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.

ModMed offers a cloud-based EHR system designed specifically for medical specialty practices including dermatology, ophthalmology, and orthopedics. The platform integrates AI-based documentation tools, such as ModMed Scribe with practice management features to streamline clinical workflows and patient engagement. The solution connects clinical and administrative aspects of healthcare practices through specialty-specific interfaces and analytics capabilities.

physician

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

eClinicalWorks EMR is a comprehensive and customizable electronic medical record system that streamlines clinical workflows and enhances patient care.

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 low startup costs and competitive pricing, which some users find beneficial for small practices. However, some users report additional fees and feel the pricing lacks transparency, leading to unexpected expenses.

Value for money

By industry, eClinicalWorks reviewers are most commonly professionals in medical practice (59%). The most frequent use case cited is electronic medical records (55% 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

Frequent slowness disrupts workflow

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 performance and speed in eClinicalWorks. Users report persistent lag, slow loading times, and frequent freezes, even on high-end hardware and fast internet connections. Some reviewers say these delays disrupt patient care and daily operations, causing frustration and inefficiency. They mention that both local and cloud versions experience slowness, and support response to performance issues is often delayed. Reviewers indicate that the system’s resource demands and instability significantly hinder productivity, especially during busy clinical hours.

Excessive clicking reduces efficiency

86% of reviewers feel negative about the amount of clicking required in eClinicalWorks. Users think the system demands too many clicks to accomplish even basic tasks, making workflows tedious and time-consuming. Some reviewers say the interface is not intuitive, requiring multiple steps to navigate between sections or complete documentation. They report that the click-heavy design leads to frustration, slows down charting, and increases the risk of errors. Reviewers indicate that the abundance of unnecessary clicks detracts from user experience and overall productivity.

Problematic updates cause instability

87% of reviewers feel negative about updates and upgrades in eClinicalWorks. Users report that new versions frequently introduce additional problems, disrupt existing workflows, and require time-consuming fixes. Some reviewers say updates are often poorly timed, lack clear communication, and can result in loss of functionality or data migration challenges. They mention that patches and upgrades are slow to address user feedback, and system-wide updates can take hours or even days to complete. Reviewers feel that the update process is unpredictable and often creates more issues than it resolves.

Ineffective and slow support ticket process

Attending Surgeon

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

88% of reviewers feel negative about the support ticket process in eClinicalWorks. Users report that resolving issues requires submitting multiple tickets, often resulting in long wait times and repeated callbacks. Some reviewers say support staff are difficult to understand, rarely resolve problems on the first attempt, and frequently escalate issues without clear solutions. They mention that customer service is not proactive, lacks direct phone support, and often provides inconsistent or incomplete assistance. Reviewers feel the ticketing system is inefficient and adds to their frustration when dealing with technical problems.

Persistent bugs and workflow disruptions

Manager

ECW makes updates that create more problems with no fix.  

CFE, CICA

ECW does not have an audit trail which is a deficiency in the program.

83% of reviewers feel negative about bugs and issues in eClinicalWorks. Users report encountering frequent glitches, errors, and design flaws that disrupt daily tasks and require constant troubleshooting. Some reviewers say support often fails to resolve problems, and updates sometimes introduce new bugs instead of fixing existing ones. They find that unresolved issues can persist for months, impacting patient experience and staff efficiency. Reviewers indicate that inconsistent workflows, lack of audit trails, and unreliable system behavior make the software difficult to depend on for critical healthcare operations.

Extensive feature set enhances workflow

76% of reviewers feel positive about the features in eClinicalWorks. Users appreciate the wide array of functionalities, such as the Registry, Patient Portal, and inbuilt EMR, which they say contribute to efficient population health management and daily operations. Some reviewers find the system’s robust features helpful for meeting clinical integration measures and consolidating tasks that previously required multiple platforms. They indicate that frequent innovation and comprehensive tools support a variety of practice needs, making the software adaptable and valuable for different healthcare settings.

Comprehensive patient charting tools

78% of reviewers feel positive about patient charting in eClinicalWorks. Users think the system’s unified approach to scheduling, billing, and chart management streamlines daily operations. Reviewers appreciate the ability to quickly view and update patient records, utilize color-coded schedules, and access multiple providers’ calendars. Some users say the customizable templates and user-friendly navigation help them complete routine charting tasks efficiently. They find the all-in-one platform beneficial for managing appointments, tracking care, and organizing patient information, which supports smoother clinical workflows and enhances overall productivity.

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.

Nursing Supervisor

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

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.

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.  

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.

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.

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.

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.

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

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.

Administrative Health Support

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

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.

It has fantastic patient management and revenue cycle management.

Nurse

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

Physician Assistant

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

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.

Medical Receptionist

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

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

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.

Human resource manager

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

Owner/ lead physician 

We were given incorrect information we could not cancel due to contract, then we’re told we could have cancelled anytime by clicking a button3) Verified by [sensitive content hidden] our ECW contact he sees we requested cancellation after selling back in December and again every month, HE ALSO did screen sharing and confirmed our software lacks “the button” to cancel ecw,4)

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.

CCMAMAG

Eclinical works offers an affordable option for medical practices and providers.

It is an "older system," but continues to improve and is effective for the uses we require within our practice.

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

Director

Relatively easy to maneuver for basic charting and billing.

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

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

Nurse Practitioner

It has the basic features that you will need for patient management.

This product has reshaped the way operate.

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.  

Senior Credentialing Coordinator

It did not require a lot of training before we were able to begin using the system daily.

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

eClinicalWorks vs Nextech EHR & PM Comparison (2026)

eClinicalWorks

Nextech EHR & PM

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives