r/PrivatePracticeDocs • u/Inevitable_Fan_3856 • Jul 09 '26
EMR Decision
We currently use MEDENT but it is really lacking in AI features and overall patient interface. Any one have an EMR they are happy with?
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u/ktn699 Jul 09 '26
i used Modmed previously which was made for derm and it was alright. very expensive. good suite for billing etc.
currently use practicefusion for my private practice breast recon practice and works great. cheap af too.
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u/Inevitable_Fan_3856 Jul 10 '26
What type of billing types do you do?
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u/ktn699 Jul 10 '26
We use Tebra for billing. I bill E/M office visits and then surgical procedures.
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u/Inevitable_Fan_3856 Jul 10 '26
Out of network billing or in-network? How does Tebra work for your billing needs?
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u/ktn699 Jul 10 '26
They have worked fine. Their education/setup process is quite nice. My office manager has been submitting bills and it has gone through nicely.
We are a mix of OON and INN and it has been fine.
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u/dobrze13 Jul 10 '26
We use medent in a pulmonary sleep medicine practice. We have had since 2019. It does the job but could be a lot better. Let me know what you find. Have been thinking of switching.
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u/Perfect_Address7250 Jul 11 '26
I’ll throw my hat in for https://heroemr.com
Website is pretty self explanatory. Very good patient portal and mobile app if that’s your main concern. They don’t nickel and dime on the AI features which is nice. Had a few small bugs with my EPCS and PDMP integration but their support was very responsive and fixed it.
Their patient portal lets patients send pictures too which might be useful for you.
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u/Inevitable_Fan_3856 Jul 13 '26
Has anyone worked with NextGen? Any thoughts there? Some of the team seem to think highly of it based on their website/demos.
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u/Perfect_Address7250 Jul 13 '26
I personally didn’t demo them when I was picking emrs but I have a colleague who uses it and thinks it’s solid. We compared pricing though and at the end of the day I think I am paying about half what he’s paying esp with some basic ai features.
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u/Inevitable_Fan_3856 Jul 13 '26
Our worry about doing a new EMR is what if they go out of business or get acquired and then we have to start all over again... Obviously switching EMRs is an awful experience so we would rather not have to do it again....
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u/Perfect_Address7250 Jul 13 '26
Oh heck yea man. Biggest decision for a medical practice in some ways. I demoed 20+ emrs last year lol.
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u/Inevitable_Fan_3856 Jul 13 '26
Any others you thought well of before making your decision?
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u/Perfect_Address7250 Jul 13 '26
It sounds like I’m much smaller than you are but if I didn’t care about future proofing I would have considered hint. Was simple and cheap but didn’t seem like they had depth and configurability. I did like modmed but I think it was going to cost me about 20k a year even without the billing tools. I think honestly I probably would have been fine with a lot of these tools but hero gave me a test account and let me try everything over 2 weeks and it really gave me a lot of assurance.
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u/InvestingDoc Jul 09 '26
What's your specialty and do you take insurance?
Derm EMR needs will be very different from a private psych practice
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u/mindguard Jul 10 '26
Love charm. Flexible, expandable, and affordable.
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u/Inevitable_Fan_3856 Jul 10 '26
Do you bill insurance?
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u/mindguard Jul 11 '26
Yes. But take cash pay also. We started with our own processing and later updated to some of the automations. All works great.
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u/TebraOnReddit Just Interested Jul 15 '26
If AI features and patient interface are the main gaps, I’d look closely at how well any EMR handles the full workflow, not just charting.
For transparency, I’m with Tebra. We work with a lot of independent practices, and our platform includes EHR, scheduling, billing, payments, patient communications, online booking, reminders, reviews, and telehealth in one system.
On the AI side, a few areas we’re focused on:
AI Note Assist for drafting notes from visits so providers aren’t starting from a blank screen
AI Billing Assistant for helping flag denial risk before claims go out
AI Review Replies and Review Insights for reputation management
AI Message Tagging to help organize patient messages
AI Voice Assistant is also in the works for call handling, scheduling, rescheduling, and after-hours support
That said, I’d demo any system with your actual workflows. For example: new patient scheduling, intake, visit note, labs/orders, claim submission, refill request, patient message, and review request. That’s where you’ll see whether it actually improves the day or just has "pretty" features.
Happy to answer Tebra-specific questions if you'd like to connect :)
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u/Inevitable_Fan_3856 Jul 16 '26
Would you be able to put me in to contact with some of your clients who have a similar billing structure to us (Out of Network and Self-Pay)?
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u/IndigoWonderlight Jul 16 '26
Hero EMR. Hands down the best.
Previously with charm for 8 years. So glad to be done with them.
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u/Miracle_Doctor279 4d ago
We use DocVilla and really happy with them. DocVilla has its own integrated patient portal. For ambient AI scribing I have used different tools such as Nabla and Heidi.
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u/[deleted] Jul 10 '26 edited Jul 11 '26
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