NextGen Office vs Mend

Fusion

Carepatron

Alleva

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.

Our state-of-the-art platform will take your center into the 21st century and streamline the entire process of EMR. Our platform provides more efficient workflows, reducing burn-out, and improving the quality of care. Insights offers real-time data for better business decisions and easier reporting.

Achieve better clinical outcomes with EHR/EMR software from NextGen Healthcare. Gain access to state-of-the-art tools for fast, efficient documentation. The result: complete, accurate information, better coordination of care, improved diagnosis, and reduced risk.

Patient Scheduling

Claims Management

Patient Portal

E-Prescribing

Clinic Interoperability

Decision Support

Medical Billing

Compliance Tracking

Communication Management

Some users say NextGen Office offers cost savings over server-based systems, and reviewers appreciate the subscription model with included updates. However, some reviewers feel extra fees and unbundled features make the total cost high for smaller practices.

Value for money

By industry, NextGen Office reviewers are most commonly professionals in medical practice (52%). The most frequent use case for NextGen Office cited by reviewers is electronic medical records (41% of reviewers).

NextGen Office

Web-based

iPhone

Windows

Android

iPad

Basic

Clinical Office Manager

One of the least thing that I did not like was that it sometime duplicated the data and it was hard to merge patients.

Manager

We often find faxes delayed, but NGO support fails to provide any meaningful update during the questionable period. "

Director of Operations

Allows for employee tracking, care management, and has managed cloud hosting which is incredible for the price.

Medical records clerk

It almost seemed like it didn't have enough giggle or megabytes for the amount of medical records I tried to process on a daily basis.

Pharmacist

Training with live person is limited, they only have a certain amount of time allotted and you have to pay for extra one-on-one training.

President

Improving our quest to eliminate paper would be helpful, but the current "out-of-the-box" setup is not going to minimize this too much irrespective of the specialty.  

NGO has been solid and but it needs updates to keep current with other EMRs/PMs in the industry. "

You can put the computer down, turn on the microphone, and focus 100% on the patient.

Owner

Everything from enrollments with the clearinghouse to deciphering claim denials is self service.

Office Manager

We have appreciated the ease with which the system can be navigated on both the practice management and EHR sides of the software.

Owner doctor

I paid a fee to get out of the contract early, and received very tense unprofessional conversations with the staff.

It is very robust. As we expand our clinical services, this is very helpful in terms of being customizable.

It took an incredibly long time to document on a new patient on their first visit."

Owner operator

It was still extremely heavy, but they allowed you to have templates which helped somewhat.

Their new Ambient Assist AI scribe makes documentation a no brainer.

Processing time was very slow, it freezes a lot and made it longer to do almost anything

Physical Therapist

I have used Next gen for 7 years overall and find it very usable, but at times inefficient for completing evaluations and exercise logs for PT patients.

Integration between practice manager (scheduling) and EMR (records) software.

sales support

NextGen Office software offers a comprehensive suite of customizable features, from appointment scheduling to billing and revenue cycle management.

Caregiver

When there are new software updates, it is a challenge because previously customized features disappear and have to be done again.

ability to carry forward and safe smart phrases to speed up note writing

NGO limits other platforms from integrating using API.  

The Patient Portal is terribly unfriendly to the patients and staff alike.

Nextgen was a slow system it seemed old and it needed to be revamped.

Exercise log completion is tedious and takes too long relative to other sections of notes.

We struggle to understand why NGO doesn't invest time into pushing this more open, but the "preferred partners" have access.  

I like the user experience, the customer support, and our account rep's knowledge and helpfulness.

We would appreciate more communication from customer support once a problem is resolved.

Physician

The quality of your notes will likely decrease.

There are much better systems out there for much cheaper cost.

The only reason for this program to exist is affordability.

nurse practitioner

Most of our issues were left without a resolution.

One of my favorite features is how you can set access and abilities for each user and their specific role/responsibilities.

The customer service was extremely difficult to work with.

Then support (like all other support departments) move on because the problem is "fixed".  

Medical staff and providers also have to be retrained to get familiar with the new features / options.

dermtologist

Clinical and practice management EMR together and seamless integration.

Our team loves it, but it can be a deterrent for some.  PM-wise, the platform is simple to use.  

NGO reporting is great if you like and familiar with Excel.  

We left them the second our contract was up.

We had a responsive customer service experience.

The excessive tabs, scrolling, and button-clicking in the system's layout design are inefficient and don't optimize screen space.

Administrative Medical Assistant

learning to customize can be pretty complex and time consuming.

User

oh wait, it doesn't preload the quantity.

We had compulink previously and we thought that was bad.

Outreach

Competitors perhaps provide more alternatives with better features

Project Manager

This sometimes leads to issues like slowness and screen freezes when we return to work on Mondays.

