EMR Comparison
Krasyn vs. athenahealth
athenahealth charges a percentage of your collections — meaning your EMR gets more expensive as your practice grows. Krasyn is flat-rate, AI-native, and built to support the economics of independent outpatient medicine.
Feature Comparison
A side-by-side look at how Krasyn and athenahealth stack up on the features that matter most to outpatient clinicians. “Q4 2026” marks items on Krasyn's active roadmap — not yet shipped.
| Feature | Krasyn | athenahealth |
|---|---|---|
| AI ambient SOAP notes (real-time during encounter) | Included | Partial / Add-on |
| Real-time E/M level coding suggestions | Included | Included |
| ICD-10 code suggestions during documentation | Included | Included |
| Billing code confidence scoring | Included | Included |
| Purpose-built for outpatient medicine | Included | Included |
| DPC / membership practice billing | Included | Not included |
| Practice-level pricing (no per-seat lock-in) | Included | Not included |
| Free tier available | Included | Not included |
| Telehealth built-in | Included | Partial / Add-on |
| Patient portal included | Included | Included |
| FHIR R4 interoperability | Included | Included |
| Lab ordering & results review | Included | Included |
| Standard e-prescribing | Q4 2026 | Included |
| EPCS (controlled-substance e-Rx) | Q4 2026 | Included |
| Care plan management | Q4 2026 | Partial / Add-on |
| Custom analytics & reports | Q4 2026 | Included |
| Structured data migration support | Included | Partial / Add-on |
| Typical time to go live | 4–8 weeks | 3–6 months |
| Signup process | Sign up online, no call needed | Demo call required |
Competitor feature data sourced from public documentation and third-party reviews as of August 2026. Contact us if anything is out of date.
Pricing Comparison
Krasyn publishes its prices. No quote required to get started.
Krasyn
AI scribe for one clinician: 10 AI-drafted notes each month. No patient chart required.
For 1–15-provider non-prescribing therapy, counseling, and behavioral health practices.
For 1–3-provider medical practices after a readiness review.
For 4–15-provider medical practices after a readiness review.
athenahealth
Published minimum. Actual cost scales with a percentage-of-collections model (typically 4–7% of collected revenue).
athenahealth often bundles RCM services; the percentage model means your EMR cost rises as your practice grows.
Implementation fees are billed per provider and are separate from the ongoing monthly/collections cost.
Why Physicians Switch from athenahealth
Three recurring pain points we hear from practices exploring a move away from athenahealth.
Your EMR costs more as you succeed
athenahealth's percentage-of-collections model ties your EMR bill directly to your revenue. A practice that grows — whether through adding providers, improving billing efficiency, or increasing encounter volume — pays progressively more for the same software without a corresponding increase in value.
Krasyn's answer
Krasyn charges at the practice tier level, not as a cut of collections. A more productive practice does not get a higher EMR bill.
Mandatory RCM bundling limits flexibility
athenahealth bundles RCM services with its EMR in a way that makes it difficult to separate the two. Practices that have a billing team they trust, or that want to use a specialist RCM vendor, find it hard to use only the EHR component.
Krasyn's answer
Krasyn separates EMR documentation and billing review from outsourced RCM. You keep your existing billing team or partner; Krasyn handles documentation and surfacing coding opportunities for their review.
Implementation takes longer than advertised
athenahealth implementations are typically quoted at 60–90 days, but practices report 3–6 months when data migration complexity, custom template configuration, and staff training are accounted for. Parallel run periods extend the total disruption window.
Krasyn's answer
Krasyn's migration planning scopes the data categories and timeline upfront. A small outpatient practice can typically reach full production in 4–8 weeks including a parallel review window.
What Makes Krasyn Different
AI-native SOAP notes
Ambient AI drafts structured clinical notes during the encounter — HPI, ROS, assessment, and plan — grounded against the visit transcript. Providers review and sign; they do not dictate or type from scratch.
Real-time E/M + ICD-10 coding
As the note is drafted, E/M level and ICD-10 codes are suggested with confidence scores and supporting context — surfacing undercoding opportunities before the encounter closes.
DPC-first pricing
Krasyn was designed around the economics of independent outpatient medicine — including Direct Primary Care. Membership billing is built-in, not an add-on.
No per-seat lock-in
Krasyn bills at the practice level, not per provider seat. Add a covering physician, a PA, or a nurse practitioner without a pricing cliff.
Frequently Asked Questions
How does Krasyn's pricing model differ from athenahealth's?
athenahealth uses a percentage-of-collections model (typically 4–7% of collected revenue) on top of a per-provider monthly minimum. Krasyn bills at the practice tier level — a flat monthly rate that does not scale with your revenue or number of visits. Krasyn also publishes its prices publicly; no custom quote is required to get started.
Does Krasyn include RCM services like athenahealth?
Krasyn includes AI-assisted billing code review — surfacing E/M level and ICD-10 suggestions during documentation so billing staff or your RCM partner can act before the claim is submitted. Full-service outsourced RCM (claim submission, denial management, collections follow-up) is handled by your billing team or a third-party RCM vendor of your choice. Krasyn does not bundle or require RCM services.
Can I migrate my patient data from athenahealth to Krasyn?
Yes. Krasyn uses athenahealth FHIR APIs and structured export paths to migrate agreed data categories: demographics, active medications, problem lists, allergies, clinical notes, lab results, and billing history. The scope and timeline are agreed during a migration assessment before any cutover begins.
How does Krasyn's ambient AI compare to athenahealth's AI documentation?
Krasyn's ambient AI drafts the complete SOAP note structure during the encounter — grounded against the visit transcript with section-level sourcing. An unreviewed AI section blocks signing until the provider edits or explicitly accepts it. athenahealth has been adding ambient documentation features; specific capability depth varies by plan and is evolving.
Does Krasyn work for DPC practices that athenahealth's model doesn't fit?
Yes. Krasyn includes membership billing support for Direct Primary Care practices. The flat practice-tier pricing is also a better fit for DPC economics than a percentage-of-collections model, since DPC revenue is membership-based rather than fee-for-service.
Compare Krasyn with other EMRs
Ready to see Krasyn for yourself?
Plans that store patient records are open for sign-ups, with our standard HIPAA Business Associate Agreement presented for review and electronic acceptance inside your workspace. Prices above are unchanged.