Fusion vs Zanda

Ambiki

TheraPlatform

Net Health

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

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

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

Practice Manager

To that end, I also find that Fusions customer support has decreased over the 9-ish years our practice has used the system.

Speech Language Pathologist

Most calls I make to customer service now are answered promptly, which is helpful as I continue to learn to navigate use of Fusion for my small private practice.

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

SimplePractice

ClinicSource

WebPT

Jane

CentralReach

Prompt

Practice Fusion

AdvancedMD EHR

AdvancedMD for Physical Therapy

EHR 24/7

Epic

TheraOffice

Essentials

Advanced

Premier

High and increasing 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.

Owner - Speech Language Pathologist

Fusion is very expensive, especially when 4 of our employees are part time.

74% of reviewers feel negative about Fusion’s pricing. Users say the platform is more expensive than many competitors, with additional fees for features like text messaging, intake forms, and part-time users. Reviewers feel the value does not always match the cost, especially for small practices or those with part-time staff. They express frustration over frequent price increases, add-on charges, and the lack of flexible pricing plans, making the system a significant financial burden for some organizations.

Limited and clunky reporting tools

occupational therapist

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

Executive Assistant

The same goes for the Fusion reports, which are rudimentary at best.

56% of reviewers feel negative about Fusion’s reporting capabilities. Users report that generating and customizing reports is difficult, with filters and templates that are not user-friendly. Reviewers indicate that some reports lack accuracy, are slow to update, or do not provide the detailed information needed for practice management. They also mention that sharing and printing reports can be cumbersome, and that the reporting features often fall short of expectations for financial and operational tracking.

Cumbersome patient management processes

office manager

all of it, it is not user friendly, I have had appointments disappear, it would be nice if it was easier to get to the patients records

50% of reviewers feel negative about Fusion’s patient management. Users report challenges accessing patient information quickly, difficulties with scheduling and check-in workflows, and a lack of intuitive navigation between patient records and documentation. Reviewers mention that managing patient details, attendance, and records can be time-consuming, with some features requiring multiple steps or lacking essential functions like audit logs and notifications. These issues make managing patient data less efficient than users expect.

Frequent glitches and freezes

Speech Therapist

I don't like that you changed the way the signature page is done and I don't like that there are so many glitches and freezes recently.

Physical Therapy

Sometimes had glitches or would erase what I was typing if I lost internet and didnt save.

82% of reviewers feel negative about Fusion’s bugs and issues. Users report regular glitches, freezing during note-taking, and lost data, which disrupt workflow and cause frustration. Reviewers indicate that system slowdowns, login problems, and unexpected errors are common, sometimes requiring workarounds or repeated entries. They also mention delays in customer support response, making it difficult to resolve technical problems promptly. These recurring technical issues negatively impact productivity and reliability for many users.

Complex and costly billing functions

Administrator

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.

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.  

47% of reviewers feel negative about Fusion’s billing and payment features. Users report that billing processes are confusing, with limited options for customizing fee schedules, filtering invoices, and tracking payments. Reviewers indicate that additional costs for billing features and difficulties integrating with other systems add to their frustration. They also mention challenges with statements, refunds, and posting payments, which can lead to errors and inefficiencies in managing clinic finances.

Time-saving pull forward option

Speech- Language Pathologist

I loved the carry-forward/ pull-forward feature with the capability to also adjust objective measures taken for each session.

Occupational Therapist

I also enjoy the "pull-forward" option and appreciate I can still edit after pulling the note forward.

89% of reviewers feel positive about Fusion’s pull forward feature. Users report that being able to carry over information from previous notes significantly reduces repetitive data entry and speeds up documentation. Reviewers appreciate the flexibility to edit pulled-forward content, making it easy to update session details while maintaining consistency. They find this feature especially helpful for daily notes and goal tracking, noting that it enhances efficiency and helps them focus more on patient care rather than administrative tasks.

Streamlined clinic operations

Owner

Fusion makes running a private practice much easier.

92% of reviewers feel positive about Fusion’s clinic management capabilities. Users say the platform supports efficient scheduling, case management, and administrative control, making it easier to run clinics of various sizes. Reviewers appreciate the modern, user-friendly interface and the ability to customize features to fit their clinic’s workflow. They find tools like the authorization tracker and all-in-one EMR integration particularly valuable for maintaining organization and supporting both clinical and administrative staff in daily operations.

Quick and supportive onboarding

Student

As an SLP student who is frequently using different EMR systems, I appreciated that Fusion was easy to learn and very intuitive.

92% of reviewers feel positive about Fusion’s training and learning curve. Users report that the software is intuitive and easy to learn, even for those new to EMR systems. Reviewers appreciate the availability of video tutorials and virtual resources, which help them become proficient quickly. They say the straightforward design makes onboarding new staff simple and that most users adapt to the system with minimal difficulty. The accessible training materials and intuitive layout contribute to a smooth transition for new users.

Efficient documentation workflow

Occupational therapist

Overall, I believe Fusion has helped myself and my company be more efficient and better organized with our documentation.

94% of reviewers feel positive about Fusion’s documentation features. Reviewers indicate that documentation is streamlined, with adaptable templates and efficient workflows that save time. Users appreciate the professional appearance of reports and the ability to customize documentation for different clinical needs. They say the system helps them stay organized, reduces the burden of paperwork, and supports collaboration across disciplines. Many users find documentation less daunting and more manageable, highlighting the platform’s flexibility and its positive impact on daily clinical operations.

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.

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.

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!

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.

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.

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.

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.

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.  

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.

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.

Fusion vs Zanda Comparison (2026)

Fusion

Zanda

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives