eClinicalWorks vs Nextech EHR & PM

Fusion

Carepatron

ModMed

Fusion is an EMR for OT, PT, & SLP practices with features for scheduling, documentation, billing, insights, tasks, compliance, & more

All your healthcare work in one place: Notes, Clients records, Appointments, Billing, Payments, Transcription, Communication & more.

Cloud-based EHR, practice management, and RCM platform for specialty medical practices, with patient engagement and analytics tools.

physician

Their support is outstanding -- prompt, professional, kind people.

eClinicalWorks is a patient management software designed to help businesses in the healthcare sector maintain electronic medical records and engage patients. The HIPAA-compliant platform enables managers to handle bookings and automate campaigns to send appointment reminders.

Accounts Receivable

Activity Dashboard

Analytics

Appointment Management

Appointment Scheduling

Charting

Claims Management

Claims Scrubbing

Coding Assistance

Compliance Tracking

Customizable Templates

Decision Support

EHR/EMR Integration

Electronic Payments

EMR/EHR

E-Prescribing

For Cardiologists

For Dermatologists

For Family Medicine

For Healthcare

For Medical Purposes

For Obstetrics & Gynecology

For Orthopedics

For Pain Management

For Podiatrists

For Primary Care

For Urgent Care

For Urologists

Handwriting Recognition

HIPAA Compliant

Insurance Eligibility Verification

Inventory Management

Lab Results

Meaningful Use Certified

Medical Billing

Medication Management

Monitoring

Multi-Location

Multi-Physician

ONC-ATCB Certified

Order Entry

Patient Engagement

Patient Intake

Patient Management

Patient Monitoring

Patient Portal

Patient Records Management

Patient Scheduling

Payment Collection

Payment Processing

Physician Scheduling

Practice Management

Pre-Registration

Progress Notes

Reminders

Remote Treatment Planning

Reporting/Analytics

Reporting & Statistics

Revenue Management

Scheduling

Secure Messaging

Self Service Portal

Templates

Video Conferencing

Voice Recognition

Reviewers indicate that eClinicalWorks offers competitive pricing and low startup costs, which they find appealing for small practices. Some users say flat-rate pricing for features like e-prescribing provides value, but others report additional fees, rising costs, and price increases reduce long-term affordability.

Value for money

By industry, eClinicalWorks reviewers are most commonly professionals in medical practice (58%). The most frequent use case for eClinicalWorks cited by reviewers is electronic medical records (56% of reviewers).

eClinicalWorks

Web-based

Windows

Linux

Epic

athenaOne

Practice Fusion

Intergy

Elation

PrognoCIS

CareCloud

EHR 24/7

Nextech EHR & PM

NextGen Office

EHR only

EHR with Practice Management

RCM as a Service

Slow performance and lag

ARNP

Even on an extremely overpowered laptop with 32gb of ram and a fiber optic network connection this software is so slow that its painful.

96% of reviewers feel negative about the performance and speed of eClinicalWorks. Users report frequent slowness, lag, and delays throughout the system, regardless of hardware or internet connection quality. Reviewers say that slow loading times and system freezes disrupt patient care and daily operations. They indicate that both local and cloud versions suffer from performance issues, with some users experiencing crashes and long wait times for support. Some users feel that these persistent speed problems waste valuable time and reduce overall efficiency.

Excessive clicking required

87% of reviewers feel negative about the amount of clicking required in eClinicalWorks. Users think the system demands too many clicks to accomplish even simple tasks, leading to inefficiency and frustration. Reviewers say navigating between sections, filling out forms, and completing routine actions is tedious and time-consuming. They feel the interface is overly complex, with too many buttons and steps, making training new staff difficult. Some users report that the click-heavy design slows down their workflow and contributes to overall dissatisfaction with the user experience.

Problematic updates and upgrades

87% of reviewers feel negative about updates and upgrades in eClinicalWorks. Users say that updates often introduce new problems or break existing features, requiring additional fixes and causing workflow disruptions. Reviewers indicate that upgrades can be time-consuming, sometimes taking hours to complete, and often lack clear communication or support from the vendor. They feel that promised improvements are slow to arrive, and some updates are implemented without adequate testing. Some users report frustration with recurring issues that only get addressed in future releases, if at all.

