NextGen Office vs Pabau

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.

NextGen Healthcare provides ambulatory practices with award-winning solutions along with dedicated support & professional services.

Appointment Scheduling

Self Service Portal

Customizable Templates

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

ModMed

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.

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.

Take your medical practice and patient management to the next level with Pabau. 

Simplify your daily tasks — such as scheduling appointments, sending reminders, managing patient records, and more.

See why over 23,000 users trust Pabau. Book your personalized demo today.

Appointment Management

Patient Scheduling

Physician Scheduling

EMR/EHR

Patient Portal

Patient Intake

HIPAA Compliant

Medical Billing

Charting

E-Prescribing

By industry, Pabau reviewers are most commonly professionals in health, wellness and fitness (36%). The most frequent use case for Pabau cited by reviewers is medical practice management (52% of reviewers).

Users and use cases

The Pabau integration most frequently cited by reviewers is Stripe, a payment processing product rated 4.8 out of 5 for its integration with Pabau.

Pabau is a medical practice management solution with key features that include patient scheduling, patient records management, appointment management, and more.

Pabau

Startup

Solo

Team

Medium

Group

Registered Nurse

The AI dictation feature has been a huge time-saver, accurately capturing my notes and reducing the amount of typing I have to do.

We are a new practice and the ease of which we can update our electronic forms and patient data be replicated in provider treatment notes or vice versa is a game changer.

Director

Automation and efficiency: Features like automated reminders, aftercare forms, and newsletters help reduce manual tasks.

Doctor

Everything is one place, marketing, clinical documentation, phototaking and also being able to book clients and send out relevant information and forms.

Founder and Adult Nurse Practitioner

Pabau has helped streamline all aspects of my practice from online bookings and consent forms, to treatment notes, photos, and marketing follow-up.

Pabau is incredibly comprehensive — it combines bookings, patient records, invoicing, consent forms, marketing, and finance into one streamlined platform.

CEO, CFO

Huge shout out to [sensitive content hidden] for the strategic guidance and sage methods of presenting our offerings in ways I had not even thought of. And of course, humongous props to [sensitive content hidden] for understanding our product from the onset, making erudite suggestions about how we should structure our EMR to maximize efficiency/minimize data entry. When we had deadlines materialize out of nowhere (things tend to happen like that when you're starting your own practice, I've come to [painfully] find out) he would find a way to fit me into his tight schedule to solve the issue swiftly and efficiently; at times, speaking directly to my web designer to expedite the process.

As a medical practitioner running my own clinic, it gives me the structure I need to manage clinical documentation, financials, and patient communication all in one place.

Aesthetic Nurse

Having changed over from one provider to Pabau there is a lot more to offer in order to make digital records easier to manage, however for a small business with 3 staff it has been time consuming and at times very slow in getting set up.

Chief I.T and Legal Officer

We have been able to manage our business like never before through the platform enabling us to track our doctors and all procedure done to our patients.

Clinic Owner and Clinical Specialist

The digital consent forms and treatment notes also allow me to go fully paperless, which is not only professional but also very efficient for keeping records secure and accessible.

It offers a wide range of great features for scheduling, patient management, and marketing—all in one place.

The App is not as intuitive as the web version, the pop up windows and navigation is not as user friendly as the web version.

As a US-based user, I occasionally need clarification on which features apply to our regulations. But the support team has been responsive and helpful whenever I’ve needed clarification.

Business Development Manager

Overall Pabau is great for what you need. when it is flowing through it works wonders, some of the features are amazing for the business, especially the braodcasts, online bookings and so much more.

Medical Director

I also love how easily Pabau lets us merge data from other workflows directly into the clinical record.

Practice Manager

When the portal is open and being used by multiple devices, it does not update unanimously on each device until the page is refreshed. Once you know this, you get into a habit of actively refreshing the page before booking someone in to avoid double bookings.

Managing Director

We have to use lots of workarounds to track progress so we have many spreadsheets running alongside it and the reporting function is sub par to really get proper detail about what's happening in the business without paying extra for custom reports

Ability to prepopulate forms and use AI and Macros

The staff is super helpful and provides outstanding customer support and online training on all aspects, such as setting up an account, configuring Pabau to my needs, helping with Stripe integration, uploading my templates, marketing advice, tips for my practice, etc.

Aesthetic therapist

At times certain functions can glich or not allow you to save new information.

Physiotherapist

I could only have one location set up with the basic package - as a new start up with not many clients I don’t need the larger package but I am working from multiple locations to try and capture as many people as possible but have had to have different systems for that.

Aesthetic Practitioner

It makes managing appointments, client records, and communication so much easier.

The onboarding process feels quite complicated and there is a massive influx of multiple emails which makes it confusing.

Administrator

You don't need to purchase countless add-ons to access the tools that everyone values, which sets it apart from other companies.

Pabau 2 is exceptionally user-friendly and offers a comprehensive range of features designed to optimise client record-keeping and communications.

There is an initial 7-10 day delay whilst data is being migrated onto the system.

It brings together appointment scheduling, clinical documentation, and patient communication in one place.

owner medical practicemedspa

Not sure how the credit system will work for primary care as I have to use credits for daily use.

I also appreciate the excellent AI integration, which offers plenty of opportunities to explore and implement new features.

It’s not a deal-breaker, but it does add a small learning curve for American clinics using the system.

Pharmacist Aesthetic Practitioner

Following initial setup with a service advisor (which can take time) it’s by far the best system for us to take bookings, collate detail regarding patients and so so much more to come too.

NextGen Office vs Pabau Comparison (2026)

NextGen Office

Pabau

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives