Patient Booking Systems: Top 5 Solutions Compared
- Marta Alexandrovna

- Oct 19
- 10 min read
Updated: Nov 1
Finding the right patient booking system can transform how your practice manages appointments and patient care. This article compares five leading platforms - NextGen Healthcare, Athenahealth, Kareo (Tebra), DrChrono, and InteliChart - evaluating their features, security, integration, and pricing. Here's what you should know upfront:
HIPAA Compliance: All platforms meet federal data security standards, ensuring patient information stays protected.
Integration: Each system supports EHR and billing software, with varying levels of API flexibility.
Patient Engagement: Features like online scheduling, automated reminders, and mobile apps are standard across most solutions.
Pricing: Models range from per-provider subscriptions to percentage-based fees, depending on the platform and practice size.
Quick Comparison
System | HIPAA Compliance | Integration Capabilities | Patient Engagement Features | Pricing Model |
NextGen | Strong security measures | EHR-focused, supports APIs | Online scheduling, reminders, digital forms | Per-provider subscription |
Athenahealth | SOC 2 certified | Works with 300+ apps, telehealth-ready | 24/7 scheduling, patient portal, mobile app | Percentage of collected revenue |
Kareo (Tebra) | SOC 2 certified | EHR, billing, telehealth integrations | Digital forms, reminders, secure messaging | Starts at $160/provider/month |
DrChrono | HIPAA-compliant portal | Custom API, EHR, billing integration | Automated reminders, secure communication | Subscription-based, variable fees |
InteliChart | Encrypted, secure | Unified API for EHR and billing | Mobile-friendly, customizable reminders | Per-provider subscription |
Choosing the right system depends on your practice's size, budget, and technical needs. Whether you're a small clinic or a large healthcare group, selecting a reliable booking system can improve efficiency, reduce no-shows, and enhance patient satisfaction.
6 Best Medical Appointment Scheduling Software Solutions
Let's kick things off with NextGen Healthcare, a well-established name in integrating scheduling with clinical workflows. Designed to connect electronic health records (EHR) with patient booking, it's a trusted solution for healthcare providers across the U.S.
HIPAA Compliance Standards
NextGen takes data security seriously. It encrypts information during transmission, stores it on HIPAA-compliant servers, and conducts regular audits to ensure adherence to strict standards. Features like role-based access, automatic session timeouts, and detailed audit trails add extra layers of security. Additionally, it offers standard Business Associate Agreements (BAAs) and meets critical data security certifications.
Integration Capabilities
This platform is designed to work effortlessly with its own EHR system. It also supports API connections for third-party software through HL7 FHIR standards, making it versatile for various integrations. On top of that, it connects with billing systems to enable automatic charge capture.
Patient Engagement Features
NextGen's Patient Experience portal is packed with tools to enhance patient interaction. It allows real-time online scheduling and sends appointment reminders via text, email, or phone calls. Other handy features include waitlist management, digital intake forms, and insurance verification. For added convenience, there's a mobile app available for both iOS and Android, giving patients access on the go.
Pricing Structure
NextGen operates on a per-provider subscription model, which includes its complete EHR and practice management suite alongside the patient booking system. Pricing and implementation costs depend on the size and needs of the practice. The company also provides ongoing training and technical support to ensure a smooth deployment process.
Stay tuned as we dive into another leading solution to see how it stacks up.
2. Athenahealth
Athenahealth, a cloud-based platform, is designed to cut down on paperwork and boost efficiency. It combines patient booking with a full suite of practice management tools, making it a go-to option for medical offices aiming to simplify their operations.
HIPAA Compliance Standards
Athenahealth prioritizes security by adhering to HIPAA compliance through measures like end-to-end encryption, multi-factor authentication, and regular security testing. It also provides detailed audit logs and operates under a standard Business Associate Agreement, backed by SOC 2 Type II certification.
Integration Capabilities
Athenahealth works seamlessly with over 300 third-party applications, including labs, imaging centers, and specialty EHR systems, thanks to its open API. The platform supports HL7 and FHIR standards, ensuring smooth data exchange. Its revenue cycle management tools include automatic insurance eligibility checks and claims processing directly from the scheduling interface. Additionally, it integrates with telehealth platforms, enabling practices to manage both in-person and virtual appointments through one system. These integrations create a more unified and efficient patient experience.
Patient Engagement Features
The Patient Engagement Platform offers 24/7 online scheduling with real-time availability. Patients can check in digitally, complete forms, and update their information before visiting the office. A patient portal provides access to test results, prescription refills, and secure messaging with healthcare providers. The mobile app, available for both iOS and Android, allows patients to manage their healthcare conveniently from anywhere. These features address key operational needs while enhancing patient satisfaction.
Pricing Structure
Athenahealth uses a percentage-based revenue model, typically charging between 4% and 8% of collected revenue instead of a fixed monthly fee. This model can be beneficial for smaller practices or those with varying patient volumes, as costs align with actual revenue. Implementation costs depend on the size and complexity of the practice, with additional fees for data migration and staff training.
