AdvancedMD EHR Review (2026)
Comprehensive cloud EHR and practice management for independent practices.
Vendor Assessment Scorecard
Weighted rubric using fit signals (deployment model, scope, pricing posture, certification, market maturity, and review rating), then calibrated to separate tiers more clearly.
Composite Score
6.6/10
AdvancedMD Overview
AdvancedMD - Top Features, Pros & Cons, and Alternatives
Overview
AdvancedMD has been a fixture in the ambulatory EHR market since 1999, originally built as a practice management and billing platform before expanding into full clinical EHR functionality. Acquired by Global Payments in 2018 for approximately $700 million, the platform now benefits from the financial infrastructure and payment-processing expertise of one of the largest fintech companies in the world.
The product targets a specific niche: independent medical practices with 2 to 50 providers that need a unified cloud platform covering clinical documentation, scheduling, billing, patient engagement, and reporting. Unlike enterprise systems such as Epic or Oracle Health, AdvancedMD is not designed for hospitals or large health systems. Its sweet spot is the 3-to-15-provider practice that wants a single vendor for EHR, practice management, and revenue cycle management without the complexity of enterprise procurement.
AdvancedMD is a 100% cloud-based platform, hosted on redundant data centers with SOC 2 Type II compliance. All updates are rolled out automatically, and there is no on-premise deployment option. This makes it a reasonable fit for practices that want to avoid IT overhead and capital expenditure on servers, though it also means practices are entirely dependent on internet connectivity and AdvancedMD's uptime.
As of 2026, the platform serves tens of thousands of providers across the United States, with particular strength in dermatology, orthopedics, pain management, primary care, and mental health. Its modular pricing structure and specialty-specific templates have kept it competitive against both legacy vendors like NextGen Healthcare and newer entrants like DrChrono.
Key Features
Best-in-Class Billing
Mature RCM with built-in clearinghouse, claim scrubbing, denial management, and optional managed billing services.
Modular Pricing
Pay only for what you need -- EHR, PM, billing, patient engagement, and telehealth are available as separate add-on modules.
40+ Specialty Templates
Deep specialty coverage for dermatology, orthopedics, pain management, primary care, and more with a drag-and-drop template builder.
Mobile App
Native iOS and Android app for schedules, patient charts, clinical documentation, and charge capture at the point of care.
Telehealth Integration
Built-in HIPAA-compliant video visits connected directly to the scheduler, chart, and billing engine.
Reputation Management
Patient engagement suite with automated review solicitation, online booking, digital intake, and online bill pay.
Electronic Health Records (EHR)
The clinical module includes specialty-configurable templates for SOAP notes, H&P documentation, procedure notes, and treatment plans. AdvancedMD supports over 40 specialty templates out of the box, with a template builder that allows practices to customize clinical forms without vendor intervention. The system includes e-prescribing (EPCS-certified for controlled substances), lab integrations with major reference labs, and a clinical decision support engine for alerts and reminders. ONC 2015 Edition Cures Update certified, it meets Meaningful Use and MIPS requirements for value-based care reporting.
Practice Management & Scheduling
This is where AdvancedMD historically excels. The practice management module handles appointment scheduling with multi-provider calendar views, resource booking, waitlist management, and automated appointment reminders via text, email, and voice. The scheduling engine supports recurring appointments, color-coded provider blocks, and drag-and-drop rescheduling. Front-office staff can verify insurance eligibility in real time directly from the scheduling screen, reducing claim denials before patients even arrive.
Billing & Revenue Cycle Management
AdvancedMD's billing engine is one of its strongest differentiators. The platform supports end-to-end revenue cycle management including charge capture from the clinical note, automated claim scrubbing, electronic claim submission, ERA/EOB posting, denial management workflows, and patient statement generation. The system includes a built-in clearinghouse, eliminating the need for a third-party intermediary. For practices that prefer to outsource, AdvancedMD also offers managed billing services where their staff handles claims on behalf of the practice. Key metrics like days in A/R, clean claim rate, and collection percentage are tracked through a financial dashboard. For deeper analysis of EHR-related costs, see our EHR cost guide.
Patient Engagement & Portal
The patient experience suite includes online appointment booking, digital intake forms with pre-visit questionnaires, a patient portal for viewing results and messaging providers, and automated recall campaigns for preventive care. In 2025, AdvancedMD expanded its patient engagement tools to include reputation management features that prompt patients for online reviews after visits and aggregate review scores across Google and other platforms. The portal supports secure messaging, prescription refill requests, and statement viewing with online bill pay.
Telehealth
AdvancedMD includes a built-in telehealth module with HIPAA-compliant video visits, virtual waiting rooms, and screen-sharing capabilities. The telehealth workflow is integrated into the scheduling and clinical documentation modules, so providers can launch a video visit directly from the patient's chart and document the encounter in the same session. Telehealth visits flow through the same billing engine as in-person encounters, with appropriate modifier codes applied automatically.
Analytics & Reporting
The platform includes a reporting suite with pre-built financial, clinical, and operational reports. A business intelligence dashboard provides real-time KPI tracking for revenue, patient volume, no-show rates, and provider productivity. Custom report builders allow practices to create ad-hoc queries against their data. For practices participating in MIPS or other quality programs, the system generates the required quality measure reports. Clinical analytics include population health dashboards for tracking chronic disease management metrics across the panel.
Mobile App
AdvancedMD offers a native mobile application for iOS and Android that gives providers access to schedules, patient charts, clinical documentation, and secure messaging from smartphones and tablets. The mobile app supports charge capture at the point of care, which is particularly useful for providers who round at multiple locations. While functional, the mobile experience does not offer full feature parity with the desktop platform; certain administrative and billing functions still require the web application.
Integrations & API
AdvancedMD provides a RESTful API for third-party integrations and supports connections to major labs, imaging centers, health information exchanges (HIEs), and immunization registries. The platform integrates with Global Payments' payment processing infrastructure, and offers credit card on file and contactless payment options through the front desk. FHIR R4 APIs are available for interoperability requirements under the 21st Century Cures Act.
Pros
- + Best-in-class practice management and billing. The PM and RCM modules are mature, well-integrated, and widely regarded as the platform's strongest asset. Built-in clearinghouse, claim scrubbing, and denial management reduce revenue leakage.
- + Modular pricing lets you pay for what you need. Practices can start with PM/billing and add EHR, patient engagement, or telehealth modules as they grow. This avoids the all-or-nothing pricing of some competitors.
- + Strong specialty template library. Over 40 specialty-specific clinical templates ship out of the box, with particularly deep coverage for dermatology, orthopedics, and pain management. Templates are customizable through the drag-and-drop builder.
- + Highly customizable clinical workflows. The template builder, configurable encounter forms, and rule-based automation allow practices to tailor documentation to their specific workflows without custom development.
- + Comprehensive patient engagement suite. Online booking, digital intake, automated reminders, reputation management, and a patient portal are all included or available as add-on modules. Few competitors offer this breadth natively.
- + Global Payments backing brings financial stability. Unlike smaller EHR vendors facing consolidation pressure, AdvancedMD benefits from the resources and longevity of a $30B+ parent company. This reduces the risk of the platform being sunset or poorly maintained.
- + Integrated telehealth with clinical and billing workflow. The telehealth module is not a bolted-on third-party tool. It connects directly to the scheduler, chart, and billing engine, reducing double-entry and coding errors.
- + Managed billing services available. Practices that lack the staff or expertise for in-house billing can outsource to AdvancedMD's revenue cycle management team, making it a one-stop shop for smaller practices.
- + Automatic cloud updates with no downtime management. As a fully cloud-based platform, updates are deployed automatically, and practices do not need to manage servers, backups, or patch cycles.
Cons
- − Modular pricing adds up quickly. While the base EHR or PM module starts at $229/provider/month, adding patient engagement, telehealth, analytics, and managed billing can push total costs to $700+ per provider. Practices should model the total cost of all modules they need before committing. See our EHR cost breakdown for planning guidance.
- − Steep learning curve for full-feature adoption. The platform is feature-rich but not intuitive. New users frequently report that onboarding takes 4 to 8 weeks before staff feel comfortable, particularly with billing workflows and template customization. Training investment is significant.
- − Interface feels dated compared to newer entrants. While functional, the UI lacks the modern, consumer-grade polish of competitors like DrChrono or cloud-native platforms built in the last five years. Navigation relies on dense menus and multiple clicks for common tasks.
- − Customer support quality is inconsistent. User reviews consistently flag long hold times, variable quality of support agents, and slow resolution for complex issues. Premium support tiers are available but add to the monthly cost.
- − Limited scalability for larger organizations. The platform was designed for independent practices. Practices with 50+ providers, multi-location health systems, or those needing complex organizational hierarchies may outgrow the platform and need to consider athenahealth or NextGen.
- − Mobile app lacks full parity with web platform. While the mobile app covers clinical documentation and scheduling, several administrative, reporting, and billing functions are only available through the desktop web interface. Providers who rely heavily on mobile workflows may find this limiting.
- − Contract terms can be rigid. Multi-year contracts are common, and early termination fees apply. Practices should negotiate terms carefully during procurement. Our EHR selection process guide covers contract negotiation strategies.
Pricing
AdvancedMD uses a modular, per-provider-per-month pricing model. Unlike bundled competitors, you select the modules you need and pay for each separately. This offers flexibility but also means total costs vary significantly depending on configuration. All prices below are approximate based on publicly available data and user reports as of early 2026; actual pricing may vary based on practice size, contract term, and negotiation.
| Module | Approx. Cost | Includes |
|---|---|---|
| EHR Only | ~$229/provider/mo | Clinical documentation, e-prescribing, lab orders, MIPS reporting |
| Practice Management | ~$229/provider/mo | Scheduling, insurance verification, front-desk workflows |
| EHR + PM Bundle | ~$429/provider/mo | Combined clinical and practice management at a bundled discount |
| Billing / RCM Add-on | ~$100-$200/provider/mo | Clearinghouse, claim scrubbing, denial management, ERA posting |
| Patient Engagement | ~$50-$100/provider/mo | Online booking, reminders, portal, reputation management |
| Telehealth | ~$50/provider/mo | HIPAA-compliant video visits, virtual waiting room |
| Managed Billing Services | ~3-7% of collections | Outsourced billing team handles claims, follow-up, appeals |
| Full Suite (all modules) | ~$629-$729/provider/mo | EHR + PM + billing + patient engagement + telehealth |
Note on pricing: AdvancedMD does not publicly list prices. The figures above are compiled from user reports, review sites, and vendor disclosures. Actual pricing depends on contract length, number of providers, and negotiated discounts. Implementation fees (typically $2,000-$5,000+) and data migration costs are separate. Always request a detailed quote with total cost of ownership for your specific configuration.
Who Should Use AdvancedMD
Good Fit
- Independent practices (2-30 providers) that need a single platform for EHR, PM, and billing without piecing together multiple vendors.
- Specialty practices in dermatology, orthopedics, pain management, or primary care that benefit from deep specialty templates.
- Practices prioritizing billing and revenue cycle that want best-in-class PM/RCM integrated with clinical workflows.
- Practices that want optional managed billing to outsource claims processing without switching platforms.
- Multi-location independent groups that need centralized scheduling, reporting, and billing across a handful of sites.
- Practices transitioning from legacy on-premise systems to a cloud-based EHR with proven stability.
Not the Best Fit
- Large health systems and hospitals that need enterprise-grade features, HL7/FHIR interoperability at scale, and complex organizational hierarchies.
- Solo practitioners on a tight budget who may find the per-provider pricing steep when total module costs are factored in. Consider Tebra or DrChrono instead.
- Practices that prioritize cutting-edge UI/UX and want a modern, mobile-first design. The interface is functional but not visually polished.
- Behavioral health-focused organizations that need deep behavioral health workflows, outcome tracking, and SUD-specific features. Consider TherapyNotes or Netsmart instead.
- Practices needing heavy customization beyond templates or deeply custom integrations. The API is capable but not as extensible as open-platform competitors.
Implementation & Onboarding
A typical AdvancedMD implementation takes 8 to 14 weeks from contract signing to go-live, depending on practice size, data migration complexity, and the number of modules being deployed. The process follows a structured methodology.
Discovery & Planning (Weeks 1-2)
AdvancedMD assigns a dedicated implementation specialist who conducts a workflow assessment, maps current processes, and defines the configuration plan. Practice size, specialty, and module selection drive the project timeline.
System Configuration (Weeks 3-5)
Templates are configured for the practice's specialties, fee schedules are loaded, insurance payers are set up, and scheduling rules are defined. Custom clinical templates are built during this phase if the out-of-box options need modification.
Data Migration (Weeks 4-8)
Patient demographics, insurance information, appointment history, and clinical data are migrated from the prior system. AdvancedMD supports standard data import formats but complex migrations from legacy systems may require additional time and cost. For migration planning strategies, see our guide to switching EHR systems.
Training (Weeks 6-10)
AdvancedMD provides role-based training for providers, clinical staff, billers, and front-desk personnel. Training is delivered through a combination of live virtual sessions, recorded modules, and AdvancedMD University (their self-paced learning portal). Most practices need 10-20 hours of training per role.
Go-Live & Stabilization (Weeks 10-14)
The practice transitions to the live system with support from the implementation team. A parallel-run period is common for billing to ensure claims are processed correctly. Post-go-live support typically lasts 30-60 days before the practice transitions to standard customer support.
For a complete checklist of tasks across each implementation phase, see our EHR implementation checklist.
Frequently Asked Questions
How much does AdvancedMD cost per month?
Is AdvancedMD ONC certified?
What specialties does AdvancedMD support?
Does AdvancedMD offer telehealth?
How long does AdvancedMD implementation take?
Who owns AdvancedMD?
Can I use AdvancedMD for billing only without the EHR?
How does AdvancedMD compare to athenahealth?
The Verdict
AdvancedMD occupies a well-defined position in the ambulatory EHR market: it is one of the strongest integrated EHR + practice management + billing platforms available for independent medical practices. Its practice management and revenue cycle management capabilities are genuinely best-in-class for the mid-market segment, and the modular pricing model gives practices real flexibility in assembling the feature set they need.
That said, the platform is not without friction. The user interface has not kept pace with newer cloud-native entrants, the learning curve is real, and the modular pricing that looks attractive on paper can quietly escalate to $700+ per provider once all the pieces are assembled. Support quality remains a persistent concern in user reviews.
For independent practices with 2 to 30 providers that want a single vendor to handle clinical documentation, scheduling, billing, patient engagement, and telehealth without enterprise complexity, AdvancedMD is a strong contender. It is particularly well-suited for dermatology, orthopedics, pain management, and primary care practices that value deep specialty templates and tight billing integration.
Practices that prioritize modern UI, need enterprise scalability, or are budget-constrained solo operations should look at alternatives. For practices weighing their options, we recommend comparing AdvancedMD against athenahealth (for practices valuing turnkey revenue cycle), NextGen Healthcare (for larger specialty groups), and DrChrono (for mobile-first practices seeking a more modern interface).
For a structured approach to evaluating AdvancedMD alongside competitors, follow our EHR selection process guide.