and that is where "you live" as a clinician. Incredibly frustrating software because of inflexibility and restrictions of multi level data fields that can only be opened one at a time (i.e. no "toggling" between windows... ooen read and close...then reopen other data entry window....then close and repeat if you need to refer back to original window of data. This applies throughout the software and is due to its reliance on SQL architecture from what I have been told). Kills productivity.
    Read full review
    Practice Fusion
    NextGen is hard to use as far as medical records. Practice Fusion is user friendly. There is a great knowledge base for questions asked. Practice Fusion takes all the guess work out of the day.
    Incentivized
    Read full review
    TherapyNotes
    To some degree, I think you pick TherapyNotes or SimplePractice much the same way people choose Toyota over Honda - It's a style preference. There are definitely differences between the two, but they function the same in many ways. Other EHRs that I've used were for medical practices and hospitals. They weren't developed with behavioral health in mind, at least not in the initial development
    Incentivized
    Read full review
    Return on Investment
    eClinicalWorks
    • I will just share one area that our organization saw the ROI in a very short time period. That is the elimination of a dictation service for most of our specialty group doctors when we introducec Dragon Medical. This functionality brought a tangible benefit and a significant ROI in a short time period.
    Incentivized
    Read full review
    Practice Fusion
    • PRO -- I know now what I need in an EMR/EHR
    • CONS -- They have overcharged me and it has cost me money
    • CONS-- They have disregarded my legal rights which makes me unsure of keeping confidential info in their systems and it will cost me money to switch
    • CONS--They have cost me money with the time I've wasted to follow up on my own tickets that they refuse to follow up with
    Read full review
    TherapyNotes
    • Saves time specifically with entering notes which means I can spend more time seeing clients.
    • Does not have the ability to enter dual caregivers. Challenging for parents who are divorced and signatures are required from both parents. It is not effective to have two separate portals for the same child.
    Incentivized
    Read full review
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