Next, we take a closer look at how Kareo handles patient scheduling.
Kareo, now part of Tebra following a 2021 merger, is designed to meet the needs of small to medium-sized medical practices. Its scheduling system is paired with practice management tools, offering a streamlined solution for independent physicians and specialty clinics.
HIPAA Compliance Standards
Kareo ensures compliance with HIPAA regulations by employing encrypted data transmission and storage, role-based access controls, and detailed audit trails. Features like automatic session timeouts and secure user authentication enhance security. Additionally, all data centers are SOC 2 certified, and the platform includes Business Associate Agreements as part of its standard offerings.
Integration Capabilities
The platform integrates with major EHR systems like Epic, Cerner, and eClinicalWorks through API connections using HL7 and FHIR standards, ensuring seamless data exchange. Its scheduling module ties directly into billing and revenue cycle management tools, capturing insurance details and verifying eligibility during the booking process. Connections to labs and imaging centers allow practices to coordinate diagnostic appointments alongside standard visits. Telehealth integration further expands functionality, enabling practices to manage both virtual and in-person appointments through one system.
Patient Engagement Features
Kareo's Patient Portal offers 24/7 online scheduling with real-time provider availability. Patients can fill out intake forms digitally before their visit, cutting down on wait times and reducing administrative tasks. Automated reminders, sent via text or email, can be customized to fit practice needs. The mobile-friendly portal ensures easy access from smartphones and tablets, while secure messaging allows patients to communicate with their providers between visits. Integrated payment processing simplifies checkout by letting patients pay outstanding balances or copays online.
Pricing Structure
Kareo's subscription plans start at around $160 per provider per month for basic features. Additional tools, like revenue cycle management and patient engagement features, are available for an extra cost. Implementation fees typically range from $2,000 to $5,000, depending on the size of the practice and data migration needs. Month-to-month contracts are available, offering flexibility for smaller practices working with tight budgets.
Up next, we’ll dive into how DrChrono approaches patient scheduling and practice management.
4. DrChrono
DrChrono is a cloud-based platform that combines electronic health records (EHR) with patient scheduling through its OnPatient Portal. This portal is specifically designed to provide HIPAA-compliant booking, scheduling, and secure communication.
HIPAA Compliance Standards
DrChrono’s OnPatient Portal meets HIPAA compliance requirements for patient booking, scheduling, and communication [1][2][3][5]. As a business associate under HIPAA, DrChrono requires covered entities to sign a Business Associate Agreement (BAA), which outlines its role in protecting Protected Health Information (PHI) [4]. To maintain security, the platform employs encryption, firewall protection, role-based access controls (avoiding plaintext passwords), and detailed audit trails to monitor compliance regularly [4].
Integration Capabilities
DrChrono goes beyond security by offering integration features that simplify practice management. Its EHR system connects seamlessly with various devices and third-party applications, ensuring it works well with existing healthcare systems [6]. A flexible API also allows developers to build custom integrations tailored to the specific needs of a practice [6]. By integrating EMR, patient engagement, and billing modules, DrChrono ensures smooth data exchange across its platform [7]. However, user feedback from June 2024 highlighted issues with claims processing delays after transitioning from Trizetto to an in-house clearinghouse, with some practices reporting up to two months of unprocessed claims [8].
Patient Engagement Features
DrChrono’s integration capabilities also enhance the patient experience through the OnPatient Portal. This portal supports secure communication, automated reminders, and easy appointment booking, making interactions between patients and providers more efficient. By centralizing these features, the portal improves appointment management and strengthens communication between patients and healthcare providers.
5. InteliChart
InteliChart provides an all-in-one API connection designed to integrate seamlessly with its Healthy Outcomes patient engagement platform. This API simplifies the process of connecting to existing health record systems and automates scheduling, making it a practical choice for healthcare practices aiming to enhance patient management.
HIPAA Compliance Standards
To ensure patient data security, InteliChart adheres to HIPAA compliance by using encrypted data transmission, secure cloud storage, and detailed audit trails. The platform incorporates role-based access controls and automatic session timeouts to safeguard sensitive information. Standard Business Associate Agreements are included, and regular security assessments are conducted to stay aligned with federal healthcare regulations.
Integration Capabilities
One of InteliChart’s standout features is its single API connection, which integrates smoothly with electronic health record (EHR) systems, practice management software, and billing platforms. By supporting HL7 and FHIR standards, the platform facilitates seamless data sharing across various healthcare systems. This unified connection minimizes the complexity of implementation while maintaining compatibility with leading healthcare technology providers.
Patient Engagement Features
The Healthy Outcomes platform enhances patient interaction by offering tools like online appointment scheduling, automated reminders, and digital intake forms. Patients gain access to a secure portal where they can communicate with providers, review appointment history, and manage their health information. The platform’s mobile-friendly design ensures ease of use across devices, and customizable reminder settings help reduce missed appointments.
Pricing Structure
InteliChart typically follows a per-provider monthly subscription model, with pricing adjusted based on the size of the practice and the features selected. Thanks to its streamlined API integration, implementation costs are generally lower. Flexible contract terms are available, and technical support is included during the setup process.
With its efficient integration and robust features, InteliChart stands out among patient engagement platforms, prompting a closer look at the broader benefits and challenges of such solutions.
Advantages and Disadvantages
Every scheduling system comes with its own set of strengths and challenges, which can influence how well it fits into your practice's IT setup and clinical workflows. Here's a closer look at some important trade-offs to keep in mind.
Integration Trade-offs
Bringing a new scheduling system into your existing IT framework - especially when it involves patient records, billing systems, and administrative tools - can be expensive and often requires skilled technical support [10][12]. However, when scheduling tools are integrated with EHR systems, telehealth platforms, or ePrescribing software, they can significantly improve efficiency and elevate the quality of patient care [9][11].
Conclusion
When choosing a booking system for your medical practice, it’s essential to match the platform to your practice’s size, specific needs, and technical requirements. The five solutions we’ve reviewed each bring their own strengths, designed to suit a variety of healthcare settings across the United States. To make the best choice, focus on critical factors like security, integration capabilities, user engagement, and overall cost.
Start with HIPAA compliance. Any system you consider must meet federal healthcare privacy standards. But don’t stop at the basics - seek platforms with advanced security features like encrypted data transmission and detailed audit trails for added peace of mind.
For smaller practices, prioritize systems that are easy to use and won’t disrupt daily operations with steep learning curves. Larger healthcare organizations, on the other hand, may benefit more from robust platforms that manage complex scheduling needs and integrate smoothly with existing electronic health record (EHR) systems. If your practice is growing or planning to expand telehealth services, scalability is a must. Make sure the platform you choose can adapt to hybrid care models without missing a beat.
Reliable support matters. Software updates, staff changes, and evolving healthcare regulations can all present challenges. A system that provides responsive, ongoing support during your business hours is invaluable. Beyond technical functionality, consider long-term efficiency and cost-effectiveness. A slightly higher upfront cost may be worth it if the system reduces administrative workload and streamlines operations over time.
Don’t forget to account for implementation, training, and any necessary hardware upgrades when evaluating a system’s true value. Sometimes, a slightly more expensive option can save time and money in the long run by eliminating workflow inefficiencies.
Ultimately, your patient booking system is more than just a scheduling tool - it’s a key piece of your practice’s revenue cycle and patient experience. The right system will simplify operations, cut down on no-shows, and enhance satisfaction for both your staff and patients, making it one of the most impactful technology investments your practice can make.
FAQs
How can I choose the right patient booking system for my practice's size and technical requirements?
To find the right patient booking system for your practice, start by considering your practice size and patient volume. Make sure the platform can manage your current appointment load while also accommodating future growth and any specific scheduling requirements.
Then, evaluate your technical needs. The system should integrate effortlessly with your existing Electronic Health Records (EHR) and other tools. Look for features like online self-scheduling, automated appointment reminders, and secure messaging to streamline workflows and improve the patient experience.
Lastly, focus on usability and budget. The system should be easy for both your staff and patients to navigate. Ensure it aligns with your financial plan without compromising on essential features. Also, think about scalability and reliable customer support to ensure the system can grow with your practice and maintain smooth operations.
What security features should a patient booking system have to meet HIPAA compliance standards?
To meet HIPAA requirements, a patient booking system must incorporate several key features. Data encryption is crucial for safeguarding sensitive information, ensuring that patient details remain protected. Implementing access controls is equally important, as these restrict who can view or modify data, reducing the risk of unauthorized access. Audit trails add another layer of security by keeping a record of all system activity, which can help identify and address potential issues.
Secure communication is another must-have. Using encrypted messaging protocols ensures that interactions with patients remain private and protected. Additionally, the software provider should sign a Business Associate Agreement (BAA). This agreement is a formal acknowledgment of their responsibility to manage protected health information (PHI) in compliance with HIPAA standards.
How do integration features of patient booking systems impact their setup and efficiency in medical practices?
Integration features are a game-changer when it comes to the setup and functionality of patient booking systems in medical practices. By connecting effortlessly with tools like practice management software and electronic health records (EHRs), these systems can simplify workflows and boost data accuracy.
With effective integration, patient details are automatically synced across platforms, giving healthcare providers an up-to-date, comprehensive view of medical histories. This eliminates the need for repetitive manual data entry, reduces errors, and saves valuable time - time that staff can dedicate to patient care. Beyond that, integration improves accessibility and ensures smoother day-to-day operations, leading to better productivity for staff and a more satisfying experience for patients.





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