Best EHR Systems (2026)
Compare vendors by specialty fit, billing integration, compliance features, telehealth, and ease of use.
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Epic Systems
Cloud / On-Premise / HybridEnterprise EHR platform for large health systems with broad specialty coverage and deep inpatient/ambulatory integration.
Oracle Health
Cloud / On-PremiseEnterprise hospital EHR platform supporting inpatient and ambulatory workflows across large organizations.
MEDITECH Expanse
Cloud / On-Premise / HybridIntegrated inpatient and ambulatory EHR platform commonly used by community and regional health systems.
Altera Digital Health
Cloud / On-Premise / HybridHospital and health-system EHR portfolio including Sunrise, Paragon, and TouchWorks.
Practice Fusion
CloudCloud ambulatory EHR platform focused on smaller independent practices.
ModMed
CloudSpecialty-focused cloud EHR platform for ambulatory practices.
Elation Health
CloudCloud EHR focused on primary care and independent ambulatory organizations.
TruBridge
Cloud / On-Premise / HybridHealthcare IT and RCM platform with deep community-hospital roots.
Evident
Cloud / On-Premise / HybridCommunity-hospital-focused platform in the TruBridge ecosystem.
CureMD
CloudCloud ambulatory EHR and PM platform for independent and mid-size groups.
CharmHealth
CloudCloud EHR suite for ambulatory and multi-specialty independent practices.
PrognoCIS
CloudAmbulatory EHR and PM platform with specialty-friendly configuration options.
athenahealth
CloudCloud-native ambulatory EHR with strong revenue cycle and broad multi-specialty support.
eClinicalWorks
CloudLarge ambulatory EHR platform with broad specialty coverage and integrated PM/RCM workflows.
NextGen Healthcare
CloudSpecialty-oriented ambulatory EHR with configurable workflows and broad template coverage.
AdvancedMD
CloudCloud EHR/PM platform for independent practices with configurable multi-specialty support.
Greenway Health
Cloud / On-PremiseAmbulatory EHR and PM suite for small and mid-size practices with specialty configuration options.
DrChrono
CloudCloud-native EHR for small practices with flexible templates and mobile-first workflows.
Tebra
CloudEHR and PM platform built for small practices and startup groups.
Compulink Healthcare
CloudSpecialty EHR platform with strong footprint in ophthalmology and optometry workflows.
eDerm Systems
CloudDermatology-specific EHR and practice platform focused on skin-care workflows.
Raintree Systems
CloudRehab-focused EHR and billing platform for therapy and musculoskeletal care.
ChiroTouch
CloudChiropractic-focused EHR and PM platform with integrated scheduling and billing.
Open Dental
Cloud / On-PremiseDental-focused charting and operations platform for general and specialty dental practices.
Dentrix Enterprise
CloudEnterprise dental platform for DSOs and large multi-location dental organizations.
ARIA Oncology Information System
CloudOncology-specific information system for radiation and cancer-program workflows.
Nextech
CloudSpecialty EHR for ophthalmology, orthopedics, and high-volume ambulatory groups.
WebPT
CloudRehab-focused EMR and billing platform for therapy and musculoskeletal care groups.
Prompt EMR
CloudCloud-native rehab EMR and billing platform for physical therapy provider groups.
Flatiron OncoEMR
CloudOncology-focused EHR platform tailored to infusion and medical oncology workflows.
RevolutionEHR
CloudCloud EHR and PM platform designed for optometry and vision-care practice workflows.
CareStack
CloudCloud-native dental platform for SMB clinics with integrated clinical, scheduling, and billing workflows.
Curve Dental
CloudAll-in-one cloud dental software for startup and SMB dental practices.
Denticon (Planet DDS)
CloudCloud dental platform supporting single offices through multi-location group growth.
tab32
CloudCloud dental EHR and practice management platform with analytics and group management tools.
ChiroSpring
CloudCloud chiropractic EHR and PM platform for solo and SMB chiropractic clinics.
Genesis Chiropractic Software
CloudONC-certified chiropractic EHR and billing software with SMB-focused deployment model.
Practice Perfect
CloudRehab EMR and billing platform for PT, OT, SLP, and multidisciplinary therapy organizations.
ClinicSource
CloudTherapy EMR and billing platform for pediatric and multidisciplinary rehab practices.
TherapyAppointment
CloudMental health EHR and billing software for solo and group behavioral health practices.
PracticeQ
CloudCustomizable EHR and PM software for chiropractic and allied SMB practices.
Dentrix Ascend
CloudCloud dental platform for SMB practices and growing dental groups.
Eaglesoft
On-Premise / HybridDental practice management and charting platform for independent SMB clinics.
ChiroFusion
CloudCloud chiropractic EHR and billing platform for solo and small clinics.
ChiroHD
CloudChiropractic EHR and PM platform with integrated charting and claims workflows.
HENO
CloudCloud rehab and chiropractic software with documentation, scheduling, and billing tools.
Fusion Web Clinic
CloudTherapy documentation and operational platform for PT, OT, and SLP practices.
OptimisPT
CloudPhysical therapy EMR and billing software for independent and growing rehab groups.
Sessions Health
CloudMental health EHR platform for therapists and behavioral health SMB group practices.
Office Practicum
CloudPediatric-focused EHR and PM software for independent pediatric practices.
AcuBase
CloudEHR and PM platform for acupuncture and integrative medicine practices.
iDentalSoft
CloudCloud dental practice management and imaging platform for SMB dental clinics.
Practice-Web
Cloud / On-PremiseDental software platform with cloud and on-premise options for independent practices.
Dentally
CloudCloud-native dental software for modern dental practices and group clinics.
EZBIS
CloudChiropractic EHR, billing, and PM platform for SMB practice workflows.
Platinum System
CloudChiropractic software platform with documentation and claims workflows.
HelloNote
CloudTherapy and rehab EMR platform for PT, OT, SLP, and chiropractic teams.
TheraOffice
CloudPhysical therapy EMR and billing platform for outpatient rehab clinics.
MyClientsPlus
CloudBehavioral health EHR and billing software for solo and small group practices.
TheraPlatform
CloudTelehealth and documentation platform for therapy and behavioral health organizations.
PCC EHR
CloudPediatric-focused EHR and practice management platform for independent pediatric practices.
Ease
CloudNext-generation cloud EHR for behavioral health and addiction treatment with built-in AI, RCM, and CRM.
Netsmart myAvatar
Cloud / On-PremiseComprehensive behavioral health and human services platform with interoperability and analytics.
AZZLY Rize
CloudPurpose-built for behavioral health and addiction treatment with integrated RCM, telehealth, and outcome tracking.
TherapyNotes
CloudPractice management and EHR for behavioral health professionals with strong documentation and billing features.
SimplePractice
CloudModern, consumer-grade EHR for therapists, counselors, and wellness professionals with 225K+ users.
Valant
CloudPsychiatry-focused EHR with AI-assisted documentation, PDMP integration, and measurement-based care.
Kipu Health
CloudLargest purpose-built EMR for addiction treatment with 6,000+ facilities and integrated CRM, billing, and AI.
Qualifacts (CareLogic)
Cloud / On-PremiseEnterprise behavioral health EHR platform backed by Warburg Pincus, serving 60,000+ professionals.
PIMSY
CloudComprehensive BH EHR with AI documentation, Wiley Treatment Planner, and built-in HR/payroll.
ICANotes
CloudBehavioral health EHR with 75,000+ content phrases for rapid clinical documentation.
BreezyNotes
CloudSimple, therapist-built EHR with unique per-note pricing for solo and small-group practices.
TheraNest (Ensora Health)
CloudAffordable therapy practice EHR, now part of KKR-backed Ensora Health portfolio.
BestNotes
CloudIndependently owned BH EHR with strong support and direct access to the dev team.
Opus EHR
CloudBehavioral health EHR with integrated CRM and alumni tracking for treatment centers.
CounSol.com
CloudAffordable EHR with white-label client portal for solo therapists and counselors.
Owl Practice
CloudPractice management and EHR platform for therapists, psychologists, and counseling practices.
Jane App
CloudModern all-in-one scheduling, charting, and billing platform for multidisciplinary practices.
Sunwave Health
CloudSUD-focused EHR with integrated CRM and AI documentation, now merged with Lightning Step under BVP Forge.
Lightning Step
CloudBehavioral health EHR with ISO 42001-certified AI and native e-prescribing, merged with Sunwave under BVP Forge.
Buyer's Guide: Choosing an EHR
What to Look for in a Behavioral Health EHR
Behavioral health practices have unique documentation, billing, and compliance requirements that general-purpose EHR systems often fail to address. When evaluating vendors, prioritize these capabilities:
Clinical Documentation
- Progress note templates designed for therapy sessions, group notes, and psychiatric evaluations
- Treatment plan builders with measurable goals, objectives, and interventions mapped to diagnosis codes
- Assessment tools including standardized screening instruments (PHQ-9, GAD-7, AUDIT, etc.)
- E-prescribing with EPCS for controlled substance prescriptions
Billing & Revenue Cycle
- Integrated billing that handles behavioral health CPT codes (90834, 90837, 90847, H0015, etc.)
- Authorization tracking for insurance pre-authorizations and concurrent reviews
- Sliding scale fee support common in community behavioral health settings
- Batch claim submission with denial management workflows
Compliance & Reporting
- 42 CFR Part 2 compliance — stricter privacy rules for substance use disorder records
- State reporting integration for mandatory substance abuse treatment reporting
- Outcome measurement tracking for HEDIS, MIPS, and payer quality programs
- Audit trail with role-based access controls
Workflow & Usability
- Group therapy management — scheduling, attendance, and group note documentation
- Telehealth integration built into the platform
- Patient portal with secure messaging, appointment requests, and intake forms
- Mobile access for clinicians working across multiple locations
Questions to Ask Vendors
- How does your system handle 42 CFR Part 2 consent management?
- Can treatment plans auto-populate from assessment data?
- What telehealth platform is integrated, and is it HIPAA-compliant?
- How do you support group therapy billing and documentation?
- What is your average implementation timeline for a practice of our size?
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