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EMR Comparison

Krasyn vs. Practice Fusion

Practice Fusion is a solid entry-level EMR without ambient AI. Krasyn adds real-time AI documentation, a free tier to start, and DPC-first pricing — with no annual commitment required.

Feature Comparison

A side-by-side look at how Krasyn and Practice Fusion stack up on the features that matter most to outpatient clinicians. “Q4 2026” marks items on Krasyn's active roadmap — not yet shipped.

FeatureKrasynPractice Fusion
AI ambient SOAP notes (real-time during encounter)IncludedNot included
Real-time E/M level coding suggestionsIncludedPartial / Add-on
ICD-10 code suggestions during documentationIncludedIncluded
Billing code confidence scoringIncludedNot included
Purpose-built for outpatient medicineIncludedIncluded
DPC / membership practice billingIncludedNot included
Practice-level pricing (no per-seat lock-in)IncludedNot included
Free tier availableIncludedNot included
Telehealth built-inIncludedPartial / Add-on
Patient portal includedIncludedIncluded
FHIR R4 interoperabilityIncludedPartial / Add-on
Lab ordering & results reviewIncludedIncluded
Standard e-prescribingQ4 2026Included
EPCS (controlled-substance e-Rx)Q4 2026Included
Care plan managementQ4 2026Partial / Add-on
Custom analytics & reportsQ4 2026Partial / Add-on
Structured data migration supportIncludedPartial / Add-on
Typical time to go live4–8 weeks2–6 weeks
Signup processSign up online, no call neededDemo 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 Contact us if anything is out of date.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

Free$0 / mo

AI scribe for one clinician: 10 AI-drafted notes each month. No patient chart required.

Therapy Practice$79 / provider / mo

For 1–15-provider non-prescribing therapy, counseling, and behavioral health practices.

Founding Starter$249 / provider / mo

For 1–3-provider medical practices after a readiness review.

Growth$429 / provider / mo

For 4–15-provider medical practices after a readiness review.

Practice Fusion

EHR Subscription$149/provider/mo

Per-provider, billed monthly with an annual commitment. Publicly listed on practicefusion.com/pricing.

ePrescribe Add-onAdditional fee

ePrescribing (including EPCS) is available as a separate subscription on top of the base EHR plan.

Free tierNone

Practice Fusion does not offer a free tier — the minimum spend is $149/provider/month on an annual contract.

Why Physicians Switch from Practice Fusion

Three recurring pain points we hear from practices exploring a move away from Practice Fusion.

No ambient AI — physicians still document after hours

Practice Fusion does not offer ambient AI documentation. Physicians using Practice Fusion still dictate or type notes after each encounter, contributing to the documentation burden that drives clinician burnout in high-volume outpatient settings.

Krasyn's answer

Krasyn's ambient AI drafts structured SOAP notes during the encounter. Providers review and sign a draft rather than authoring a note from scratch. The AI sections are grounded against the visit transcript and require explicit provider acceptance before signing.

Dated UI requires significant click overhead

Practice Fusion's interface has evolved slowly since its early cloud EMR days. Clinicians regularly report excessive navigation steps to complete routine tasks — routing through multiple tabs to order a lab, adding a medication, or accessing billing — that add up across a full clinic day.

Krasyn's answer

Krasyn is designed around the outpatient encounter flow. Ordering, documenting, and coding happen in a unified encounter view rather than across disconnected modules.

Limited specialty customization

Practice Fusion serves a broad general medicine market, which means specialty-specific workflows, note templates, and procedure code sets require manual configuration or workarounds. Practices with specialty-specific needs often find themselves fighting the system's defaults.

Krasyn's answer

Krasyn ships specialty-shaped workflows for dermatology, behavioral health, weight management, and DPC primary care — with note templates, intake fields, and billing codes tuned to each specialty.

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

What is the main difference between Krasyn and Practice Fusion?

The largest functional difference is AI documentation. Practice Fusion requires providers to dictate or type notes; Krasyn drafts structured SOAP notes during the encounter using ambient AI. Krasyn also includes a free tier, while Practice Fusion's minimum is a per-provider monthly subscription with an annual commitment.

Can I migrate my data from Practice Fusion to Krasyn?

Yes. Practice Fusion supports FHIR-based and structured export paths. Krasyn's migration process covers demographics, active medications, problem lists, allergies, clinical notes, lab results, and scheduling history. The migration scope and timeline are agreed during a structured assessment before any cutover.

Does Krasyn support ePrescribing like Practice Fusion?

E-prescribing (standard Rx and EPCS) is on Krasyn's active roadmap, targeted for Q4 2026. Practice Fusion includes standard e-prescribing and offers EPCS as an add-on. If e-prescribing is a current workflow requirement, factor that timeline into your evaluation.

How does billing support compare between Krasyn and Practice Fusion?

Krasyn surfaces E/M level and ICD-10 coding suggestions with confidence scores during documentation — before the claim is submitted. Practice Fusion includes basic billing workflows and code lookup but does not offer AI-driven coding review. Both platforms support billing team or third-party RCM integration.

Does Krasyn offer telehealth like Practice Fusion?

Yes. Krasyn includes built-in telehealth for scheduled and on-demand video encounters within the same platform as in-person documentation and billing. Telehealth encounters use the same AI documentation workflow as in-office visits.

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.