Ineffective support ticket process

Practice Administrator

The Customer Service reps are obsessed with closing tickets (it must be how they are monitored and bonused) that it doesn't matter if the issue has been resolved, the ticket is going to be closed.  

Attending Surgeon

staff not reponsive at all - they will "open a ticket" which is computer speak for we will ignore your complaint

91% of reviewers feel negative about the support ticket process in eClinicalWorks. Users report that getting help requires submitting tickets and waiting for callbacks, often resulting in long delays and unresolved issues. Reviewers indicate that support staff frequently close tickets without fully addressing problems, and communication barriers can make troubleshooting difficult. They say multiple tickets are often needed for different issues, and follow-up is inconsistent. Some users feel that the lack of direct, responsive support leaves them without timely solutions when problems arise.

Persistent bugs and glitches

IT Administrator

About 50% of the time the patch fails and it takes a whole day or two to get the correct people from ECW on the phone to resolve the issue.   

84% of reviewers feel negative about bugs and issues in eClinicalWorks. Users say the software is plagued by frequent bugs, errors, and design flaws that disrupt workflows and create inefficiencies. Reviewers indicate that problems often go unresolved for long periods, with support sometimes failing to acknowledge or address reported issues. They find that updates can introduce new glitches, and technical support is often unable to provide effective solutions. Some users report that these persistent problems negatively impact patient experience and make daily operations more challenging.

Comprehensive feature set

77% of reviewers feel positive about the extensive features offered by eClinicalWorks. Users think the software provides a wide range of functionalities, including registry tools, patient portals, and robust EMR capabilities, which help manage various aspects of clinical operations. Reviewers appreciate having multiple tools integrated into one platform, noting that it can replace several systems they previously used. They say the frequent addition of new features and the system’s thoroughness support diverse workflows and can improve efficiency. Some reviewers feel the platform’s versatility is a strong asset for both small and large practices.

Streamlined patient charting

Nursing Supervisor

I liked that eClinicalWorks centralizes patient records, scheduling, and documentation in one system, which helps streamline daily workflows.

80% of reviewers feel positive about patient charting in eClinicalWorks. Users indicate that the system centralizes patient records, scheduling, and documentation, making daily workflows more efficient. Reviewers appreciate the ability to quickly access and update charts, use color-coded schedules, and manage appointments for multiple providers. They say the user-friendly interface and customizable templates help speed up routine charting and scheduling tasks. Some users report that having all patient information in one place simplifies billing and care coordination, while others highlight the ease of navigating between charts and schedules.

Owner

They also charge for you to use an iPad, there is an extra monthly charge for the clearing house, an extra charge annually for ECPS, an extra charge for the integrated scribe, and so on.

Clinical Programs Manager

Once properly configured, it becomes a strong tool for managing patient care, documentation, and population health initiatives in a busy practice.

Accounting Admin

For years my experience with eClinicalWorks has proven that it provides a one size fits all solution that simplifies the difficulties with work in patient care.

Some workflows are not intuitive, and reporting/data extraction can be limited without advanced configuration.

An MBBS Student

Furthermore, eClinicalWorks enables efficient communication among several divisions, therefore increasing general efficiency of operations and the quality of patient experience.   Although the speed and learning curve of eClinicalWorks first presented problems, it has turned out to be a very useful tool for improving the daily running of medical practices.

Many healthcare operations depend on eClinicalWorks, a thorough and powerful tool for scheduling, billing, patient data management, and other clinical processes.

It took me some time to become acquainted with how everything operates, from managing patient records to grasping how billing and scheduling are linked, especially as I am also still gaining knowledge on clinical systems.

It gives you easy views of a patient's chart and unpaid claims.

It has fantastic patient management and revenue cycle management.

Office Manager

You can only have 1 user at a time in the patient profile which doesn't help for training purposes.

Be aware, they not only charge but also take a larger cut from the credit card company , labs , radiology to connect the software so those guys charge you more.

