Top 10 Tebra Alternatives for Physical Therapy Practices in 2025: Compare and Choose

Tebra (formerly Kareo and PatientPop) is a comprehensive EHR and practice management platform formed from the 2021 merger of clinical billing and patient engagement tools. The platform offers integrated electronic health records, billing, scheduling, and reputation management designed for independent medical practices.

While Tebra receives a 79% user satisfaction rating based on 1549 reviews across 4 recognized platforms, many practices explore alternatives that offer different approaches to clinical workflows, customer support, and specialized features to better align with their operational needs.

This guide examines the top 10 Tebra alternatives, icluding SPRY PT, Web PT, etc comparing features, user experiences, and practice fit to help you find the right EHR solution—all backed by verified user reviews and documented capabilities.

Understanding Tebra's Current Position

What Tebra Offers

Tebra provides a cloud-based platform that integrates EHR, practice management, billing, telehealth, and patient engagement tools into a unified system. Its core features include:

• Electronic health records with AI-assisted note generation
• Integrated billing and revenue cycle management
• Patient scheduling and online booking capabilities
• Telehealth services and secure patient portal
• Reputation management and marketing tools
• Mobile accessibility for healthcare providers

Platform Strengths

Tebra is noted for its intuitive user interface and enables users to complete most tasks in just a few clicks. Minimal training is required to get new users up to speed with Tebra's medical software. The software is particularly beneficial for small to medium-sized clinics due to its ease of use and productivity-enhancing shortcuts and templates.

Areas for Platform Enhancement

Based on documented user experiences, some practices look for alternatives that offer:

Enhanced Customization Options:Some users have reported limitations in customization (particularly for specialized fields like mental health), leading practices to seek platforms with more flexible workflow adaptation.

Performance Optimization:The Tebra system can be slow, especially when documents are being uploaded, prompting some users to explore solutions with optimized performance standards.

Support Model Preferences:Tebra has a reputation for poor outsourced customer support, with some practices preferring different support structures or response time models.

How Different Platforms Approach Key Practice Needs

Customization and Workflow Flexibility

Industry Approach:Modern EHR platforms recognize that different medical specialties require tailored workflows and documentation processes.

Platform Solutions:

• SPRY: Offers system modifications with turnaround time as little as 6 hours, allowing practices to customize fields, billing configurations, and specialty-specific workflows
• NextGen Healthcare: Provides highly configurable workflows with extensive template customization options
• eClinicalWorks: Features comprehensive customization capabilities for various medical specialties
• SimplePractice: Offers flexible templates and workflow adaptation for diverse healthcare professionals

System Performance and Reliability

Industry Approach:Healthcare practices require consistent, responsive performance during patient care delivery and administrative tasks.

Platform Solutions:

• SPRY: Features automated workflows and cloud-based architecture designed for efficient performance across desktop and mobile devices
• athenahealth: Built on cloud-native infrastructure with performance monitoring and optimization
• Epic: Provides enterprise-grade infrastructure with proven reliability standards
• DrChrono: Emphasizes mobile-optimized performance with responsive user interfaces

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Top Tebra Alternatives

1. athenahealth

A cloud-native platform recognized for comprehensive revenue cycle management and clinical decision support capabilities.

Strengths:

• Proven cloud infrastructure with high reliability standards
• Comprehensive revenue cycle management tools
• Built-in population health management capabilities
• Strong interoperability and care coordination features
• Advanced analytics and reporting functionality
• Established market presence with extensive user base

Best For: Practices prioritizing robust revenue cycle management and comprehensive clinical decision support.

2. NextGen Healthcare

Established EHR platform offering extensive customization options and specialty-specific workflows for various practice sizes.

Strengths:

• Highly customizable platform with flexible workflow configuration
• Strong mobile accessibility and user interface design
• Comprehensive specialty templates and documentation tools
• Excellent interoperability with other healthcare systems
• Proven track record across thousands of medical practices
• Scalable architecture for practices of all sizes

Best For: Practices requiring extensive customization capabilities and established platform reliability.

3. SPRY

SPRY is an all-in-one clinic management solution designed specifically for physical therapy clinics. The software combines a comprehensive suite of features including appointment scheduling, billing and claims management, electronic medical records, and insurance eligibility verification into an integrated system.

Key Features:

• AI-powered documentation with auto-filling fields that reduce note-taking time by 30%
• Rapid customization capabilities with system updates completed within 6 hours to 2 weeks
• Smart billing engine with up-to-date compliance standards and billing rules
• Mobile-friendly platform accessible across desktop and mobile devices
• Specialty-specific workflows for rehabilitation practices

User Experience:

User feedback indicates that "Spry has been very receptive to our customization requests" and "whenever there are any issues, Spry is quick to acknowledge the issue and then address it". Capterra

Best For: Rehabilitation practices seeking modern documentation tools with rapid customization capabilities.

4. SimplePractice

Modern, user-friendly practice management platform serving various healthcare specialties with emphasis on ease of use and patient engagement.

Strengths:

• Intuitive, contemporary interface design
• Comprehensive patient engagement and communication tools
• Integrated telehealth capabilities
• Strong customer support reputation
• Competitive pricing structure for independent practices
• HIPAA-compliant messaging and documentation systems

Best For: Small to medium practices prioritizing user experience and patient engagement across multiple healthcare specialties.

5. eClinicalWorks

Comprehensive EHR solution serving multiple medical specialties with robust feature sets and customization options.

Strengths:

• Extensive customization options for various medical specialties
• Population health management and analytics capabilities
• Advanced reporting tools and clinical decision support
• Voice recognition and mobile accessibility features
• Strong interoperability standards and health information exchange
• Scalable platform supporting different practice sizes

Best For: Multi-specialty practices or larger organizations requiring comprehensive EHR functionality.

6. Epic (Epic Express for smaller practices)

Industry-leading EHR platform known for exceptional reliability and comprehensive clinical feature sets.

Strengths:

• Unmatched system reliability and performance standards
• Comprehensive clinical decision support and care coordination
• Advanced patient portal and engagement features
• Strong interoperability and health information exchange capabilities
• Proven track record in healthcare institutions
• Continuous innovation and feature development

Best For: Larger practices or health systems requiring enterprise-grade reliability and comprehensive clinical tools.

7. AdvancedMD

Cloud-based practice management and EHR solution focusing on billing efficiency and practice growth optimization.

Strengths:

• Strong billing and revenue cycle management capabilities
• Comprehensive practice management tools and workflows
• Advanced reporting and analytics functionality
• Multi-location support and practice scalability
• Integrated patient engagement and communication tools
• Competitive pricing structure with transparent costs

Best For: Practices prioritizing billing efficiency and comprehensive practice management functionality.

8. DrChrono

Modern, iPad-native EHR platform emphasizing mobile functionality and contemporary user experience design.

Strengths:

• Excellent mobile interface and cross-device functionality
• Strong patient engagement and telehealth integration
• Flexible customization options with API access
• Competitive pricing for independent medical practices
• Modern, intuitive user interface design
• Streamlined implementation and onboarding process

Best For: Tech-forward practices prioritizing mobile functionality and modern user interface design.

9. Practice Fusion (by Veracyte)

Cloud-based EHR offering cost-effective solutions for smaller practices with essential clinical and administrative features.

Strengths:

• Cost-effective pricing structure for budget-conscious practices
• Straightforward, easy-to-navigate interface
• Quick implementation process with minimal complexity
• Essential clinical documentation and practice management tools
• Cloud-based accessibility from multiple locations
• Suitable for practices with straightforward operational needs

Best For: Solo practitioners or small practices with essential EHR needs and budget considerations.

10. Greenway Health

Comprehensive healthcare technology platform offering integrated EHR, practice management, and analytics tools with strong support services.

Strengths:

• Balanced feature set combining usability with comprehensive functionality
• Strong customer support and training programs
• Comprehensive practice management and clinical capabilities
• Flexible deployment options and implementation support
• Advanced reporting and analytics tools
• Established presence in healthcare technology market

Best For: Independent practices seeking comprehensive functionality with strong support and training resources

Decision Framework for Your Practice

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FAQs

Why are healthcare practices looking for alternatives to Tebra in 2025?

Many practices are exploring alternatives to Tebra due to specific limitations they’ve encountered. While Tebra offers a comprehensive platform, users report challenges with customization options, particularly for specialized fields like mental health or physical therapy. System performance issues, especially during document uploads, have frustrated busy practices. The outsourced customer support model has led to delayed response times and resolution challenges. Additionally, some practices find that as they grow, they need more advanced features or specialty-specific workflows that Tebra doesn’t fully support. These pain points have prompted many healthcare organizations to evaluate other options that might better align with their specific operational needs.

What are the top Tebra alternatives available in 2025?

The leading Tebra alternatives in 2025 include athenahealth, NextGen Healthcare, SPRY, SimplePractice, eClinicalWorks, Epic, AdvancedMD, DrChrono, Practice Fusion, and Greenway Health. Each offers distinct advantages: athenahealth excels in revenue cycle management with proven cloud infrastructure; NextGen Healthcare provides extensive customization options; SPRY delivers AI-powered documentation specifically designed for physical therapy practices; SimplePractice offers an intuitive interface with strong patient engagement tools; eClinicalWorks provides comprehensive customization for various specialties; Epic offers enterprise-grade reliability for larger organizations; AdvancedMD focuses on billing efficiency; DrChrono emphasizes mobile functionality; Practice Fusion provides cost-effective solutions for smaller practices; and Greenway Health balances usability with comprehensive functionality.

Which Tebra alternative offers the most modern user experience?

Based on user feedback and interface design, DrChrono and SPRY currently offer the most modern user experiences among Tebra alternatives. DrChrono was built as an iPad-native platform, resulting in an intuitive, mobile-first interface that works seamlessly across devices. Its clean design and logical workflow organization minimize clicks and reduce the learning curve for new users. SPRY similarly emphasizes modern design principles with its AI-powered interface that adapts to user behavior patterns. Both platforms feature customizable dashboards that allow users to prioritize their most-used functions, reducing navigation time. SimplePractice also receives high marks for its contemporary interface design, particularly for its patient engagement tools and streamlined documentation workflows. When evaluating user experience, request extended demos to test how each platform handles your specific daily workflows.

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Conclusion

Tebra has established itself as a comprehensive solution for independent medical practices, particularly excelling in user-friendly design and integrated practice management capabilities. The platform is especially well-suited for new practices, offering implementation support and automated systems designed to help practices succeed from the start.

The healthcare technology landscape offers diverse EHR solutions, each with distinct approaches to serving medical providers. The alternatives outlined in this guide represent different philosophies and strengths, allowing practices to select solutions that align with their specific operational requirements and growth objectives.

For practices seeking modern, AI-powered workflows, platforms like SPRY offer advanced automation and rapid customization capabilities.

The optimal choice depends on your practice's unique priorities: whether you value rapid customization, system reliability, billing optimization, user experience, or comprehensive functionality. Each platform serves different practice needs effectively, and the right selection enhances operational efficiency while supporting quality patient care.

When evaluating alternatives, conduct demonstrations of multiple platforms, involve both clinical and administrative staff in the assessment process, and carefully evaluate how each solution addresses your practice's specific operational requirements. The investment in selecting the appropriate EHR solution yields long-term benefits in workflow efficiency, administrative optimization, and enhanced patient satisfaction.

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