Customer Support

Pricing

Note and Document

Patient Clinic

Practice Specialty

Performance and Speed

Integrations

Features

Upgrade and Update

Payment and Charge

Excessive clicking required

69% of reviewers feel negative about the number of Clicks required. Reviewers say the system’s design leads to too many clicks and navigation steps to complete routine tasks. They indicate that workflows are inefficient, with excessive tabs, scrolling, and pop-ups that slow down processes. Some users report that the lack of intuitive shortcuts or hotkeys makes data entry and information retrieval tedious. They find that the high number of clicks is particularly frustrating for providers working under time constraints.

Complex payment management

58% of reviewers feel negative about Payment and Charge processes. Reviewers indicate difficulties with posting payments, correcting errors, and managing billing reports. They say the system can be inflexible, requiring multiple steps to fix mistakes or process refunds. Some users report challenges with contract terms, overcharges, and difficulties canceling services, leading to frustration and wasted time. They find that communication with the accounting department is slow, and additional fees for certain features or reports are a common concern.

Disruptive upgrades and updates

52% of reviewers feel negative about Upgrade and Update experiences. Reviewers say upgrades often introduce new bugs or disrupt previously working features, requiring additional troubleshooting. They indicate that updates can be time-consuming, labor-intensive, and sometimes lack sufficient quality assurance. Some users report that customizations complicate the upgrade process, and frequent changes can be hard to manage. They find that support during upgrades is inconsistent, and downtime or workflow interruptions are common after updates.

Frequent slowdowns and freezes

76% of reviewers feel negative about Performance and Speed. Reviewers report frequent slow load times, system lags, and occasional freezes that disrupt daily workflows. They say server downtime and sluggish responses hinder productivity, especially during peak hours. Some users indicate that scanning documents, switching screens, and processing tasks can be time-consuming. They find that technical support is slow to address performance issues, and recurring slowness impacts both clinical and administrative operations.

Persistent software glitches

78% of reviewers feel negative about Bugs and Issues. Reviewers indicate that unresolved bugs and recurring glitches affect reliability and disrupt business operations. They say known issues often go unaddressed for extended periods, and fixes are delayed until future releases. Some users report poor communication between support teams and slow response times when problems arise. They find that software updates can introduce new problems, and troubleshooting is often frustrating and time-consuming.

Efficient scheduling tools

85% of reviewers feel positive about Appointment Scheduling. Reviewers appreciate the ease of scheduling, rescheduling, and managing appointments for multiple providers and office types. They say the drag-and-drop functionality, integrated calendar, and ability to access schedules remotely streamline administrative tasks. Some users report that the system helps reduce wait times and improves patient satisfaction by making appointment management more efficient. They find that the scheduling features are flexible and support both clinical and non-clinical staff in daily operations.

Versatile for diverse practices

86% of reviewers feel positive about Practice Specialty support. Reviewers indicate the software is customizable and suitable for a wide range of medical specialties and practice sizes. They appreciate its flexibility to adapt to unique workflows, whether for small clinics or larger, multi-specialty organizations. Some users say the system supports efficient management of scheduling, billing, and patient records, making it easier to tailor processes to their specific needs. They find that the ability to configure the software at various levels benefits both general and specialty practices.

Intuitive and accessible design

94% of reviewers feel positive about the User Interface. Reviewers indicate the system is highly user-friendly, making it easy for both new and experienced users to navigate and perform daily tasks. They say the interface is clear, straightforward, and requires minimal training, which helps reduce onboarding time. Users think the design is visually appealing and appreciate that it is accessible on various devices, including iPads. Some reviewers find that the intuitive layout supports efficient workflows and contributes to a smoother experience for staff with varying levels of technical expertise.

Facilitates practice growth

85% of reviewers feel positive about Practice and Learning. Reviewers say the software is easy to learn and supports ongoing skill development within their teams. They find that initial training is straightforward, and the system’s continual improvements help practices adapt to evolving needs. Some users report that the software modernizes their operations and streamlines transitions, making it easier to implement new processes. They appreciate the resources available for learning and the positive impact on practice efficiency and quality of care.

Streamlined daily operations

Company Director

The platform's extensive functionality allowed me to manage my practice's operations efficiently.

89% of reviewers feel positive about Ease of Use. Reviewers say the software simplifies complex processes and allows for flexible navigation between modules. They appreciate the system’s intuitive layout, which enables them to manage practice operations efficiently and reduces the learning curve for new users. Some users report that the integration between different modules, such as EHR and PM, is smooth and enhances overall usability. They find the system adaptable for both high-tech and less tech-savvy staff, making daily tasks more manageable and less time-consuming.

Small Business

Freelancers

Mid-size Business

Large Enterprises

Users think NextGen Office offers a cost-effective solution compared to traditional server-based systems, especially appreciating the savings on hardware, IT setup, and supplies like paper and ink. Reviewers indicate that the subscription-based pricing model is attractive, with some noting that it includes updates and support at no extra charge. Some users say the all-in-one package—combining practice management, EHR, and clearinghouse—adds value for the monthly fee, and they appreciate the availability of part-time pricing for lower-volume providers. Reviewers appreciate that the software is generally affordable for small businesses and startups, and some find it more feature-rich than similarly priced competitors.

However, some reviewers feel that the cost can be high, especially for small or part-time practices, citing additional fees for interfaces, add-on solutions, and provider accounts. Some users report feeling “nickel and dimed” by extra charges for essential features, and they say the total cost can become overwhelming with maintenance and migration fees. Some reviewers find the software expensive relative to its perceived quality and note that necessary components are often not bundled, leading to higher overall expenses. Some users indicate that the price may be prohibitive for smaller practices.

NextGen Healthcare

Doxy.me

Doxy.me is a cloud-based telemedicine solution designed to help healthcare professionals diagnose & treat patients via videoconference, audio communication, or text message. Features include virtual waiting room management, notifications, screen sharing, group calling, file transfer & image capture.

Tebra

Tebra helps medical providers optimize clinical processes by handling administrative tasks so that doctors can focus on patient care

Tebra is popular with physician practices with 1-10 providers and medical billing companies with 1-100 providers.

Telemedicine is convenient and easy, which drives patient attendance. No logins or software downloads.

Fully HIPAA compliant toolset (w/ BAA), encrypted video visits, and additional security measures help protect patients from a wide variety of compliance and data security risks.

Video Conferencing

Self Service Portal

Confirmations/Reminders

Appointment Management

HIPAA Compliant

Online Forms

Practice Management

Billing & Invoicing

Charting

Payment Processing

Multi-Provider Practice

By industry, Mend reviewers are most commonly professionals in hospital & health care (16%). The most frequent use case for Mend cited by reviewers is telemedicine (44% of reviewers).

Users and use cases

Mend is a telemedicine solution offering key features such as video conferencing, appointment management, mobile access, confirmations/reminders, appointment scheduling, and HIPAA compliance, among others.

Mend

patient

It connects me and my provider for appointments and provides educational/informative videos while I am waiting.

Analyst

The secondary text message that says respond with “R to cancel I misread and responds with R and cancelled my first appoint. If you send these message make you you correspond with “C” it makes more sense instead of R for confirmation

Advanced Rolfer

This was a requirement with my shift into Highmark’s Complete Blue Pro Premier plan , due to the constancy of my work travel the Zoom meeting was the best option.

I like the ability to test your connection/audio/video prior to visit.

I write novels and still hope one day someone will read them.

Sometimes my internet connection or hers interrupts us, but even if I cannot see her and she cannot see me, we talk things through.

Deli clerk

I had a bad experience with trying to get my ADHD medicine figured out meaning I had to meet with the doctor and get that scheduled and I was told that that wouldn’t be possible at first… But it all got figured out so I’m grateful however it did cause me, extreme anxiety

Chief Handyman for my wife

Other than the occasional audio quality issues, I was able to complete the virtual visit without any other significant issues.

Mobile Notary

I like being able to have an appointment  wherever I happen to be at that moment; in the car, at home, etc.

Direct Support Personnel

I'm still going through early grief after the shock. But Mend therapy helps me embrace the joy and love of Honolulu even as I'm enfolded by brother's sudden death.    

I feel that I got the doctor's attention more so than in an office visit in which the doctor is hurrying from exam room to exam room.

XxxxxxxxxX

It is good my doctor that i was linked with seemed to have been linked with me based on the type of person i could interact with better idk if that was the case but i got a good doctor

Reverend

Was professionally scheduled, accurately timed, very thoroughly reviewed many health components and issues.

Operations

I have connection with counselors and doctors that I do need to see it is detrimental that I see you my doctors on time for therapy and psychotherapy and medication management to regularly save my emotional, psychological, and outright life.

Sales and marketing

I really like how she works with me on helping me understand some of the steps in this regimen and I hope that y’all see though genuine care in her as I do thank you very much Christopher Rodgers.

Had to ask the nurse to repeat herself several times because of the audio quality issues.

Service Technician

Answered all my questions and explained the different processes we needed, iltimately saving me time and money.

Home maker

I only feel that having a short text or note to take away would be a helpful addition.

Patient

The viewing screen doesn’t expand to a full screen dimension.

Human Resource Specialist

On time, the one on one visit, the virtual appointment work well with my schedule

Agent

Maybe all the paperwork you have to do before every session, but that is a minor inconvenience.

Food runner

Works well for what is needed, connection quality is better than I've experienced in Teladoc

Health

Sometimes the telehealth appointments don’t sync.

OR RN

I like the fact that they accept my insurance in addition to my membership payment.

Retail

It’s easy to use and it helps for when I can’t come in.

Trust and clear communication are not disrupted by intermittent outages.

Attorney

Bumpy at first, but after settling into your system and finding a practitioner who is clearly taking care of me has been magic.

Sole proprietor/ House leaner

Its like a housecall,but on your phone,it's very convenient and hassle-free,and everybody was so helpful,sympathetic to my needs and punctual so from appointment setting to seeing a Dr. 4 hrs and it's all over and prescription is sent to my pharmacy,now if I could only get the pharmacy to deliver I'd be all set!

NextGen Office vs Mend Comparison (2026)

NextGen Office

Mend

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives