10 Best EMRs for Small Practices With Built-In Telehealth Features
Running a small medical practice means wearing many hats. From managing patient records to handling appointments and follow-ups, your time is always limited. That’s why choosing the right EMR system matters more than ever. Today’s best EMRs don’t just store patient data, they also include built-in telehealth tools that help you see patients online, save time, and improve care.
With virtual visits becoming a normal part of healthcare, having everything in one system can make a big difference. In this blog, we’ll explore the best EMRs for small practices that offer easy telehealth features, so you can work smarter, serve patients better, and grow with confidence.
10 Best EMRs for Small Practices With Built In Telehealth (Ranked List + Best-For Use Cases)
As conversations around AI-assisted charting and efficiency continue to grow, driven by solutions from players. Small practices are increasingly evaluating EMRs on how well they integrate with modern tools that reduce administrative burden and support sustainable care delivery.
Armed with your evaluation framework, here are the ten platforms that consistently score highest for telehealth depth, affordability, and small-practice fit, making them strong contenders for the best EMR for small practice. Each option stands out for balancing clinical usability with the operational features small teams rely on every day.
1) Freed AI, AI Medical Scribe for Fast, Accurate Clinical Documentation
Best for: Busy physicians and small-to-mid practices looking to eliminate after-hours charting and reduce documentation burden. When paired with a lightweight EMR, Freed AI strengthens what many clinicians consider the best emr for small practice, allowing providers to focus more on patient care and less on administrative tasks.
Built-in ambient scribing: Records and transcribes patient encounters in real time, generating structured SOAP notes directly from conversations.
Workflow strengths: Hands-free documentation, specialty-aware note generation, minimal edits required, and rapid turnaround that fits naturally into clinical flow.
Integrations: Works alongside major EMRs via copy-paste or workflow-based integrations; not a full EMR replacement.
Pricing signals: Subscription-based SaaS pricing per provider; positioned as a cost-saving alternative to traditional scribes.
Potential drawbacks: Not an EMR, relies on existing systems for chart storage and order management.
Ideal practice types: Primary care, functional medicine, concierge practices, and clinicians prioritizing time savings and reduced burnout.
2) Practice Fusion: Best Affordable EMR for Small Practice With Straightforward Workflows
Best for: Lean primary care and small specialty clinics seeking simplicity and low cost.
Built-in telehealth: Partners with third-party platforms; video visits routed via integration rather than native in-chart.
Workflow strengths: Fast charting with customizable templates, integrated eRx and lab ordering, intuitive navigation that cuts training time.
Integrations: Major labs, pharmacies, and patient portals. API access is limited compared with enterprise tools.
Pricing signals: Often marketed with free or freemium tiers; paid plans start around $199/month per provider with annual commitment.
Potential drawbacks: Telehealth depth lags enterprise EMRs; add-on costs for advanced features can accumulate.
Ideal practice types: Solo PCPs, small family medicine clinics, and practices prioritizing ease over deep customization.
3) DrChrono: Best EMR With Telehealth for Mobile-First Practices
Best for: Concierge, pediatrics, and small specialty groups that need iPad and mobile workflows.
Built-in telehealth: Native video visits with patient join flow, visit documentation during the call, and screen-share options.
Workflow strengths: Mobile-optimized interface, extensive template library, drag-and-drop customization.
Integrations: Apple Health, labs, pharmacies, clearinghouses, and revenue-cycle partners.
Pricing signals: Custom pricing; typically tiered by feature set (core, plus, premium).
Potential drawbacks: Feature gating across tiers; pricing can climb with add-ons.
Ideal practice types: Mobile clinics, concierge medicine, pediatricians, and providers who chart on tablets.
4) Kareo (Tebra): Best for Small Practices Needing EMR + Patient Growth + Telehealth
Best for: Practices prioritizing marketing, patient engagement, and retention alongside clinical workflows.
Built-in telehealth: Integrated video visits, patient portal, and automated reminders in one ecosystem.
Workflow strengths: Scheduling, intake forms, billing tools, and patient communication automations.
Integrations: Labs, clearinghouses, payment processors, and marketing platforms.
Pricing signals: Custom pricing; often bundled with practice-growth services.
Potential drawbacks: Package complexity; add-ons and tiered features can obscure total cost.
Ideal practice types: Growing small groups, primary care, and specialty practices wanting all-in-one solutions.
5) athenaOne (athenahealth): Best for Small Practices Wanting Strong Networked Billing + Telehealth
Best for: Growth-minded small groups needing robust revenue-cycle management and payer-rule automation.
Built-in telehealth: Video visits within the larger athenahealth ecosystem; strong interoperability positioning.
Workflow strengths: Payer-rule libraries, claims performance dashboards, automated patient communications.
Integrations: Broad HIE connectivity, labs, pharmacies, imaging centers.
Pricing signals: Custom pricing; often percentage-of-collections model; cost and contract complexity can challenge very small clinics.
Potential drawbacks: Higher cost and longer implementation for practices under five providers.
Ideal practice types: Small groups planning to scale, primary care, and multi-specialty ambulatory centers.
6) AdvancedMD: Best EMR With Telehealth for Scheduling + RCM-Heavy Clinics
Best for: Multi-provider small practices with higher visit volume and complex billing needs.
Built-in telehealth: Video visits tied to scheduling and billing workflows; documentation prompts during calls.
Workflow strengths: Advanced reporting, claims management automation, appointment reminders, and eligibility checks.
Integrations: Labs, pharmacies, clearinghouses, patient portals, and third-party RCM tools.
Pricing signals: Custom pricing; typically higher tier but robust feature set.
Potential drawbacks: Interface complexity and longer implementation time.
Ideal practice types: Small groups with high insurance volume, specialty billing, and multiple locations.
7) eClinicalWorks: Best EHR With Built In Telehealth for Broad Specialty Support
Best for: Small practices planning to scale across specialties or add providers over time.
Built-in telehealth: Native video module with patient portal, waiting rooms, and visit documentation.
Workflow strengths: Extensive template library, population-health tools, and interoperability via FHIR/HL7.
Integrations: Labs, pharmacies, imaging, HIE networks, and health information exchanges.
Pricing signals: Custom pricing; ensure telehealth is included in your package.
Potential drawbacks: Steeper learning curve; some users report clunky navigation.
Ideal practice types: Primary care, multi-specialty clinics, and practices with long-term growth plans.
8) NextGen Office: Best for Ambulatory-Focused Telehealth + Clinical Documentation
Best for: Established small practices wanting mature tooling and specialty-specific templates.
Built-in telehealth: Integrated video visits with ambient documentation assist and AI note-taking options.
Workflow strengths: Deep template customization, interoperability, specialty content packs.
Integrations: Labs, pharmacies, HIE, clearinghouses, and third-party analytics.
Pricing signals: Custom pricing; may be cost-prohibitive for very small solo practices.
Potential drawbacks: Higher upfront cost and longer onboarding.
Ideal practice types: Established ambulatory clinics, specialty groups, and practices prioritizing documentation speed.
9) CareCloud: Best for Modern UI + Patient Payments + Telehealth
Best for: Practices optimizing collections, front-desk efficiency, and patient financial experience.
Built-in telehealth: Video visits with integrated patient payments (text-to-pay, card-on-file where available).
Workflow strengths: Clean, modern interface, revenue-cycle tools, automated reminders, and patient engagement.
Integrations: Labs, pharmacies, clearinghouses, payment processors.
Pricing signals: Custom pricing; confirm telehealth depth and any add-on fees.
Potential drawbacks: Feature depth varies by tier.
Ideal practice types: Small groups focused on cash flow, patient satisfaction, and streamlined operations.
10) SimplePractice: Best Telehealth EMR Software for Behavioral Health & Private-Pay Practices
Best for: Therapy, counseling, and cash-pay hybrid models prioritizing ease of use and client engagement.
Built-in telehealth: Simple, HIPAA-compliant video visits with client portal, intake forms, and reminders.
Workflow strengths: Automated intake, session notes, treatment plans, and private-pay billing tools.
Integrations: Limited compared with medical EMRs; payment processors and basic portals.
Pricing signals: Starts around $29/month; transparent tiered pricing.
Potential drawbacks: Lighter for complex insurance workflows and multi-provider coordination.
Ideal practice types: Solo therapists, small counseling groups, and cash-based behavioral health.
Specialty Recommendations (Quick Picks by Practice Type)
While all ten platforms excel for small practices, certain EMRs align better with specific practice types, here’s how to match your specialty to the optimal solution.
Primary Care Small Clinics (Speed + Labs + eRx)
Top picks: Practice Fusion, DrChrono, athenaOne. These prioritize fast charting, lab integrations, and ePrescribing with EPCS, plus affordable entry points.
Behavioral Health (Sessions + Forms + Portal-First Telehealth)
Top picks: SimplePractice, Kareo (Tebra), CharmHealth. Optimized for recurring visits, session notes, privacy needs, and straightforward client portals.
Cash-Pay/Concierge (Payments + Frictionless Telehealth)
Top picks: DrChrono, CareCloud, Kareo (Tebra). Strong online booking, payment collection, and premium patient experience.
High Insurance Volume (RCM Strength + Claims Automation)
Top picks: AdvancedMD, athenaOne, eClinicalWorks. Focus on denial reduction, eligibility checks, and clearinghouse workflows.
Your Next Steps
Choosing the right EMR is only half the battle. Implementing a structured telehealth workflow ensures you capture every appointment, maximize reimbursement, and deliver seamless patient experiences.
Start by shortlisting two or three finalists from the list above. Book demos and run a mock telehealth day, schedule a fake patient, conduct a video visit, document in real time, send an eRx, and close the chart. Time each step. Note friction points. Compare total monthly costs including all add-ons, and confirm contract terms and exit clauses in writing.
With the right system and a clear rollout plan, you’ll reduce no-shows, reclaim admin time, and spend more face-to-face moments with patients, exactly why you chose healthcare in the first place.
