# NextGen Office Reviews 2026. Verified Reviews, Pros & Cons | Capterra > Is NextGen Office the right Medical Practice Management solution for you? Explore 1278 verified user reviews from people in industries like yours to make a confident choice. Source: https://www.capterra.com/p/31268/NextGen-Ambulatory-EHR/reviews --- NextGen Office 4 (1278) Provider data verified by our Software Research team, and reviews moderated by our Reviews Verification team. [Learn more](https://www.capterra.com/our-story/) * * * Last updated March 13th, 2026 # Reviews of NextGen Office Ease of use 3.9 Customer Service 4.0 ## Pros and Cons in Reviews OE Omid E PresidentHealth, Wellness and Fitness, 51 - 200 employeesUsed the software for: More than 2 years. “NGO's usability and enterprise-level management of multiple practices for our billing company has allowed us to streamline protocols, improve quality, and manage practices and their operations effectively. “ July 25, 2025 OE Omid E PresidentHealth, Wellness and Fitness, 51 - 200 employeesUsed the software for: More than 2 years. “Faxes have been a struggle for many as there seems to be limited to no accountability for the NGO faxing services. “ July 25, 2025 SD Shacria D Medical records clerkMedical Practice, 201 - 500 employeesUsed the software for: 1-2 years. “Filing features were very simple and it had a lot of features that help with separating documents while they were already scanned into the system.“ May 10, 2025 Steve B Owner doctorAlternative Medicine, 2 - 10 employeesUsed the software for: 6-12 months. “The software had a horrible easy to use. When I logged on before the official training I could not figure out how to write a sample SOAP note.“ February 18, 2026 OE Omid E PresidentHealth, Wellness and Fitness, 51 - 200 employeesUsed the software for: More than 2 years. “It works well for those who have invested time in developing custom forms, blueprints, care plans, etc. If you don't, you will truly struggle with not just this platform but any.“ July 25, 2025 OE Omid E PresidentHealth, Wellness and Fitness, 51 - 200 employeesUsed the software for: More than 2 years. “It is very difficult to explain to key stakeholders for us that NGO support just said it is a problem with know updates of issues. “ July 25, 2025 CJ Crystal J Claims Service SpecialistInsurance, 10,001+ employeesUsed the software for: 1-2 years. “Next Gen does amazing with automatically pulling up my claims from our customers entering their information into the automated system prior to connecting with me.“ October 7, 2024 TR Tracy R Office ManagerHospital & Health Care, 11 - 50 employeesUsed the software for: 1-2 years. “It makes it difficult for the staff and the doctor to enter what they need to in a timely fashion.“ September 18, 2025 ## Showing most helpful reviews Showing 1-25 of 1278 Reviews Sort by: Most Helpful Rating Company Size Reviewer's Role Length of Use Frequency of Use Kristina D. Data Entry Insurance Used the software for: Less than 6 months ### "Good software " July 23, 2024 4.0 Pros It’s easy to navigate and pretty simple to learn. Cons I liked most everything about the software so far. Review Source NB Nicholle B. Office Administrator Medical Practice Used the software for: 6-12 months ### "NextGen Review" August 5, 2025 5.0 Overall experience has been good. We are much happier now that \[sensitive content hidden\] has taken over the account. She is great and on top of everything. Pros My account representatives have been great! \[sensitive content hidden\] checks in regularly and makes sure things are going smoothly. Cons The system glitches. They seem to happen one after the other when they do happen. Sometimes reports won't load, the system says it made an appointment, etc. Review Source sW sally W. Owner Medical Practice Used the software for: 2+ years ### "No Customer Service" July 17, 2025 1.0 Long ago good product but now poor. Right now, I have waited over 24 hours and 5 phone calls just to have a password reset. Pros I have had NextGen, formerly HealthFusion, for almost 13 years. The platform is easy to use and the product used to be good. Cons Zero customer service. Over the last few years, the customer service is non existent, as the price continues to soar. Everything from enrollments with the clearinghouse to deciphering claim denials is self service. Expect to have to spend way more time creating cases, waiting several days for someone to respond, and frustration on things that should be easy. Also, lots of confusion about who to contact with the clearinghouse Waystar exists....both sides will pass the buck. Also, their MIPS/MACRA measuring factors are limited...so good luck! Review Source Response from NextGen Healthcare August 1, 2025 Thank you for being a long-time user of NextGen Office and for taking the time to share your experience. We truly appreciate your loyalty over the past 13 years and regret that your recent interactions have not met your expectations. We understand how frustrating it can be to face delays in support, especially with time-sensitive needs like password resets and claims processing. Your concerns about service quality, communication between systems, and MIPS/MACRA reporting are important, and we are actively working on improving these areas. We’d like the opportunity to assist you directly and help resolve the outstanding issues. Thank you again for your feedback kA kim A. administrator Medical Practice Used the software for: 2+ years ### "room for growth" July 29, 2025 5.0 1)I am happy with the EDI department with a timely resolution 2) I am happy with my account manager Pros account rep's always try to help with problems that occur in a timely matter. Account manager always keeps me advise Cons 1)billing department 2) oversees calls 3) this is annoying I have to come up with 100 characters to answer these questions Review Source HB Hope B. Director of Operations Medical Practice Used the software for: 2+ years ### "NGO Review" August 4, 2025 4.0 I'm still relatively new to the Admin side of NGO, but as a clinical and clerical staff member, it's good. Pros I like the user experience, the customer support, and our account rep's knowledge and helpfulness. She is truly what makes this product worth our time. Cons The cost of the product(s) feels excessive. The Patient Portal is terribly unfriendly to the patients and staff alike. Needs serious improvement. Review Source SO Sameer O. Physician and Owner Medical Practice Used the software for: 1-2 years ### "STAY AWAY !!" February 21, 2025 1.0 Very Poor. They provide you with all the features with extremely limited training. Then when you ask for more training, they charge you by the hour o top of the expensive monthly payment !! It toome 2 months to contact someone just to update my credit card. Sure enough, starting Feb 2025 , they will start charing surcharge on the credit card payment as well . Pros Extensive Features. However it's like someone throwing you in an airplane cockpit and having you figure out how to fly the plane on your own. What good is that ?> Cons Very High Price + Extremely Poor Customer Service Alternatives considered [EHR 24/7](https://www.capterra.com/p/134091/EHR-24-7/) Reason for choosing NextGen Office That's the one I am going to switch to as soon as I can get rid of NextGen Switched from [Practice Fusion](https://www.capterra.com/p/266915/Practice-Fusion/) I should never have done that. Now I am locked in a contract with no easy escape. Review Source CS Carol S. nurse practitioner Health, Wellness and Fitness Used the software for: Less than 6 months ### "Do not use NextGen office" June 27, 2025 1.0 Would not recommend. There is no in person classes to help with start up. Most of our issues were left without a resolution. Pros We chose NextGen Office because we are a small clinic and the price was in our budget. I can honestly say you get what you pay for. Go for the best option not the cheapest. Cons Customer service is horrible. Nobody is able to answer questions and when I call the support line it has so much static that I can't understand them. I was never able to get to someone for assistance. Alternatives considered [eClinicalWorks](https://www.capterra.com/p/120360/eClinicalWorks/) Reason for choosing NextGen Office The only reason we chose was the lower price Review Source Response from NextGen Healthcare July 10, 2025 Thank you for your honest feedback. We’re truly sorry to hear about your experience and understand how frustrating it must have been. We’re looking into the call quality issue and will make sure it’s addressed. While in-person training isn't always available, we do offer live virtual sessions and personalized support. We'd love to connect and see how we can better support your clinic. Please contact our Client Success team so we can assist in resolving any outstanding issues. We appreciate the opportunity to serve you and hope to improve your experience moving forward. SD Shacria D. Medical records clerk Medical Practice Used the software for: 1-2 years ### "NextGen or Last Gen?" May 10, 2025 4.0 Nextgen was a slow system it seemed old and it needed to be revamped. It almost seemed like it didn't have enough giggle or megabytes for the amount of medical records I tried to process on a daily basis. Pros Filing features were very simple and it had a lot of features that help with separating documents while they were already scanned into the system. Cons Processing time was very slow, it freezes a lot and made it longer to do almost anything Review Source Response from NextGen Healthcare May 14, 2025 Hi Shacria, Thank you for your review. We’re glad to hear you found value in the document management and filing features. We understand your concerns around system speed and performance. Our team continues to invest in infrastructure and performance upgrades aimed at improving processing times and overall system stability—especially for users handling large volumes of records. Your input helps drive those improvements, and we appreciate you taking the time to share it. We’d welcome a conversation to get into more detail. Please reach out if you’d like to set something up. CR Constanze R. Owner Health, Wellness and Fitness Used the software for: 2+ years ### "Look elsewhere for any support. " March 5, 2025 2.0 Poor customer service. Poor onboarding. Self service. Pros Prescribing. Was smooth in the beginning. Cons Terrible support. Poor onboarding. Rep couldn’t answer most of my questions. A month later when I had more questions the rep said we had used up all of our hours. No app to use on the go. Now the rep has been unavailable for a month as we try to shut it down. Switched from [NEXGEN](https://www.capterra.com/p/84713/NEXGEN-Asset-Management/) Other sunsetted and then we had to switch. Review Source Heather T. Administrative Medical Assistant Hospital & Health Care Used the software for: 6-12 months ### "NexGen insights " September 1, 2024 4.0 Nexgen had many uses I used on a daily basis such as charting, e-scribing medications, ordering office supplies, as well as a patient portal where patients could access, they're records and medication list. Pros Patients can review their personal health records, including medications and lab test results and the billing integration helped my billing needs Cons learning to customize can be pretty complex and time consuming. It's really not the best for a small practice. Review Source VR Verified Reviewer Adm Support Chemicals Used the software for: I used a free trial ### "HR DEV REF" November 11, 2024 4.0 Powerful for healthcare practices; once set up, it streamlines patient care and office management effectively. Pros Comprehensive EHR and practice management features. Cons Initial setup can be time-consuming and complex. Review Source GM Gina M. Owner Health, Wellness and Fitness Used the software for: Less than 6 months ### "Great app " September 16, 2024 5.0 Pros Perfect for small businesses looking for platform Cons Just the usage of it in the start using it Review Source MR Michael R. Physical Therapist Hospital & Health Care Used the software for: 1-2 years ### "Next Gen is a usable yet imperfect" May 1, 2024 3.0 I have used Next gen for 7 years overall and find it very usable, but at times inefficient for completing evaluations and exercise logs for PT patients. Pros Integration between practice manager (scheduling) and EMR (records) software. ability to carry forward and safe smart phrases to speed up note writing Cons Exercise log completion is tedious and takes too long relative to other sections of notes. Some sections of evaluations are not intuitive as where to find things. Review Source Response from NextGen Healthcare May 10, 2024 We want to take this opportunity to thank you for being a loyal customer for the past seven years! We are here to address any of your frustrations. Thank you for taking the time to bring this to our attention. Your feedback is critical to us, and we are here to help with any concerns you have. I welcome learning additional details if you are open to a live conversation. MF Margaret F. Financial Services Used the software for: ### "Professional billing service review of this software" July 29, 2014 2.5 Pros What I like best is that it is cloud-based. I also like that I can scan and upload documents to the patient's chart, and when you pull up a patient, you can pretty much see all the information on your patient regarding demographics, insurance, authorizations, and what is outstanding. Cons There are many things I do not like about this product. Posting secondary payments is a hassle. You end up having to manually post most of the secondaries because this software gives your claim a new ID each time the claim is submitted. Even if paid by the primary and you create a secondary claim, there's a new claim #. This causes the secondary ERA payment to not know where to post the money. The claim number should stay the same for the life of that claim. Also, they tell you that you can look up the claim easily when posting a secondary claim by doing an advanced search by the patient's name. Most of the time, this is not the case. You end up having to click on multiple pages to find the claim number so you can post the payment. I also am not a fan of the reports and the lack of filtering. Our sales guy told us that the software reports could be customized and if there was a report we wanted, we only had to ask. If there was an enhancement we wanted, we only had to ask. However, I can't even pay for a report or enhancement. When I ask for any enhancement, I am told it is not possible or that it will become part of the list, which never gets looked at apparently. Even the most simple request don't happen. For example, if an authorization is not active any longer, this should not print up on an authorization report forever. This causes the report to become gigantic. They will tell you that you can filter these things out yourself, but that is extremely tedious, especially after using the software over a long period of time and especially if this is a report you need to use every week. Another thing about the reports is that many of them are not live. If you do work today, you can not see what is accurate until the next day. The reports will show you what was what as of close of business yesterday. Also, the salesman told us that they worked with almost every insurance company and therefore we would be able to check claim status, track claims, check eligibility, referrals. This was a large exaggeration. They have maybe five insurance companies that can do 1/2 of that. Customer service is sometimes slow to respond, and they usually don't give very helpful answers when you send a written inquiry. The best thing to do is to call. But even then, they might not be able to help you because what you want, they simply don't have available. Also the fee slips you will have available to use from their system are terrible. The options are very limited, and the font is extremely small and hard to read. I am a billing service, and all of my offices complained. When I asked if the font could be enlarged, I was told no, even though there was much room on the slip that was not used. Training on this software was pretty much train yourself. You are allow three one-hour phone training sessions. You are given a lot of homework to do on your own first. If you can not make your appointment promptly, they will cancel it. If you are at your appointment but waiting on them, that is a different story. You have to do much of the setup with this software on your own, and it is not as simple as they would have you believe, especially exporting data from the old software to the new. They will tell you that if you can use an Excel spreadsheet, you can do it yourself. I had expert Excel spreadsheet staff do this for me, and it took forever to get it done. It was a nightmare and very expensive. This is because there are many requirements that are very vague. They offer pretty much no help. If you have to resubmit a claim multiple times, all the claims get new claim numbers, and the claims you do not want stay in the claim history. This causes what you are looking at to be confusing. Even if you just have to resubmit a claim because the insurance says they do not have it on file, it stays on claim history with a new claim number. Finally, when you have your insurances loaded in your payer list, they do not load with the addresses or phone numbers. You have to do this manually. Even when you do this and you want to print your aging report or work, the report shows without the insurance phone number or address. This is a large inconvenience when working your aging. It is also very hard to separate your insurance companies. Review Source VR Verified Reviewer Owner Medical Practice Used the software for: 2+ years ### "Incompetence with revenue cycle team and poorly built EMR" January 27, 2024 3.0 Poor. Been with this EMR for over 5 years and it seems to get worse every year. When you point out problems they just refer you to a different "team" within nextgen and this process continues while mistakes continue to be made. Very poor communication. Pros Its relatively cheap, however you get what you pay for... Cons Recurrent multiple mistakes by billing side (revenue cycle), very poor communication. Multiple teams handle your account but none of these teams communicate with each other causing recurrent mistakes and constant oversight by the user Review Source Response from NextGen Healthcare February 9, 2024 We hear your frustration. Thank you for taking the time to bring this to our attention. The experience you describe falls far short of the high standards we set for ourselves. If you are open to a live conversation, I would welcome learning additional details. Please email me at coedwards@nextgen.com with some time options that work for you, and we’ll set up a call. Thank you so much. Sincerely, Colleen Edwards VR Verified Reviewer Insurance Verification Specialist Medical Practice Used the software for: 6-12 months ### "NextGen Review" March 29, 2024 3.0 Pros The ease of checking eligibility and benefits, although not all insurances that our doctors are in-network with are in NextGen but I think they can do better to add them in. Cons I hated it at first since it was too old school for me. The visual appearance made it old school and kind of boring, but eventually, I got the hang of it. I also feel like its slower than the other EMRs out there. Review Source MD Monica D. Office Manager Hospital & Health Care Used the software for: 2+ years ### "Very user friendly" June 13, 2023 5.0 I think NextGen is more user friendly than patient friendly so depending on your needs, it may not be the best system for you. The overall system is extremely clean and easy to navigate. There is a lot of customization and features that you can add in and take out as needed. Pros NextGen is by far one of the easiest EHR providers to use. It is extremely user friendly and straightforward. One of my favorite features is how you can set access and abilities for each user and their specific role/responsibilities. Cons While I love the clipboard to easily drag and drop appointments, I wish the system showed the original appointment in the patient chart and that it was moved. It happens sometimes but not usually and it would be helpful to note that the appointment was moved. The patient portal and documents definitely need work as they don't always work to their complete functionality. Review Source VR Verified Reviewer Medical Billing Manager Medical Practice Used the software for: 2+ years ### "Not bad but it had to grow on me" May 11, 2021 3.0 We use NextGen to create patient charts to submit and generate claims to send through our clearinghouse. The set up was off to a rocky start but overall we have learned how to use the system and utilize the functions. It is not too difficult to use and for the most part easy to navigate and understand after fully learning the in's and out's of the system. Pros The billing chart entry is not terrible. After a while you get used to it. It is fairly simple to use once you have a full understanding of how it works and able to easily operate it. The charge entry is extremely simple giving you step-by-step charge entry points to easily understand. Cons The customer service was NOT great. I dont know if perhaps my experience was unique but especially when it came to deployment it had a very difficult time. I do not like how they restrict you on what you are allowed to do within your own database. I wish the user had more capabilities especially when initially setting it up for the office. I feel like every time I have an issue no one knows how to answer it and just passes me off to the next person. Review Source EV Eric V. Doctor Medical Practice Used the software for: 2+ years ### "Just as bad or worse than any other EHR" April 20, 2016 1.0 Pros communicates with my billing company, but I could just fax a superbill just as easily. does insurance eligibility checks, does eRx (but is often difficult to find the pharmacy unless you know the exact zip code, sometimes doesn't find the pharmacy at all, like Safeway's) Cons Wow, there is so much not to like... Word searching for ICD10 codes, past medical history and problem lists returns hundreds of search items that have absolutely nothing to do with the words being searched. Also, if you enter the words out of the order in which they would appear, you will never find them. Social History is much more than whether a person drinks alcohol or smokes. There is no way to put in valuable details of a patient's social history and automatically include it in your notes. A lot gets lost by having to adhere to some stupid engineer's formatting. Same with past medical/surgical/obstetric histories-you cant add any valuable details to anything (like which knee was replaced and what happened after their concussion, etc). The charting is so useless that I have given up and gone back to paper charting. I start an encounter just to put my billing through. Health Maintenance: I can't enter that a patient refuses to do a colonoscopy or mammogram. All I can do is "disable" that patient from being counted for meaningful use. Poor formatting: while they tout being iPad friendly, each page has lots of unused space, so there is a lot of scrolling just to enter data or get to the save button (and if you don't press save, you lost it). More poor formatting: entering vitals->information is so spread out that it takes two screens to enter. AND peak flow is on the first screen while height and weight are on the second "additional information" screen. Which is more important? Also watch out for the backspace button, sometimes it works like you would expect, and other places you will get logged out and lose all of what you were doing. Review Source VR Verified Reviewer Project Manager Hospital & Health Care Used the software for: 6-12 months ### "NextGen Office, still a leader in patient/physician communication!" October 15, 2023 4.0 I am generally pleased with NextGen Office. Like any EHR system, it has its advantages and disadvantages, but I find that NextGen Office strikes a good balance between user-friendliness and cost-effectiveness. Pros One of its strong points is the ease with which I can complete patient notes during examinations. Cons The only downside I've encountered is related to system upgrades or maintenance performed over weekends. This sometimes leads to issues like slowness and screen freezes when we return to work on Mondays. The most recent incident occurred this past weekend but was eventually resolved on Monday, albeit causing some delays. Review Source KB Kay B. physician Medical Practice Used the software for: 2+ years ### "How I spent my summer vacation OR Why I like my Nextgen Software program" March 4, 2020 5.0 I am satisfied with this program. I would prefer something that I could just speak to but that version of dragon is much more expensive. Pros I chose this software because it was designed by physicians, specifically osteopathic family physicians. It is organized in the traditional SOAP format so it is intuitive to most of us. It took me a little while to get comfortable with moving around in it but it is second nature now. I like to freelance my subjective paragraph and it's easy to do. Pull down's appear as if you didn't actually listen to the patient. The tech support is outstanding. I can call them and they are always helpful and very patient with a physician who may not totally understand every nuance of the program. Cons In the Rx number of days section, there needs to be a 5 day option, z-packs are 5 days and a 3 day option. Yes, I can type it in but I'm lazy. And if I type in an inhaler for 90 days, it has a problem allowing me to just send three inhalers. Same with BCP's. Reason for choosing NextGen Office My office manager actually decided and I do as I am told if I want to live. (she's my daughter and actually very smart so I trust her judgement) Review Source VR Verified Reviewer IT Technician Medical Practice Used the software for: 2+ years ### "All hat no cattle" August 6, 2019 3.0 Support is, for the most part, responsive and diligent. But the reason NextGen was chosen was because it was customizable. As time goes on, NG is moving away from that and toward hard-coded standardization. This makes it much less appealing as its pros begin to be outweighed by the cons. Pros The practice management end of NextGen is great. This means consistently good checkin, billing, collections, and AR processes. Cons EHR tends to become more of a mess as time goes on. Instead of fixing glitches and even critical known issues, with each release comes new features that we didn't ask for. Alternatives considered [Epic](https://www.capterra.com/p/122278/EpicCare-EMR/) Reason for choosing NextGen Office Customizability and cost. Review Source CN Claire N. Used the software for: ### "" June 23, 2011 5.0 We are a relatively small 6-provider midwifery practice in Anchorage, Alaska. We used Lytec for years, but wanted to move to something web-based that was highly functional, but also affordable for mid-level providers. HealthFusion stood out as one of the only companies that was willing to differentiate in pricing between a group of MD's, and a group of NP's and midwives, as the difference in the amount of reimbursement is obviously significant. We found the \[slightly more time-intensive\] self-serve training process to be well worth the savings in up-front costs, which was another big difference between HealthFusion and other players in the market, like Advanced MD and NeuMD, to name a few. We find it quite easy to use, on the whole. We appreciate the fact that when we do make suggestions as to how to improve certain processes or interfaces, our suggestions tend to be adopted, or at least addressed by the engineers, via customer service... And speaking of customer service, theirs really is excellent, as their salespeople will of course tell you. Our calls are always answered promptly and our issues dealt with promptly - plus virtually everyone on their CS staff is extraordinarily pleasant to talk to, so calling CS is never a chore. I also like the fact that their sales people stay in touch with the customers, so I can always call Greg and get the same level of attention that we did when he was trying to make the sale, which I've discovered is quite rare among other companies. The only gripe we might have - and I have no way of knowing whether this is unique to them or par for the course among web-based software providers - is that the site does go down or experience difficulties about once every other month, but usually only for a few hours. Certain processes like posting insurance payments take longer with HealthFusion than with our old client-server software, but that is also partly because our old software just let you input whatever you wanted, whereas HealthFusion has you posting the actual insurance checks before you can apply the payment to claims so that they are linked and verifiable. This is but one example of how their PM can be more time-consuming to use, but is much more rigorous from an accounting and audit standpoint, which is good overall. I trust the numbers that come out of HealthFusion's PM much more than Lytec's reports for things like outstanding A/R and productivity numbers for each provider. I've had an easier time staying on top of aging claims with HealthFusion than I used to with our old software. Overall we are very happy with HealthFusion's PM, and are just now starting the process of integrating their EMR into our practice. Review Source VS Vishal S. Business Associate Hospital & Health Care Used the software for: 6-12 months ### "User friendly RCM platform" May 2, 2023 5.0 One of the best software in the market. Pros The features that i like compared to other software that i used so far, downloading medical records from EHR tab, filing claims, posting payment & denials. The product is really user friendly takes only few days to understand the interface, it's not at all confusing, nice product in medical billing domain. I use the software daily for various claims related work as i am A.R caller and our job is to work on denied claims. It really helps to carry out our day to day work. Cons No cons as of now, that i came across while working. Review Source pP patti P. Controller Hospital & Health Care Used the software for: 1-2 years ### "NextGen is a great option for your medical billing needs." November 28, 2023 5.0 Overall, I had a great experience with NextGen. The report features were nice in that you can save and share the reports amongst other users. Pros The software is user friendly. I liked the reporting function and the ease of creating and sharing reports. Cons Some of the data could be misconstrued based on the various date options within NextGen. For example, there were transaction dates, dates of service and dates of entry. Review Source Talk to a Capterra advisor for free and get results within 15 minutes.