Medical assistant

All the information you are able to see in just one screen, it was a little overwhelming at first though.

Customer Service Auditor

I like that a lot of things can be done with ECW, from billing to scheduling appointments, everything is in one place.

Medical Assistant

I don’t like how there are too many clicks to get to certain areas of the portal.

The system itself is okay, but it is a behemoth that is used to being the big guy and didn't realize that smaller ones were providing the same service at a much lower cost.

MYSELF

I like how there is finally a system in place to communicate with my neurologist with questions about my visit.

Medical Receptionist

I often get a glitch on my screen that says "claim summary" after printing a patient receipt.

Administrative Health Support

I would recommend it to colleges and choose this platform to manage my files over any other medical management platform.

I have had the best experience working with eCW and wish all RCMs could work just like this one!!!!!

Nurse

Also it allows you to look up a patients PMP from the software.

Account Manager

You have to pay for a bunch of add ons, clearing house/statements, check in and others.

The software itself makes it possible for a solo doc like me to manage the whole practice by myself.

Physician Assistant

The 1 thing i do appreciate is the patient portal is relatively easy to access for both the provider and the patient.

Patient Portals, Automated Task box and appt scheduling

Physician

It should have a little dropdown history of recently accessed charts. If you are in a given patient's chart and need to send the nurse a note on that patient, you go to Create Note and then select the recipient.  

Notwithstanding, the system is much simpler to use and may save you a lot of time if once you get the hang of it by unifying several functions into one platform.

RCM Service Director

Easy to train software that allows for all manners of specialty and general practice billing and EMR.

What I liked about it was that it was easy to navigate, It did not take long for me to know where to find what I was looking for.

The glitch does not go away until I close and restart the program.

Its steep learning curve as well can be difficult for inexperienced people to negotiate deftly.

Support Desk

We have to restart the program often. If we have more than one instance open on a laptop, it often crashes the pc. When adding printers, you have to restart the  software.

office Mgr

We kept losing data while charting in the rooms.

seriously, it's one of the best medical record/scheduling programs.

It also tries to make you do an E/M on every OB visit even though it's a global fee so you have to say no to that every visit.

Each item that may all be connected still needs a separate case to be made and they call you back based on their convenience often when you are seeing patients.  

Human resource manager

Its state of the art features has a huge impact on our daily operations.

Athena was my prior EMR and I switched as I needed a biller to overview the billing that Athena does and paying for 2 billing services was not worth while I thought.  

The workflows are so miserable and non-intuitive.

Apparently they will give the records in "Java Script" for no cost which is an unreadable format to normal humans.  

I enjoyed the software speed and efficiency as well as the ease of use when training new users

Director

Relatively easy to maneuver for basic charting and billing.

Furthermore, the platform presents a difficult learning curve.

The help desk is very quick to respond anytime I've had an issue or a question.

This product has reshaped the way operate.

if I was in charge of purchasing software... as I was in my previous practice, I would quickly find an alternative, possibly even Epic to integrate with all of the surrounding hospitals

It’s not a super intuitive system, a little clunky in its navigation, and I often question how to perform certain functionalities.

Patient Charting

Medical Practice

Training and Learning Curve

Billing

Charges

Integrations

Data Management

User Interface

Pricing

Small Business

Large Enterprises

Freelancers

Mid-size Business

Pabau

Pabau is an all-in-one practice management software designed for healthcare businesses. The system offers digital patient records, online booking capabilities, calendar management, and integrated payment processing to streamline administrative workflows. Pabau also includes marketing tools, inventory management, and reporting features that help medical practices operate efficiently while maintaining secure patient data.

DocVilla

DocVilla: transform your independent medical practice with a comprehensive suite of Cloud-Based EMR and EHR software, telemedicine, e-prescribing, lab integration, Fullscript, analytics, POS, Patient portal, and inventory management. Secure, efficient, and hosted on Google Cloud and AWS.

Nextech's Practice Management solution is purpose-built for specialty practices and backed by more than 25 years of industry experie...

eClinicalWorks vs Nextech EHR & PM Comparison (2026)

eClinicalWorks

Nextech EHR & PM

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives