11 Best Orthopedic EHR Systems for 2025

Posted in EHR

The field of orthopedics focuses on diagnosing, repairing, and treating skeletal deformities. They cater to injuries of bones, joints, ligaments, tendons, and even muscles. The specialty comes with specific clinical and administrative processes, and standard EHR systems often lack the tools required to support the complexity of orthopedic care. The best orthopedic EHR should have built-in imaging integration to view X-rays or MRIs directly in the patient record, as well as customized templates for multiple conditions and treatments.

According to a study in JMIR Medical Informatics, 62% of orthopedic practices reported that generic EHRs caused workflow disruptions, showing a clear need for more specialized solutions. This blog breaks down the top 11 orthopedic EHR systems, like Epic, ModMed,  NextGen Office, and Phoenix Ortho EMR, currently on the market.

Features to Look for in the Best Orthopedic EHR 

The best orthopedic EHR software development caters to the unique clinical and operational needs. Some core features to prioritize are:

Orthopedic-Specific Templates

The best orthopedic EHR should include templates for common orthopedic conditions, like fractures, ligament tears, joint replacements, etc. These templates must have customizable capabilities to reflect different exam types, procedures, and post-op notes.

Imaging Integration 

Orthopedic care relies on diagnostic imaging. The best orthopedic EHR should integrate directly with X-ray, MRI, CT, and PACS systems and support orthopedic surgeons to view, annotate, and store images within the patient chart.

Surgical Scheduling Tools

Usually, many orthopedic treatments require surgical intervention; therefore, the best orthopedic EHR should have built-in tools for managing pre-op, intra-op, and post-op scheduling. Features like simplified booking OR time, coordinating surgical teams, and tracking pre- and post-surgical tasks also add up to the ease of workflows. 

Patient Portal with Ortho Functionality

A strong patient portal helps orthopedic patients stay informed. Look for features like online access to imaging results, surgical instructions, rehab plans, appointment scheduling, and secure messaging with the care team.

Mobile Access for On-the-Go Providers 

Orthopedic surgeons often move between clinics, hospitals, and surgical settings. Mobile access to the EHR, especially image viewing and surgical schedules, helps them stay connected to patient data wherever they are.

Interoperability with Hospital & Imaging Systems

Orthopedic practices frequently coordinate with hospitals, surgical centers, radiology groups, and rehab providers. The best orthopedic EHR software should easily exchange information with external systems to reduce manual data entry and improve care coordination.

11 Best Orthopedic Based EHR Systems

1. ModMed (EMA)

ModMed EMA, created by Modernizing Medicine, is a cloud-based EHR built by orthopedic surgeons for orthopedic surgeons. It offers an intuitive, touchscreen-friendly design and workflows that fit the fast pace of clinics and surgery centers. It is considered one of the top orthopedic EHR systems because it combines charting, billing, and analytics into one platform, making it a go-to for practices that want everything in one place.

Features

• Orthopedic-Specific Templates: Ready-to-use orthopedic surgery EHR for conditions like ACL tears, rotator cuff injuries, and arthritis, complete with ICD-10 and CPT codes.
• Protocol Packs: Quick shortcuts for procedures like knee arthroscopy, bundling notes, orders, and billing codes in one click.
• Revenue Cycle Management (RCM): Handles claims, denials, and collections with real-time insurance checks.
• MIPS/QPP Dashboards: Tracks compliance metrics to maximize reimbursements.
• Mobile Access: Chart on iPads, iPhones, or even Apple Watch with voice dictation and image markup tools.
• Cloud-Based System: Secure, no servers needed, with automatic updates.
• Practice Analytics: Monitors patient volume, revenue trends, and operational efficiency.

Benefits

• Designed specifically for orthopedics.
• Ready to use with minimal setup.
• Cuts charting time by up to 30%.
• Combines EHR, practice management, and billing in one place.
• Works well on tablets and mobile on the go.
• Offers dedicated support to provide guidance.

Disadvantages

• A bit costly, from $700–$1,500/month per provider, depending on practice size.
• It can be complex for staff less comfortable with technology.

2. Epic

Epic is the best orthopedic EHR used by many hospitals and large healthcare systems. While not built just for this domain, its Orthopedic Module is customizable for workflows like joint replacements or fracture care. It’s a great fit for hospital-affiliated practices, with strong tools for patient communication and data sharing across systems.

Features

• MyChart Patient Portal: Lets patients view imaging results, book appointments, and message providers securely.
• Documentation Tools: Simplifies note-taking and summarizes patient histories for faster charting.
• Interoperability: Connects with labs, imaging centers, and other health systems through CareEverywhere.
• Enterprise Analytics: Offers deep insights into population health and practice performance.
• Orthopedic Workflow Customization: Templates for procedures like spinal fusion or hip replacements.
• Telehealth Integration: Supports virtual visits directly in the platform.

Benefits

• Scales for large practices or hospital systems.
• MyChart keeps patients engaged and connected.
• Seamless data sharing reduces duplicate tests and improves care coordination.
• Strong tools for MIPS and MACRA compliance.

Disadvantages

• Expensive, with setup costs of $10,000–$50,000+ and monthly fees of $500–$1,000 per provider.
• Implementation can take 6–12 months and requires extensive training.

3. NextGen Office

NextGen Office is a cloud based orthopedic EHR and practice management system designed for smaller practices. It’s considered one of the top orthopedic EHR, which is straightforward and budget-friendly, offering tools for charting, telehealth, and billing. Its ease of use makes it a practical choice for practices that want a no-fuss solution.

Features

• Orthopedic Visit Templates: Customizable for diagnoses like meniscus tears or carpal tunnel syndrome.
• Telehealth Tools: Supports virtual consults and follow-ups.
• Real-Time Claims and Eligibility: Reduces claim denials with automated insurance checks.
• Patient Portal: Offers secure messaging, appointment booking, and bill payments.
• Mobile Access: Chart and manage schedules on iOS or Android devices.
• ONC-Certified: Meets Meaningful Use and MIPS requirements.

Benefits

• Affordable, typically $300–$600/month per provider.
• Quick to set up (4–8 weeks) with helpful customer support.
• All-in-one solution for charting, scheduling, and billing.
• Ideal for small to mid-size orthopedic practices.

Disadvantages

• The interface looks a bit dated compared to newer systems.
• Advanced features, like detailed analytics, cost extra.
• Not suitable for complex orthopedic needs, like surgical planning.

4. Phoenix Ortho EMR

Phoenix Ortho EMR is built exclusively for orthopedic practices, making it a favorite for specialists who want a system that speaks their language. It integrates charting, imaging, billing, and physical therapy tracking that keeps high-volume clinics and surgery centers running smoothly.

Features

• PACS Image Viewer: View X-rays, MRIs, and CTs directly in the EHR.
• Drag-and-Drop Charting: Easy-to-use picklists for quick documentation.
• Physical Therapy Module: Tracks rehab progress and shares plans with therapists.
• Integrated Billing: Automatically applies accurate CPT codes for procedures like joint injections.
• Orthopedic-Specific Templates: Covers trauma, sports medicine, and joint reconstruction.
• Cloud-Based: Secure access without on-site servers, with regular updates.

Benefits

• Tailored for orthopedics, reducing setup and customization time.
• Saves time with built-in imaging and efficient charting.
• Fast implementation (4–6 weeks) with responsive support.
• Simplifies billing with orthopedic-specific coding.

Disadvantages

• No built-in patient portal, requiring third-party tools.
• Less suited for large multi-specialty groups.
• Analytics are less advanced than enterprise systems.

5. PrognoCIS

PrognoCIS is a flexible, cloud-based EHR that works well for growing orthopedic practices. It offers charting, billing, and telemedicine tools, with customizable templates to fit your workflow. Its clear interface and real-time data make it easy to stay on top of both patient care and practice finances.

Features

• Customizable Orthopedic Templates: Tailored for common procedures and diagnoses.
• Telehealth Integration: Supports virtual visits and follow-ups.
• Built-in Billing and Claims: Streamlines revenue processes with automated tools.
• Lab and Imaging Connections: Integrates with diagnostic systems for seamless data.
• Secure Patient Portal: Simplifies communication and appointment scheduling.

Benefits

• Budget-friendly, typically $200–$500/month per provider.
• Easy-to-use interface for mid-size practices.
• Comprehensive tools for clinical and administrative tasks.

Disadvantages

• Not built solely for orthopedics, so some customization is needed.
• Reporting tools aren’t as robust as larger systems.
• May lack depth for complex surgical workflows.

6. DrChrono

DrChrono is a mobile-first EHR that offers flexibility to orthopedic providers. You can chart on an iPad, dictate notes, or annotate images, all from one app. It’s a great choice for solo or small practices looking for a modern, on-the-go solution.

