athenaOne vs NextGen Enterprise

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Our analysts compared athenaOne vs NextGen Enterprise based on data from our 400+ point analysis of EHR Software, user reviews and our own crowdsourced data from our free software selection platform.

Product Basics

athenaOne by athenahealth is a cloud-based healthcare management solution tailored for practices of various sizes, particularly in fields like orthopedics, urgent care and primary care.

High scores in reporting (100), payment management (92) and coding (95) reflect its robust functionality in tracking financial health, automating payments and reducing claim rejections through accurate coding.

While many users appreciate the platform’s fast system navigation, customizable workflows and responsive customer support, there are some drawbacks. Costs tend to increase over time, which can be challenging for practices with tighter budgets.

Additionally, some users report that navigation, while fast, can be complex, with multi-step processes required for simple tasks like switching between patient charts and billing.

The system has delivered impressive results in real-world cases. For example, Peachtree Orthopedics experienced a 240% increase in time-of-service collections and SCP Health reported a 67% reduction in eligibility-related denials.

These results highlight the platform’s ability to boost revenue and efficiency, making it a solid choice for practices that need strong financial oversight, coding accuracy and patient engagement tools.

Our Research Process for athenaOne

Using our internal data, we compared the platform with alternatives like DrChrono and eClinicalWorks. After carefully analyzing the scores for each feature, we identified its key strengths.

We couldn’t get trial access to the platform. But that didn’t dampen our spirits. We dug through user reviews and case studies to learn more about the system. Read on to discover our findings.

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NextGen Enterprise helps multi- and single-specialty practices handle clinical and administrative tasks like appointment scheduling and revenue management. It provides practice management, charting, telehealth, a patient portal and analytics tools.

Its comprehensive features, specialty-specific content and scalable design make it a valuable asset for practices seeking to enhance their operational efficiency and improve patient outcomes.

Potential users should be aware of the initial setup and learning curve associated with implementation. Additionally, it doesn’t provide robust integrative capabilities.

Pricing is based on a subscription model, with costs varying depending on the practice size, number of users and specific features selected.

To explore other popular solutions that NextGen Enterprise offers, visit our NextGen Enterprise company page.

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Product Insights

  • Analyze Data to Make Informed Decisions: In our analysis, the product achieved a perfect score of 100 for dashboard and reporting capabilities, more than competitors like DrChrono (88). It helps you:
    • Access ready-made and custom reports that break down everything from outstanding balances and transaction histories to revenue trends and write-offs.
    • Create reports across multiple data areas, bookmark frequently-used filters and even set up automatic delivery to keep the key numbers coming in on your schedule.
    • Gain a clear view of patient payments, insurance trends and overall financial health.
  • Manage Patient Payments With Real-Time Tracking: With a top score of 92 in our analysis — outperforming competitors like DrChrono at 81 — athenaOne’s patient payments management features streamline the payment journey end-to-end. How?
    • It enables direct ACH payment acceptance, generates detailed patient statements with comprehensive billing information, and provides clear access to payment histories and current balances.
    • It helps you track payments, manage unallocated funds and monitor overdue or upcoming balances, while electronic reminders keep patients informed and engaged.
  • Reduce Medical Coding Errors: In our analysis, the system scored 95 for its medical coding capabilities, excelling in assigning CPT, E&M, HCPCS, ICD and NDC codes. This helps you document services and diagnoses accurately, reducing claim rejections due to coding errors.
  • Pre-Appointment Management: The platform scored really well for features that make managing appointments and patient information simple. Doctors can easily schedule appointments, send reminders, collect patient details online and track follow-up care. Patients can book, reschedule and pay for appointments, fill out forms and view medical information through a patient portal, all in one place.
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  • Streamline Note-Taking: Keith M. Nord, MD, an Orthopedic Hand Surgeon with Sports Orthopedics & Spine conducted between 1,500 and 2,000 visits after using “Ambient Assist” (AI-powered notetaking tool). He no longer faces a "massive stack of notes" at the end of each day, and can now leave the office by 5:00 pm, contributing to a better work-life balance and preventing burnout.
  • Improve Care Quality: Intuitive behavioral health templates allowed clinicians at Arizona Youth and Family Services (AYFS) to easily complete clinical tasks and record client encounters in detail, helping them streamline documentation process. The platform also provided real-time data, including cancellation and no-show rates, which allowed AYFS staff to monitor and address these issues.
  • Boost Financial Performance: Syracuse Community Health Center achieved a 20% improvement in net collections over 12 months and a 10% decline in gross denials. Additionally, their total A/R days decreased by more than 20% over 12 months, with total insurance A/R days averaging 26 days.
  • Increase Patient Engagement: OrthoTennessee, serving over 300,000 patients annually, quickly achieved a 68% patient enrollment rate after implementing NextGen PxP Portal.
  • Meet Regulatory Requirements: If you’re worried about keeping up with regulatory compliance, you can’t go wrong with NextGen Enterprise. According to our analysis, it scored 91 for platform security and compliance. The system helps you follow FHIR, HIPAA, HITECH, MIPS, Meaningful Use and ONC-ATCB standards.
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  • Medical Coding: Access certified coding support for accurate ICD-10-CM and CPT coding, ensuring alignment with current coding standards. Benefit from automated coding suggestions and alerts for potential code mismatches, reducing coding errors.
  • Claims Resolution: Manage denied and rejected claims with tools that offer real-time claim status tracking and detailed feedback on claim issues. Receive automated alerts and guidance for correcting errors, allowing faster re-submission and reducing denial rates.
  • Insurance Verification: Automate patient eligibility verification before appointments to ensure coverage and minimize denied claims. Receive alerts for potential eligibility issues, enabling front-office staff to resolve discrepancies early.
  • Billing Rules Engine: Automatically flag and correct potential issues in coding, documentation and claim formatting, increasing first-pass acceptance rates. Continuously update rules to stay aligned with payer requirements and industry regulations, minimizing rework.
  • Telehealth Billing: Use special codes that tell insurance companies this is a virtual visit, so they know exactly how to pay. Automatically add these codes when creating bills so that they match what insurance needs. Add a “place of service” code that shows the visit happened online, not in a clinic or office. Make sure bills reflect that the service was remote, so insurance pays correctly.
  • Authorization Management: Initiate same or next-day authorizations for urgent situations requiring immediate care, with a two-hour initiation window for same-day requests. Track and manage prior authorizations directly within the billing system. Automate follow-ups for pending authorizations to get necessary approvals before you provide the services.
  • Dashboard: Access financial performance metrics like days in accounts receivable, total receivables and unpaid claims. Track claim statuses from submission to payment in one centralized view.
  • Reporting: Use customizable reporting tools to analyze practice financials, claim performance and payer trends. Generate detailed reports on revenue metrics including payer performance, patient collections and claim aging for strategic planning.
  • Patient Portal: Let patients view medical histories, sign documents, pay bills, manage appointments and more using mobile devices. Physicians can communicate with patients through messaging, notes or even video calls.
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  • SOAP Notes: Record reasons to visit, social, family and diagnostic histories, vitals, physical exams, assessments/plans, and medications using the SOAP format. Use HPI (history of present illness) templates to document the patient's reason for visit, including onset, duration, severity, associated symptoms, and aggravating/relieving factors.
  • Templates: Use pre-built templates for patient visits, progress notes, procedures, patient intake, consent forms and letters. Tailor these or create new ones to perfectly fit your specific workflows.
  • Ambient Assist: Use smart AI technology to listen in on your patient conversations, capturing key information and automatically creating notes in your system.
  • Mobile App: Review and sign documents, view schedules and see high-level patient overviews (medications, allergies, past medical histories, etc.) Document patient visits using voice-to-text functionality. Save and prescribe frequently used medications with a few clicks.
  • Order Entry: Order labs, diagnostics and immunization from the CPOE bar on the patient’s chart. Click on order search to see your common orders.
  • Regulatory Reporting: Automate MIPS/MACRA data collection and reporting to demonstrate quality measures, improve outcomes and earn incentives. Collect and submit Uniform Data System (UDS) reports for FQHCs and eligible providers to track clinical quality measures and other HRSA-required data.
  • E-Prescribing: Launch the state-run Prescription Drug Monitoring Program (PDMP) database with a single click. Verify formulary coverage and benefits while writing the prescription. Initiate prior authorization requests directly from the prescribing window with pre-populated information. Securely transmit prescriptions to pharmacies nationwide through the Surescripts network.
  • Population Health: Collect patient data from EHRs, lab results, claims and health information exchanges. Use AGC, HCC or ASCVD risk algorithms to sort patients into different risk categories based on their health conditions, demographics and other factors. Analyze this data to look for anything that might be missing or doesn't quite add up. It could be a lab test that wasn't done, a prescription that wasn't filled or a recommended screening that was missed.
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Product Ranking

#71

among all
EHR Software

#24

among all
EHR Software

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Analyst Rating Summary

80
88
100
92
94
100
75
93
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Clinical Charts
Electronic Prescriptions
Clinical Documentation
Platform Security and Compliance
Integration and Extensibility
Clinical Documentation
Electronic Prescriptions
Notes and Templates
Mobile Capabilities
Dashboards and Reporting

Analyst Ratings for Functional Requirements Customize This Data Customize This Data

athenaOne
NextGen Enterprise
+ Add Product + Add Product
Clinical Charts Clinical Documentation Dashboards And Reporting Electronic Prescriptions Medical Billing Mobile Capabilities Notes And Templates Patient Engagement Platform Capabilities Platform Security And Compliance Telehealth 100 94 75 95 93 72 86 88 58 94 64 92 100 93 100 91 96 100 80 82 91 81 0 25 50 75 100
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80%
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88%
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12%
100%
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75%
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25%
83%
17%
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91%
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9%
100%
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88%
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12%
88%
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12%
63%
0%
37%
100%
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80%
0%
20%
100%
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87%
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13%
60%
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40%
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40%
80%
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20%
94%
0%
6%
88%
0%
12%
62%
0%
38%
69%
0%
31%

Analyst Ratings for Technical Requirements Customize This Data Customize This Data

93%
0%
7%
69%
0%
31%

User Sentiment Summary

Good User Sentiment 1000 reviews
Good User Sentiment 1475 reviews
75%
of users recommend this product

athenaOne has a 'good' User Satisfaction Rating of 75% when considering 1000 user reviews from 4 recognized software review sites.

79%
of users recommend this product

NextGen Enterprise has a 'good' User Satisfaction Rating of 79% when considering 1475 user reviews from 4 recognized software review sites.

n/a
4.4 (17)
3.4 (106)
3.7 (155)
n/a
4.0 (1264)
3.8 (880)
n/a
5.0 (1)
n/a
4.1 (13)
3.9 (39)

Awards

SelectHub research analysts have evaluated athenaOne and concluded it earns best-in-class honors for Integration and Extensibility.

Integration and Extensibility Award

SelectHub research analysts have evaluated NextGen Enterprise and concluded it deserves the award for the Best Overall EHR Software available today and earns best-in-class honors for Clinical Documentation, Electronic Prescriptions and Mobile Capabilities.

Analysts' Pick Award
Clinical Documentation Award
Electronic Prescriptions Award
Mobile Capabilities Award

Synopsis of User Ratings and Reviews

Efficient and Fast System: Users appreciate the system’s ability to navigate through charts quickly, simplify patient check-ins and automate appointment reminders.
Several Customization Options: Users needing tailored workflows for unique clinical or administrative needs find the customization options particularly useful, as they can adapt the system to meet their practice’s specific requirements, enhancing workflow and reporting accuracy.
Integrated Features: Users highly value the solution’s comprehensive feature set, which includes EMR, ePrescribing, billing and practice management capabilities.
Responsive Customer Support: Many users note that support personnel are approachable, knowledgeable and effective in resolving common challenges.
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Improve Patient Care: Get access to complete and up-to-date patient records, including medical histories, allergies, medications and test results for data-driven and informed decision-making.
Streamline Routine Workflows: Automate scheduling, billing and documentation processes to reduce administrative burdens and free up time for patient care.
Enhance Medication Safety: Set automated alerts to check for drug interactions, allergies and dosage errors to significantly reduce adverse drug event risks.
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High Set-Up and Ongoing Costs: Users feel that costs increase over time without necessarily reflecting improvements in service or functionality.
Poor Billing Support: Users report that the support team frequently lacks expertise in handling complex billing issues, often leading to mistakes or delays in claims processing.
Frequent Crashes: The platform’s stability is a recurring concern, as users report crashes and bugs that interfere with daily operations. These issues are especially problematic after software updates, which sometimes introduce new bugs, requiring further patches and troubleshooting.
Cumbersome Navigation: While some users praise the interface, many find the system’s navigation complex and time-consuming, requiring numerous clicks to complete even simple tasks. For example, switching between patient charts, scheduling and billing can be a multi-step process, slowing down workflow efficiency.
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Complex Implementation: Demands time and resources for implementation, customization and staff training.
High Initial Costs: Requires significant investment in software, hardware and training.
Dependence on Technology: Creates reliance on technology, which can be problematic during system downtimes or technical failures.
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athenaOne brings a lot to the table for healthcare practices, with tools that make managing payments, billing and patient records a lot easier. One of the platform’s biggest strengths is its reporting capabilities, where it scored a perfect 100 in our analysis.You get both ready-made and customizable reports that break down everything from outstanding balances to revenue trends, so it’s easy to stay on top of your practice’s financial health. Plus, you can bookmark filters you use often and set up automated deliveries.When it comes to handling patient payments, the platform really shines, scoring a 92. It lets you accept direct ACH payments, send out detailed billing statements to patients and provide a transparent view of payment histories.You can send automated reminders, so patients know when a payment is due — no surprises, no confusion. This level of tracking and transparency is something you don’t always find, even in other competitive platforms like DrChrono.The system also tackles one of the biggest headaches in healthcare: coding accuracy. It scored 95 for medical coding, which means it does a solid job of helping providers document services and diagnoses correctly.We’re talking support for everything from CPT and E&M codes to ICD and NDC codes, which are essential for reducing errors in claims.Of course, no system is perfect, and some users have noted a few downsides. Navigation can be a bit of a chore, with some tasks requiring several clicks to get done. While some users appreciate the comprehensive interface, others feel it’s a bit too complex for everyday tasks, especially when you’re constantly switching between patient charts, scheduling and billing.There are also occasional stability issues — some users report crashes, particularly after software updates. But the good news is that customer support is generally responsive, so they’re there to help troubleshoot.Overall, though, the platform has shown tangible results. Just look at Peachtree Orthopedics: they reported a 240% increase in time-of-service collections and SCP Health saw a 67% drop in eligibility-related denials. Those are serious wins for any practice looking to boost revenue and reduce paperwork headaches.

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Our research analysts, after evaluating several solutions, awarded NextGen Enterprise with best-in-class honors for Insurance Payments Management, Medical Coding, Medical Billing Services, Notes and Templates, and Deployment Options.NextGen Enterprise provides EHR, practice management and patient experiene modules that support 2000 workflows and content for 30 specialties including cardiology, dental health, neurology, primary care and more.Intutive EHR tools make it easy for doctors and nurses to document patient visits. You can even use AI for note-taking. And with the mobile app, you can access patient info and chart on the go.The platform really shines when it comes to practice management. It automates a ton of time-consuming tasks like eligibility verification and billing, so your staff can focus on what really matters: patient care. Plus, the built-in analytics give practices valuable insights to improve efficiency and, ultimately, the bottom line.Patient engagement is also a key focus, with the NextGen PxP patient portal empowering patients to actively participate in their healthcare journey. They can schedule appointments, request refills, view test results and even message their doctors securely.One area that the system lacked was its integrative capabilities. It scored 77 in our analysis, lower than other popular products like athenahealth (93) and Cerner Ambulatory (88). That means you will need to connect barcode scanners, clinical decision support tools, prescription management systems and others via API.

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