What is the best alternative to Practice Fusion for independent practices?

RXNT is the top alternative to Practice Fusion for independent practices. It includes fully integrated medical billing with a 99%+ first-pass claim rate (Practice Fusion's billing integration was minimal), EPCS e-prescribing, a full patient portal, and 24/7 US-based support — with no third-party commercial data sharing arrangements. RXNT is ONC-certified and HIPAA-compliant.

Is Practice Fusion still free?

No — Practice Fusion discontinued its free plan in 2020, the same year it paid the $145M DOJ settlement. All practices are now on paid per-provider plans. Given the combination of the data privacy settlement, the end of the free tier, and pricing that is now comparable to more capable alternatives like RXNT, many independent practices have begun evaluating their options.

What exactly happened with Practice Fusion and the DOJ settlement?

In January 2020, Practice Fusion agreed to pay $145 million to resolve DOJ charges that it had solicited and received payments from pharmaceutical companies — including an opioid manufacturer — in exchange for designing its clinical decision support (CDS) alerts to recommend those companies' drugs. The DOJ found this constituted a kickback scheme that corrupted clinical recommendations. Practice Fusion denied some of the specific allegations but paid the settlement. RXNT has no such third-party data sharing or pharmaceutical influence arrangements.

Does RXNT share patient data with pharmaceutical companies or third parties?

No — RXNT does not sell or share patient data with pharmaceutical companies, health insurers, or commercial third parties. Patient data is used solely to operate the EHR and practice management system for your practice. This is in direct contrast to the arrangement that led to Practice Fusion's $145M DOJ settlement.

Is RXNT HIPAA-compliant and ONC-certified?

Yes — RXNT is fully HIPAA-compliant (patient data encrypted, access-controlled, BAA provided) and ONC-certified. ONC certification verifies compliance with federal interoperability, security, and clinical quality standards required for Meaningful Use / Promoting Interoperability and MIPS participation. Practice Fusion was also ONC-certified, but the DOJ found its clinical decision support arrangements violated the Anti-Kickback Statute regardless of certification.

Does RXNT have better billing integration than Practice Fusion?

Yes — Practice Fusion's billing integration is limited; most Practice Fusion users run a separate billing system in parallel, which means double data entry and manual reconciliation. RXNT's billing is natively integrated with the EHR — clinical codes from patient visits flow directly into claims, with automated scrubbing achieving a 99%+ first-pass claim acceptance rate. This eliminates the parallel billing system most Practice Fusion practices maintain.

Can RXNT migrate my data from Practice Fusion?

Yes — RXNT provides complete data migration support at no extra cost as part of implementation. Your dedicated RXNT implementation specialist handles patient demographics, clinical records, billing history, and configuration migration from Practice Fusion. Most practices are fully live in 5–7 days, including data migration.

Best Practice Fusion Alternatives in 2026

In 2020, Practice Fusion paid a $145M settlement to the DOJ after being found to have accepted payments from pharmaceutical companies to influence clinical decision support alerts — effectively having its prescribing recommendations shaped by drug manufacturers. The free plan is gone. If you're still on Practice Fusion and questioning whether to stay, here is the best alternative for independent practices that want a trustworthy EHR with integrated billing and transparent pricing.

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Top Practice Fusion Alternatives for 2026

Written by Raj

Last updated: 26 August, 2026

🏆 Best Practice Fusion Alternative — Privacy-First + Integrated BillingRXNT is a HIPAA-compliant EHR built exclusively for healthcare — integrated billing, e-prescribing, and patient portal with no data-sharing concerns.

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Best Practice Fusion Alternative

RXNT

No third-party data sharing · Integrated billing · EPCS · 24/7 support

Excellent

✓ ONC-Certified✓ HIPAA-Compliant

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Best Practice Fusion Alternative 2026

Switch from Practice Fusion to RXNT — integrated billing and no data privacy concerns

No Third-Party Data Sharing · Integrated Billing · EPCS E-Prescribing · 24/7 US Support

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Best Practice Fusion Alternatives — Full Reviews 2026

Best Practice Fusion Alternative

RXNT

Trustworthy EHR + Integrated Billing — No Data Privacy Concerns

4.7

(512)

Top features

No third-party data sharing — patient data stays private
Fully integrated medical billing with 99%+ first-pass rate
E-prescribing with EPCS for controlled substances
24/7 US-based support — clinical and billing

Pricing

Free trial not available. Transparent flat-rate pricing — starting from $118/month. Contact RXNT for a personalized quote.

RXNT features: No third-party data sharing — patient data stays private

Fully integrated medical billing with 99%+ first-pass rate

E-prescribing with EPCS for controlled substances

24/7 US-based support — clinical and billing

HIPAA-compliant with SOC 2 Type II certification

RXNT pricing: Free trial not available. Transparent flat-rate pricing — starting from $118/month. Contact RXNT for a personalized quote.

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"The professionalism and assistance provided by the RXNT team has been a pleasure — always responsive to our needs. The software itself operates through the web, and once you get used to navigating it, it's straightforward."

More Details

RXNT vs DrChrono vs Practice Fusion

Key differences for practices moving away from Practice Fusion.

Feature	Our PickRXNT	DrChrono	Practice Fusion
Integrated Billing		Limited	Limited
Data Privacy	No third-party data sharing	Standard	Settlement 2020
E-Prescribing (EPCS)		Add-on	Add-on
Patient Portal
24/7 US Support		Business hours	Business hours
Pricing	Flat rate	Per-provider	Per-provider
Telehealth		Add-on
Implementation Time	Days	Days	Days

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Frequently Asked Questions

Ready when you are

RXNT is a HIPAA-compliant EHR built exclusively for healthcare — integrated billing, e-prescribing, and patient portal with no data-sharing concerns.

4.7 · Excellent

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Transparent flat-rate pricing — starting from $118/month. Contact RXNT for a personalized quote.

Disclaimer: This research has been collated from a variety of authoritative sources. We welcome your feedback at [email protected].

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