Features

• iPad-Friendly Charting: Includes drawing tools for annotating images.
• Voice Dictation: Speech-to-text for faster note-taking.
• Integrated Billing and RCM: Simplifies claims and payments.
• Telehealth Appointments: Built-in support for virtual visits.
• Customizable Clinical Templates: Tailored for orthopedic workflows.

Benefits

• Excellent mobile experience, especially on iOS devices.
• Affordable for small practices, around $250–$600/month per provider.
• Flexible documentation with dictation and image markup.

Disadvantages

• Some features are iOS-only, limiting Android users.
• Support and training can be inconsistent.
• Less robust for larger practices with complex needs.

7. RXNT

RXNT offers a complete EHR and practice management solution that works in sync with orthopedic practices. Customizable templates, e-prescribing, and billing tools support workflows. It is a cost-effective option for small to mid-size practices that want simplicity and value.

Features

• Customizable Orthopedic Templates: Supports common diagnoses and procedures.
• Integrated Practice Management: Includes claims and billing tools.
• E-Prescribing: Streamlines medication orders with compliance checks.
• Patient Portal and Scheduling: Simplifies patient engagement and appointments.
• Secure Cloud Access: Works across devices with HIPAA compliance.

Benefits

• Easy-to-use interface with a short learning curve.
• Affordable, around $200–$500/month per provider.
• Reliable support and smooth onboarding process.

Disadvantages

• The interface feels slightly dated compared to newer systems.
• Limited advanced analytics for practice insights.
• Less specialized for orthopedics than niche systems.

8. AdvancedMD

AdvancedMD balances powerful features with orthopedic-friendly customization. It integrates charting, patient engagement, and billing, making it a solid choice for growing practices that need a comprehensive system with strong diagnostic integration.

Features

• Orthopedic Templates: Customizable for procedures and diagnostic integration.
• Visual Dashboards: Tracks tasks and practice performance metrics.
• Automated Billing and Collections: Streamlines revenue management.
• Telemedicine and Online Scheduling: Enhances patient access.
• Advanced Reporting: Provides insights into clinical and financial performance.

Benefits

• Highly customizable for orthopedic workflows.
• Comprehensive solution for growing practices.
• Strong integration with labs and imaging systems.

Disadvantages

• Complex interface with a steeper learning curve.
• Onboarding can take 8–12 weeks.
• Higher cost, around $400–$800/month per provider.

9. Praxis EMR

Praxis EMR takes a unique approach, skipping rigid templates and adapting to your charting style over time. This makes it fit for orthopedic providers who want a personalized system that gets faster the more you use it.

Features

• Adaptive Charting: Learns your documentation style for quicker notes.
• Built-in Coding and Billing Suggestions: Improves reimbursement accuracy.
• Custom Report Builder: Creates tailored practice reports.
• Secure Cloud Hosting: Ensures data access and compliance.
• Orthopedic Workflow Support: Adapts to procedures like joint injections or fracture care.

Benefits

• Personalized charting improves efficiency over time.
• High user satisfaction for its tailored approach.
• Cost-effective for solo providers, around $300–$600/month.

Disadvantages

• An initial learning curve is due to its template-free design.
• Less ideal for group practices needing standardized workflows.
• Limited integration with third-party imaging systems.

10. DocVilla

DocVilla is a cloud based orthopedic EHR built for small orthopedic practices focused on patient engagement. It offers tools for scheduling, telehealth, imaging, and rehab planning, making it a practical choice for practices that prioritize patient experience.

Features

• Orthopedic Intake Templates: Streamlines documentation for visits and follow-ups.
• Patient Reminders and Scheduling: Automates appointment confirmations.
• Rehab and Imaging Tools: Supports therapy plans and diagnostic integration.
• Telemedicine: Built-in virtual visit capabilities.
• Inventory and Medication Tracking: Manages supplies and prescriptions.

Benefits

• Affordable, around $200–$400/month per provider.
• Easy to set up and use, with implementation in 2–4 weeks.
• Strong patient engagement tools like reminders and portals.

Disadvantages

• Limited scalability for larger practices.
• Reporting and analytics are less comprehensive.
• May need third-party tools for advanced imaging.

11. Nexus EHR

Nexus EHR is a cloud-based system that supports orthopedics along with other specialties. With customizable templates, imaging integration, and telehealth, it is a flexible option for practices that need a balance of affordability and functionality.

Features

• Customizable Orthopedic Templates: Supports common procedures and diagnoses.
• Integrated Imaging and Telehealth: Streamlines diagnostics and virtual care.
• E-Prescribing and Lab Orders: Simplifies medication and test management.
• ONC-Certified: Meets compliance requirements for Meaningful Use and MIPS.
• Mobile and Browser-Based Access: Works across devices for flexibility.

Benefits

• Works well for orthopedic and multi-specialty clinics.
• Affordable, around $250–$500/month per provider.
• Flexible access on mobile and desktop platforms.

Disadvantages

• Less tailored for orthopedics compared to niche systems.
• Analytics tools are basic compared to enterprise options.
• May require customization for complex orthopedic workflows.

EHR Integration with Folio3 Digital Health

Whether you are an orthopedic practice planning to implement an EHR or a large hospital system looking to integrate Epic more efficiently, Folio3 Digital Health is here to support you. As an official Epic vendor partner, we offer end-to-end EHR implementation services tailored to the unique needs of orthopedic care. 

Our team of expert developers, designers, and health tech consultants works closely with clients from planning through deployment to ensure seamless integration. Every solution we build is as per HIPAA regulations and aligned with the latest HL7 and FHIR standards.

Conclusion

Finding the best orthopedic EHR is not limited to choosing the most expensive software available, but about selecting a system that fits the real-world needs of your workflow, your staff, and your patients.

Whether you’re a solo practitioner looking for simplicity, a mid-size clinic needing all-in-one functionality, or a large group practice that depends on deep reporting and scalability, there’s an EHR on this list designed for you.

• Want orthopedic-specific tools: Go with ModMed or Phoenix Ortho.
• Need enterprise-level power and patient engagement: Consider Epic or AdvancedMD.
• On a tighter budget or in a smaller practice: Try DocVilla, RXNT, or Nexus EHR.
• Prefer total charting flexibility and no templates: Praxis EMR is your match.

Frequently Asked Questions

Is this EHR HIPAA and ONC-certified?

Yes, most top orthopedic specific EHR systems like ModMed, Epic, NextGen, RXNT, and Nexus EHR are entirely HIPAA compliant and ONC-certified. They meet U.S. federal standards for EHRs, including security, privacy, and interoperability guidelines. Always verify current certifications before purchase.

Can the EHR integrate with my existing imaging system (PACS/RIS)?

Yes. Many orthopedic specific EHR systems offer integration, like Epic Phoenix Ortho, AdvancedMD, and ModMed, with imaging systems.

Does the best orthopedic EHR support MIPS/MACRA reporting and compliance?

Yes, EHRs like ModMed, NextGen, and DrChrono include real-time MIPS dashboards or automated reporting features that help you stay compliant with CMS requirements. Some systems also offer built-in alerts for quality measure tracking.

How easy is it to migrate data from my current EHR?

Data migration depends on both your old system and the new one. Vendors like DrChrono, PrognoCIS, and RXNT provide data import tools and onboarding support, but some custom fields, scanned documents, or images may require manual migration or incur extra fees.

Can I access the EHR from multiple locations or on mobile?

Yes, cloud-based systems like ModMed, DrChrono, Nexus, and DocVilla support mobile access, allowing you to log in from your clinic, hospital, or even the OR. Most work on iPads, iPhones, Android devices, and web browsers with secure login protocols.

What specific features should an EHR orthopedic system have? 

The best orthopedic EHR system should include custom templates for bone care, joint care, seamless integration with PACS imaging, and surgical workflow management.

Is a specialized EHR for orthopedic practice necessary for a small clinic? 

Yes, even a small clinic benefits from the specialized documentation, efficient surgical planning, and streamlined workflows of an orthopedic-specific EHR.

How much does ModMed (EMA) EHR implementation cost?

ModMed (EMA) EHR implementation costs vary according to the practice size. For small practices, the cost starts with around $500 per provider per month. Larger practices may have implementation costs ranging from $20,000 to $100,000+, with ongoing monthly costs between $500 and $2,000+.

How much does Phoenix Ortho EMR implementation cost?

Phoenix Ortho EMR implementation costs vary, but you can expect to pay between $500-$1000+ per provider/month.  The basic plan costs around $500-$700 per provider/month, including the EMR, practice management software, and an imaging viewer. While the advanced plan (Cloud + PACS) costs $700-$1000+ per provider/month, it offers advanced imaging, custom templates, and support. 

How much does NextGen Office implementation cost?

The cost is tailored to the specific needs of each practice; however, a range of $379-$549 per provider, per month can be for starters.

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