Fusion vs eClinicalWorks

SimplePractice

athenaOne

WebPT

Epic

Intergy

ClinicSource

Compare Fusion and eClinicalWorks based on features, pricing, verified reviews, integrations & more on GetApp. Find out which software is best for your business in 2026.

Ambiki

Ambiki combines AI-driven documentation, teletherapy, billing, and scheduling in one secure platform tailored to pediatric therapy clinics.

TheraPlatform

TheraPlatform is a cloud-based video conferencing platform that helps therapists and behavioral health professionals streamline communication with clients and offer virtual therapy sessions.

Net Health

An all-in-one EMR solution for physical therapy, occupational therapy, and speech-language pathology that helps increase efficiency, productivity and profitability.

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

Access Controls/Permissions

Alerts/Notifications

Appointment Management

Assessment Management

Audit Trail

Availability Management

Billing & Invoicing

Calendar Management

Care Plan Management

Charting

Chat/Messaging

Claims Management

Claims Scrubbing

Clinical Notes

Communication Management

Compliance Management

Compliance Tracking

Confirmations/Reminders

Credit Card Processing

Customizable Forms

Customizable Reports

Customizable Templates

Data Import/Export

Documentation Management

Document Management

Document Storage

Drag & Drop

Electronic Payments

Email Reminders

EMR/EHR

Exercise Library

File Sharing

For Occupational Therapists

For Physical Therapy

For Speech Therapists

Goal Setting/Tracking

Healthcare Compliance

HIPAA Compliant

Historical Reporting

Insurance Eligibility Verification

Insurance Management

Invoice Management

Live Chat

Medical Billing

Medical History Records

Mobile Access

Mobile Alerts

Multi-Location

Onsite Registration

Patient Intake

Patient Management

Patient Portal

Patient Records Management

Patient Scheduling

Practice Management

Progress Notes

Progress Reports

Progress Tracking

Records Management

Reminders

Reporting/Analytics

Reporting & Statistics

Revenue Management

Role-Based Permissions

Scheduling

Self Check-In/Check-Out

Self Service Portal

SMS Messaging

SOAP notes

Task Management

Task Scheduling

Telemedicine

Template Management

Treatment Planning

Workflow Management

By industry, Ensora Rehab Therapy Suite reviewers are most commonly professionals in medical practice (35%). The most frequent use case cited is speech therapy (44% of reviewers).

Users and use cases

Some users say Ensora Rehab Therapy Suite offers reasonable value and a good feature set for its price, but many reviewers report higher costs than other EMRs, frequent price increases, and significant add-on fees that reduce overall value.

Value for money

Ensora Rehab Therapy Suite is an electronic medical records program offering key features such as calendar management, SOAP notes, charting, appointment management, HIPAA compliance, and patient records management, among others.

Fusion

Web-based

Essentials

Advanced

Premier

Patient Care Coordinator

Some tools seem geared toward bigger organizations, so we had to spend some time figuring out what actually fit our clinic’s day-to-day workflow.

Faxing coverpage that has signature already there and easier ability to see sent faxes; ability make personalized eval templates within the current membership & coding of non-timed codes, this really does not make sense for ST.

Administrator

Sending out reminder texts for appointments based one 1 reminder per hour of appointments means that our adults that may be getting 3 therapies across 2.5 hours get 3 reminders and they only read the last one and get confused on times.

COTA

I don’t like that when i go into appointments i cant view the types of appointments (telehealth vs in clinic) and i have to know those details for writing reports, i dont like there is no calculation for hours on the calendar view page and i have to generate a report and count up my hours, I don't like that is no way to show total sessions when in appointment view

owner

We have not been as happy with other aspects such as inability to share statements through the patient portal without signing up for billing through fusion, inability to pay PT for a PT therapist, inaccuracy of certain reports, inability to run certain reports, inaccuracy of letting us know when children are due for evaluations.

Speech Therapist

The feature of "Pull Forward" of the previous note is my favorite and that is very helpful to make documentation and paperwork easy peace-y!

Occupational Therapist

I like the ability to pull forward, the objective section with the drop down box for adding activities, the ability to set automatic goal tracking based on data, and the visual of graphs.

