Nextech Review: EHR & PM Software Built for Niche Practices

Company Overview

Nextech is a healthcare technology provider specializing in software for niche medical fields such as dermatology, ophthalmology, orthopedics, plastic surgery, and med spa services.

Founded in 1997 and headquartered in Tampa, Florida, they now serve over 16,000 physicians, 5,550 practices, and over 60,000 office staff members nationwide. Their mission is to deliver purpose-built technology that empowers providers to work more efficiently, engage patients meaningfully, and ultimately improve health outcomes.

Their platform integrates electronic medical records (EMR/EHR), patient engagement, revenue cycle management, and practice management software into an ONC-certified system. Designed with input from specialty physicians, Nextech’s software supports various operational needs, including clinical documentation, scheduling, compliance, and mobile access.

In 2019, Nextech was acquired by THL Partners, a private equity firm with an active portfolio in healthcare IT. THL’s investment supported Nextech’s continued innovation, expansion, and focus on delivering specialized solutions for medical practices. 

What Features & Solutions Do They Offer?

General EHR

• Specialty-specific EHR: They provide EHRs for dermatology, ophthalmology, orthopedics, plastic surgery, and med spas designed around each specialty’s workflows. These help clinicians document faster and more accurately while staying focused on patient care
• Customizable templates: They let each provider tailor charts to personal preferences, which reduces clicks and improves documentation consistency across the practice
• Smart Workflows® and flexible data: They minimize repeat entry and auto-generate exam content from prior data, which speeds charting and reduces errors
• Bright stamping with 3D models: With a few taps, exams, assessments, plans, and codes are prepopulated, which increases charting speed and accuracy during high-volume clinics
• Photo management: They capture and annotate images directly in the chart with side-by-side or overlay comparisons, strengthening documentation and engaging patients in their treatment plans
• iPad and mobile apps: They allow providers to review, document, e-prescribe, sign labs, and access photos from a phone or tablet, which adds flexibility and helps finish work on time
• e-Prescribing and EPCS with PDMP: They streamline prescriptions for controlled and noncontrolled substances and surface interaction checks, which improve safety and help meet compliance mandates in less time
• Lab integrations: They support ordering and result review inside the chart, keeping clinicians in one system and accelerating decision-making
• Telemedicine: They enable secure video visits while documenting in real time, which preserves productivity and extends access for patients who cannot come in
• Subspecialty charting: They include glaucoma flowsheets, cataract surgery planners, plastics-specific charting, and med spa treatment tracking, which aligns documentation to subspecialty needs
• Layered drawings and automatic letters: They auto-generate modifiable drawings and referral letters from findings, which cuts administrative time and standardizes communication
• Integrated ASC charting: They share clinical and PM data across the clinic and ASC, reducing duplicate entry and smoothing perioperative workflows
• PACS and device integrations: These connect imaging and equipment to the EHR, bringing clinical data together and improving workflow continuity
• HIPAA-compliant dictation: They support voice-to-text and commands inside the EHR, which speeds note completion and reduces typing fatigue

Practice management

• Advanced scheduling: They offer drag-and-drop scheduling with multi-location and multi-provider support, which helps fill gaps and prevent lost revenue
• One-minute patient intake: They enable pre-visit forms and streamlined check-in, which shortens visits and increases daily throughput
• Memberships, packages, and subscriptions: Their solutions allow practices to set recurring payment plans, auto-apply discounts, and track usage, creating a predictable cash flow
• Inventory and point of sale: They track stock, automate purchasing, and manage retail sales at checkout, which supports optical, med spa, and cosmetic retail without extra systems
• Optical and DME billing: They handle optical retail billing and durable medical equipment claims, consolidating financial operations for mixed clinical-retail practices
• Integrated payments: They accept all major payment types, enable recurring and tap-to-pay transactions, and auto-reconcile, which speeds collections and reduces manual errors
• Insurance eligibility and benefit checks: They verify coverage up front, lowering denials and eliminating patient surprises
• Revenue cycle management (RCM): They combine automated claim creation, code-scrubbing rules, real-time error alerts, and ERA auto-posting, which improves first-pass resolution, reduces AR, and maximizes reimbursements

Patient engagement and marketing

• Patient portal and mobile access: These let patients schedule, complete forms, view records, and pay online, reducing inbound calls and improving satisfaction
• Lead management: They automatically capture, route, and track 100 percent of leads with tasking and reminders, which improves conversion from inquiry to appointment
• Marketing automation and two-way texting: They support targeted email, SMS, and call campaigns with ROI tracking, which helps practices cut waste and invest in the channels that perform
• Reputation management and surveys: Their software centralizes feedback collection and response across sites like Google and Healthgrades, which strengthens online presence and retention
• CRM for specialty practices: They offer HIPAA-compliant CRM tools that centralize lead flow, automate follow-ups, and segment audiences, improving conversion, saving staff time, and enhancing the patient experience
• TouchMD patient engagement: They integrate education, clinical photography, digital consents, teleconsults, and targeted outreach, elevating consult quality and supporting upsell opportunities
• Referral network and shared care: They simplify secure referrals and data sharing, which builds external relationships and speeds coordinated care

Analytics and reporting

• Advanced Analytics dashboards: They connect PM and EHR data into role-based, near real-time views, which give leaders immediate insight into clinical, financial, and operational performance
• KPI tracking and alerts: They provide prebuilt and configurable dashboards with threshold alerts, which help teams act quickly on trends and risks
• At-risk and overdue patient identification: They surface patients due for procedures or follow-ups, which supports proactive outreach and improved outcomes
• Operational and revenue insights: They analyze appointment patterns, provider productivity, equipment utilization, marketing ROI, and year-over-year revenue, which informs staffing, scheduling, and growth plans

Compliance and security

• HIPAA-certified cloud platform: They host data in a secure cloud with multiple physical and digital safeguards and continuous monitoring, which protects PHI and lowers IT burden
• Regulatory performance monitoring: They display in-chart quality indicators and MIPS prompts, which help providers capture required data and optimize reimbursement
• Audit trails and role-based access: They log user activity and control permissions, strengthening security and supporting audit readiness
• Data security beyond HIPAA: They use encryption, backups, and recovery protocols, which reduce risk from outages or incidents and maintain business continuity
• Interoperability and CCDA support: They exchange data with non-Nextech practices and external systems, which preserves continuity of care and meets information-sharing expectations

AI capabilities

• AI Scribe: They use ambient listening to draft clinical notes that providers review and finalize, reducing keyboard time and opening capacity to see more patients daily
• Empathetic documentation capture: They automate the capture of key encounter details, allowing clinicians to maintain eye contact and strengthen patient rapport without sacrificing documentation quality
• Data-driven insights: They analyze operational patterns like average appointment times by procedure, which helps leaders optimize capacity and scheduling
• Responsible AI development: They emphasize ethical and compliant AI practices supporting safe adoption in regulated clinical environments

What Plans & Pricing Options Do They Offer?

Nextech does not promote pricing information on their website, and no publicly available details on plan structures or cost ranges exist. It is not specified whether each solution is sold separately, offered as part of a bundled package, or tailored based on a practice’s specialty.

The company does not confirm if customers can select individual features or if pre-set configurations determine pricing. Ultimately, any details about costs, contract terms, or included features must be obtained directly from their sales team.

Their Advantages

• Specialty-focused design for niche practices: Nextech have built their platform with features tailored to specialties like ophthalmology, dermatology, plastic surgery, and med spas, which can reduce the need for heavy customization for these practices
• Fully integrated EHR and practice management system: Having both EHR and PM in a single platform can eliminate the need for third-party integrations, helping practices save time on data syncing and reduce the risk of errors
• Flexible workflow customization: Templates, chart layouts, and scheduling can be adjusted by provider or service type, allowing practices to adapt the system to their processes without compromising efficiency
• Built-in tools for image-heavy specialties: Features like high-resolution image management and side-by-side comparisons are useful for providers in visual fields, improving patient consultations and treatment tracking
• Robust scheduling with drag-and-drop and color coding: A calendar system designed for busy multi-provider practices makes it easier to manage appointments, reschedule quickly, and reduce front desk workload
• Revenue cycle management within the same platform: Practices can handle claims, payments, and billing analytics directly in Nextech, which can help reduce errors and speed up reimbursements
• AI-assisted capabilities for documentation and workflow: Emerging AI tools in the platform can speed up repetitive tasks and improve chart accuracy without requiring separate software
• Multi-location support with centralized data: Practices operating in multiple sites can manage scheduling, records, and reporting from one system, avoiding the complexity of juggling separate databases

Their Disadvantages

• Pricing transparency is lacking: Costs are not published, leaving prospective customers unsure of whether solutions are bundled, sold separately, or priced by specialty, which can make budgeting difficult
• Support responsiveness can be inconsistent: Some customers report delays or multiple handoffs before resolving issues, which may affect practices that need quick solutions to keep daily operations on track
• Steeper learning curve for some users: Customer feedback indicates that onboarding and navigation can take time to master, especially for those new to medical software or without prior EHR experience
• Narrow target market for specialties: Because Nextech is tailored to specific fields like ophthalmology, dermatology, plastic surgery, and med spas, they may not be the best fit for practices in less common or unrelated specialties
• Contract flexibility may be limited: Reports of automatic renewals and multi-year commitments suggest that it may be difficult for customers to scale down or change services without financial penalties

The User Experience

Overall, customer feedback is mixed, but usability and specialty fit trends are positive. Currently, Nextech holds a 4.3 out of 5 on G2, a 4.0 out of 5 on Capterra, and a 4.0 out of 5 on Software Advice. The company also has a Better Business Bureau profile, where they are not accredited and are currently rated D minus due to two unanswered complaints in the last three years.

Positive reviews

Users consistently highlight that the platform is easy to learn and navigate, with fast access to charts, images, medication history, and notes that keep visits moving. Teams also praise the drag-and-drop scheduling, color-coded calendars, and quick patient search, reducing front desk effort and making rescheduling straightforward. Practices operating across locations note that the software supports multi-site workflows without friction.

Clinics appreciate the ability to tailor templates, one-page charting layouts, and workflows by provider or service line, which they say improves documentation speed and fit for specialties like ophthalmology, dermatology, and plastic surgery. Many mention that integrations and built-in analytics help with everyday tasks such as billing, claim scrubbing, and inventory.

Negative reviews

Critical reviews most often focus on support responsiveness and implementation. Some customers report long wait times or multiple handoffs before issues are resolved. In contrast, others say onboarding and data migration took longer than expected or required more self-configuration. Several reviews cite difficulties running or reconciling specific reports and note occasional glitches interrupting documentation.

Pricing and contract structure are recurring pain points. Reviewers mention high costs for specific modules or connections, concerns about automatic renewals and multi-year commitments, and frustration when canceling or adjusting services. Additionally, med spa and cash pay users say the product felt better suited to insurance billing workflows than their needs.

Customer Support & Service Options

Nextech offers multiple support channels, including phone assistance at 866-654-4396, sales inquiries at 800-868-3694, an AI-powered website chatbot, an online contact form for support requests, and a separate form to schedule a demo.

Clients can also use the client support portal to access educational content and product support information, and the community portal to log support tickets and connect with other users. Nextech’s resource center and blog page provide further training materials to help users get the most out of the platform.

Conclusion

Nextech is a medical software provider focusing on specialties such as ophthalmology, dermatology, plastic surgery, and med spas. They combine specialty-specific EHR tools with practice management capabilities, allowing practices to handle documentation, scheduling, and billing within one system.

This focus enables them to deliver solutions that align closely with the workflows and compliance needs of these fields, while still offering flexibility and scalability for different practice sizes.

Their advantages include tailored specialty features, integrated workflows that connect clinical and administrative tasks, and a client support portal that offers educational resources alongside interactive tools. Conversely, drawbacks include a steeper learning curve for new users, a more limited target market that may not meet other practices' needs, and occasional concerns about pricing transparency or support responsiveness reported by customers.

For practices considering Nextech, comparing their capabilities with other EHR systems may be helpful in finding the best fit. You can explore our medical software reviews, use our comparison tool to assess Nextech alongside other providers, and browse our blog page for additional insights.