Some parts feel designed for much larger clinics, so we had to adjust things to make it work for us.

Invoicing - instead of creating 1 invoice per patient each month with the total balance due, it creates what was marked as due in the last 30 days so 1 patient may have 3 invoices and they get confused.

Occupational Therapy Provider

I have used Fusion since 2020 (our clinic let us start during the pandemic) and it made documentation SO much better, streamlined and being able to share info/ goals/ calendars from our prior system was a game-changer.

I wish there was an option on the schedule to move a whole day to a different therapist, and then also on the billing side if they covered for a therapist that we already pay for if there was a credit for them or discounts for employees working 4 days or less a month.

Physical Therapist

It has different experiences based on your role at the clinic and some features would be better shared between roles, such as ease of seeing future appointments from the calendar.

Editing the start time of a session after checking someone in or beginning a note was difficult as you had to delete everything and mark them as not checked in before changing times, so you have to be careful to do things in the correct order and not forget something otherwise the work gets much harder.

Authorizations Coordinator

There are a couple things I would like to have: for instance I would like a place to keep track of yearly Plans of Care (POC) necessary for our government agency for disabled people and to be able to filter it out so we can know monthly who needs a new POC for the year.

occupational therapist

The progress notes and re-assessments require that you transfer goal progress from daily notes onto those notes, instead of having a way to carry them forward the way you do no daily notes.

There’s definitely a bit of an adjustment period, especially for new team members who haven’t worked with an EHR before. When we first started, it felt a little overwhelming just because there are so many features.

I have such a love hate relationship with fusion because I like some features such as goal tracking but I also feel I spend so much tie backtracking, fillinf in information I already have (like why are progress notes, evals, and re-evals so separate from daily notes?

Lead Clinical Coordinator

The confusion when it comes to moving clients to inactive. When I receive the referral, I automatically put it into the system to keep track of documentation, but when clients decide to not come for some reason or another, it makes it difficult to remove them from the referral or active list when they will not be coming.

Therapist

Overall, Fusion Web EMR provides a smooth and efficient experience for therapy practices looking for an all-in-one solution with strong documentation and billing capabilities.

Executive Assistant

Appointment confirmations are difficult and require downloading the schedule in a .csv file and uploading to an appointment messaging and confirmation system.

speech and language pathologist

The easy way to navigate to the areas that I need to work in; the format of the pages, and the immediate response from customer service when I am experiencing an issue with something.

Lack of ability to add "supervision" documentation, lack of noting if a session was cancelled but made up (preset could be "Cancel - re-scheduled) instead of making it completely cancelled.

Administrator and OTA

Our goals often look disorganized because of the transition with POCs/Progress Notes. That you are unable to make any adjustments to an appointment after it is checked in without having to delete the document.

Speech Language Pathologist MS CCC-SLP

My assistant who manages all my insurance and billing finds the billing system taking alot more time that another system she uses for another professional.   Because it is a headache for her without great answers for making it smoother when she has inquired, that would be what I'd say I like least.  

VP Revenue Cycle Management

No option to add a pay to address which add extra work for paper claims and statement processing extra work to add that manually.  

Occupational therapist

When writing reports, I do not like that the text boxes don't expand (or that I cannot see the whole text at once) so that I can easily see and edit what I typed.

It’s nice to be able to pull forward the previous notes every week and adjust, it’s nice to have billing connected to the notes, it is fast to sign on and does not have times where the system was shut down like our previous EMR.

I don't want to write a daily note and an evaluation, the daily note could automatically populate, one process not two different documents.

Program Coordinator and Therapist

I enjoy the versatility of it and the many domains where I can locate notes, intake, resources, and patient information.

Speech Language Pathologist

I cannot select a client and see a visual of their schedule on the calendar, only in appointment section on their individual patient file.

Basically, everything will be routed to either online "library" -- FAQs or an AI.

I wish there was a way to easily access missed visits, or an easier way to generate missed visit count, besides looking in their “auth dates” and manually counting how many missed visits.

Medical Biller

Some families like to have more than 1 payment option on their account and its hard to keep track of which payment to run if we can't put notes next to the payment line.

Billing Specialist

It could use some work with allowing individual message alerts be sent to certain families vs having to chose 24 or 4 hour alerts to be sent to all.

Scheduling, reminders for families, messaging between users, billing, and customer support when you need it (though honestly, not often).

The data export is a pain for me, given how badly they handled the exit of a client.

Speech-Language Pathologist

There is one thing that would really improve my experience and save me a LOT of time and energy when writing reassessments. If there as a section in each Pt's note that was for the therapist's use ONLY -  not a part of the actual note submitted to insurance/MD, that would be a HUGE DEAL.

Operations Director

The lack of customizability, our practice has additional staff that work with families beyond therapists, and everyone is labeled "Therapist" in Fusion.  

To be able to insert a fraction into the data box on goals and have it generate a percentage (to save time having to calculate it yourself).

Program Director - Occupational Therapist

As a clinic director the things I have the biggest issue with are related to scheduling/rescheduling appointments and addition of information to accounts/charts.  

Additionally, the hover feature does not work great- when I try to hover over a client to click on say their profile, it takes me at least 3 tries each time to get the hover feature to stay up

Admin Assistance

I would love if the waitlist feature was numbered - we get families calling in all the time asking where they are at one the waitlist and having to count each time is time-consuming and not fun.

I wish that updating goals within a progress note or re-evaluation led to the goals automatically changing to the new goal, instead of having to manually go in and change the goals after submitting the report.

Office Manager

For example, I’ve had to repurpose certain fields to track patient status, sub-status, flagging purposes (for review), and referral dates.

Early Intervention Provider

I frequently try to complete notes from the road, and the page tends to jump around when you click to open items, which is challenging and can be frustrating on a phone.

Owner, SLP

It has many features that are necessary for running a clinic like scheduling, billing, and documentation.

We definitely had to spend some time clicking around and figuring out what really fit our day-to-day workflow.

speech-language pathologist

I like the template for the daily notes and the variety of templates for different assessments for the evaluation reports.

OTR owner

Data type is not flexible, not able to build our own for example MMT 3-/4    2+/5 etc. doesn't allow for use to adapt to our needs

COTA,L Administrator

The ability to open multiple windows at once such as a daily note and a progress note I am working on.

Appointment Calendar

Billing and Payment

Integrations

Daily Notes

Client Access

User Interface

Bugs and Issues

Goal Management

High and add-on costs

Administrator and Speech Therapist

I don't believe the quality of the product matches the pricing and that's a large deterrent from continuation.

Executive Director

Also, the recent cost increase announced doesn't coincide with any fabulous improvements we have seen on the user side.

73% of reviewers feel negative about Fusion’s pricing. Users indicate that the base price is higher than many competitors, and additional fees for features like text messaging, intake forms, and part-time users quickly add up. They mention that the cost structure is burdensome for small practices and non-profits, and that frequent price increases are not matched by noticeable improvements. Reviewers feel that the value provided does not always justify the expense, especially for clinics with limited budgets.

Limited and clunky reporting

I find that some of the reports are not what I need such as figuring out my true accounts receivable.

The reports are very clunky and not very useful from the ownership side of the practice.  

56% of reviewers feel negative about Fusion’s reporting capabilities. Users say that reports are difficult to customize, lack important features, and can be slow to update or inaccurate. They mention that filters are not user-friendly, legacy reports are hard to access, and some needed financial or clinical data is missing. Reviewers find that the reporting tools do not always meet their practice management needs, making it challenging to track key metrics or generate useful insights.

Cumbersome patient management tasks

50% of reviewers feel negative about Fusion’s patient management features. Users report difficulty accessing patient information from different sections, slow or confusing navigation, and challenges with managing schedules, attendance, and patient records. They mention that basic tasks like updating patient details, discharging patients, or tracking attendance require multiple steps. Reviewers also highlight the lack of certain search and notification functions, which makes managing patient data less efficient than desired.

Fusion vs eClinicalWorks Comparison (2026)

Fusion

eClinicalWorks

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives