Navigating the Digital Landscape: A Comprehensive Review of Top Urology EHR of 2025

I. Dive into Digital Delights! 1

A. The Unique Needs of Urology Practices for EHRs 2

B. Scope of the Article 2

II. Essential Features for Urology EHRs 2

A. Urology-Specific Templates and Workflow Customization 3

B. Comprehensive Patient History and Data Management 3

C. Robust Billing, Coding, and Revenue Cycle Management (RCM) Capabilities 3

D. Seamless Interoperability and Lab Integration 3

E. Strong Security and HIPAA Compliance 3

F. User-Friendly Interface and Mobile Accessibility 4

G. Reliable Customer Support and Training 4

III. Top 5 EHR Systems for Urology Physicians: In-Depth Reviews 4

A. Modernizing Medicine EMA® Urology 4

B. UroChartEHR by IntrinsiQ (Cencora) 7

C. iSalus UroChoice EHR 10

D. RXNT for Urology 13

E. NextGen Healthcare EHR (Urology Focus) 16

IV. Comparative At-a-Glance: Feature Matrix of Top Urology EHRs 19

V. Making Your Choice: Recommendations for Urology Practices 21

A. Recap of the Importance of Due Diligence 21

B. Assessing Individual Practice Needs Against EHR Offerings 21

C. Tips for Requesting Demos and Asking the Right Questions 22

D. Final Thoughts on Future-Proofing Your EHR Selection 22

I. Dive into Digital Delights!

Buckle up, folks! We’re blasting off into the fantastic future of healthcare, where paper charts are so last century. Yes, we’re talking about the wild and wonderful world of the Top 5 Urology EHRs of 2025! And guess what? If you’re rocking a urology practice, picking the perfect EHR system isn’t just important—it’s like choosing the ultimate superhero sidekick! This trusty digital companion will turbocharge your clinic’s efficiency, make your patient care shine brighter than a diamond, and keep your financial health in tip-top shape. Urologists are dealing with a whole rainbow of patient needs, from managing long-term buddies with BPH or tackling prostate cancer like a boss to swooping in to save the day with kidney stones and pesky UTIs. Plus, you’re juggling a whole toolbox of procedures—think cystoscopies, biopsies, and those super-detailed surgeries. Let’s find you an EHR that makes all of this feel less like work and more like a thrilling adventure!

A. The Unique Needs of Urology EHRs

Urology practices require EHR systems that can handle specific terminology, detailed procedural documentation, and the tracking of longitudinal data such as Prostate-Specific Antigen (PSA) levels.¹ The software must support workflows for both office-based consultations and surgical interventions, integrate with urological devices (e.g., urodynamics equipment, ultrasound machines), and manage diagnostic images like MRIs and X-rays.² Furthermore, robust billing and coding capabilities tailored to urology-specific CPT and ICD codes are essential for accurate reimbursement and practice financial health.¹ Patient engagement tools, including secure patient portals for communication, appointment scheduling, and access to results, also play a vital role in modern urological care.²

B. Scope of the Article about Urology EHR

This article provides an in-depth analysis of the top Electronic Health Record systems suitable for urology physicians. It begins by outlining the essential features that urology practices should look for in an EHR. Subsequently, it offers detailed reviews of five leading EHR systems, covering their urology-specific capabilities, practice management and billing software integration, costs, user review ratings, and other pertinent information. A comparative matrix offers an at-a-glance summary, followed by guidance to help urology practices make an informed decision tailored to their unique needs. The information presented is derived from an extensive review of publicly available data, including vendor documentation and user reviews from reputable platforms.

II. Essential Features for The Top Urology EHRs of 2025

Selecting an EHR system requires careful consideration of features that align with the specific operational and clinical demands of a urology practice. Beyond generic EHR functionalities, several key attributes are paramount for urologists.

A. Urology-Specific Templates and Workflow Customization

An ideal urology EHR should offer pre-built templates for common urological conditions and procedures, such as vasectomy, UTI, incontinence, hematuria, prostate cancer, and renal stones.¹ These templates should be customizable to fit individual physician preferences and practice workflows.¹ The ability to efficiently document procedures like cystoscopies, manage urine culture tracking, and integrate bladder diary information is crucial.³ Workflow automation that streamlines tasks from patient intake to post-visit follow-up can significantly enhance practice efficiency.

B. Comprehensive Patient History and Data Management

Urologists often manage patients with chronic conditions requiring long-term follow-up. Therefore, the EHR must provide a clear, chronological view of patient history, including past visits, procedures, medications, allergies, and lab results, particularly PSA trends and testosterone levels.⁴ Efficient management and storage of large volumes of data, including diagnostic images (X-rays, MRIs) and reports, are necessary.¹

C. Robust Billing, Coding, and Revenue Cycle Management (RCM) Capabilities

Accurate and efficient billing is vital. The EHR should incorporate urology-specific billing codes (ICD/CPT) to ensure accurate claim submission and faster reimbursement.¹ Integrated practice management systems should streamline the entire revenue cycle, from real-time insurance eligibility checks and claim filing to denial management and patient statement generation.² Some systems offer comprehensive RCM services, which can be a significant advantage for practices seeking to optimize financial performance.²

D. Seamless Interoperability and Lab Integration for Urology EHR

Effective care coordination relies on the EHR’s ability to exchange data seamlessly with other healthcare entities. This includes strong lab interfaces for ordering tests and receiving results directly into the patient’s chart.¹ Integration with diagnostic devices, such as those for electronic urinalysis or kidney MRIs, is also important.¹ The system should support interoperability standards like HL7 and FHIR to facilitate communication with hospitals, referring physicians, and Health Information Exchanges (HIEs).²

E. Strong Security and HIPAA Compliance

Protecting patient health information (PHI) is a legal and ethical imperative. The chosen EHR must be fully HIPAA compliant, employing robust security measures such as data encryption, access controls, audit trails, and secure data centers.⁸ Cloud-based systems should offer assurances of data backup and disaster recovery.⁸

F. User-Friendly Interface and Mobile Accessibility

An intuitive and easy-to-navigate interface can reduce the learning curve for staff and minimize physician burnout.¹⁰ Mobile accessibility via smartphone or tablet apps allows physicians to access patient information, manage tasks, and even conduct telehealth visits on the go, enhancing flexibility and responsiveness.⁶

G. Reliable Customer Support and Training

Effective implementation and ongoing use of an EHR system depend heavily on the quality of vendor support and training.² Practices should look for vendors offering comprehensive onboarding, readily available technical support, and resources tailored to urology-specific queries.² The KLAS Arch Collaborative highlights that ongoing education, shared EHR governance, and personalization are key factors in user satisfaction.¹²

III. Top 5 Urology EHRs of 2025: In-Depth Reviews

This section provides a detailed examination of five EHR systems identified as strong contenders for urology practices. Each review covers company overview, urology-specific capabilities, cost structure, software screenshots availability, user reviews and ratings, system architecture, billing and practice management features, and other key information like interoperability, mobile app availability, ONC certification, and security.

A. Modernizing Medicine EMA® Urology EHR

1. Overview:

Modernizing Medicine® positions its Electronic Medical Assistant® (EMA™) as the #1 urology-specific EHR system, and they’re competitive to say the least. That’s why they made our list of the top 5 Urology EHRs of 2025. 4 The company focuses on transforming the clinical, financial, and operational aspects of specialty practices, including urology, through its data-driven, cloud-based solutions.13 A distinguishing characteristic of Modernizing Medicine’s EMA platform is its development process, which actively involves practicing physicians, including urologists, in coding and design.4 This physician-led approach aims to embed deep specialty-specific knowledge directly into the EHR.

2. Urology-Specific Capabilities:

EMA Urology is built with an intelligent, template-free adaptive learning engine that learns from each provider’s interactions, anticipating their next moves and suggesting common diagnoses, treatment plans, and medications.4 This can lead to faster documentation and reduced cognitive load for urologists.

Templates & Workflows: Instead of traditional templates, EMA uses “Protocols” for common visits, which automate processes and generate suggested supporting codes and documentation with a few taps.⁵ It features auto-suggested notes based on learned preferences.⁴
Cystoscopy Reporting: The system offers tap-and-go procedure notes, including an innovative Anatomical Atlas™ feature that allows physicians to visually document findings by tapping on anatomical diagrams, which then generate site-specific notes and suggested codes.⁴
PSA Tracking: A single-screen patient timeline provides a comprehensive view of patient history, including PSA results, testosterone levels, medications, and past encounters, simplifying the tracking of these critical values over time.⁴
Urodynamics Integration: EMA can connect to urology-specific devices such as urodynamic and urinalysis machines, allowing for direct recording of results into the patient chart.⁴
Bladder Diary: While not explicitly detailed as a pre-built feature, the system’s comprehensive nature and customization capabilities suggest that bladder diary information could be managed effectively, potentially through custom documentation fields or integration with patient-reported outcome tools.⁴
Device Integration: EMA connects to a wide range of in-office devices, internal and external labs, radiology centers, and Picture Archiving and Communication Systems (PACS) through its ModMed SynapSYS™ interoperability platform.⁴
Visual Documentation: Physicians can draw on images and utilize the Anatomical Atlas™ for enhanced, visual procedure documentation.⁴

3. Cost & Pricing Structure:

Modernizing Medicine EMA Urology pricing is customizable. Practices are advised to contact ModMed directly to obtain a personalized quote tailored to their specific requirements and size.15 While general EHR market commentary notes that some comprehensive systems like Epic can be expensive 16, ModMed’s pricing for its specialty-specific solution would need direct inquiry for comparison.

4. Software Screenshots:

A variety of visual assets are available, showcasing the EMA Urology interface. These include depictions of Auto-Suggested Notes, Tap-and-Go Procedure Notes featuring the Body Atlas, the Draw on Images capability, Import Timeline Information, Efficient Scheduling, 24-Hour Advance Check-In via mobile, Paperless In-office Check-In using the ModMed Kiosk®, Automated Eligibility Checks, Simple Denial Management tools, Streamlined Billing Workflows, and Automated Tracking and Posting of payments.4 Additional visuals cover consensus previews, intelligent and customizable urology EHR screen displays, EHR urinalysis workflow charts, at-a-glance patient timelines, radiology image integration, the urology-specific Anatomical Atlas, protocols for automating common visit documentation, suggested built-in coding, cloud-based and mobile access views, paperless consent management, urology analytics dashboards, data exchange via ModMed SynapSYS, value-based care and MIPS solutions, integrated payment processing with ModMed® Pay, and various patient collaboration tools for pre-visit, during-visit, and post-visit engagement, including telehealth and patient portal interfaces.4 A video demonstrating the “Take & draw on images” feature is also available.17

5. User Reviews & Ratings:

G2: Specific G2 ratings for EMA Urology were not found in the provided information. However, general reviews for ModMed EMA highlight pros such as ease of finding diagnoses, time-saving specialty-specific features, system reliability, error-preventing validation rules, a strong user community, and excellent customer support. Conversely, cons noted include complex scheduling templates, occasional system downtime during peak hours, excessive clicks for some tasks, and limited customization in certain areas.⁵
Capterra: Modernizing Medicine’s Practice Management software, which integrates with EMA, has been recognized by Capterra for “Best Ease of Use” based on positive client reviews.¹⁸ Detailed Capterra ratings for EMA Urology were not available.
Software Advice: General feedback for EMA EHR on Software Advice points to its specialization in diverse medical fields, FHIR-certified API for interoperability, intuitive interface, and efficient, accurate charting with frequent updates.¹⁹ Specific Software Advice ratings for EMA Urology were not found.
KLAS: While EMA Dermatology was specifically rated as a top EHR by KLAS, the KLAS report mentioned that the same underlying technology platform is utilized for Modernizing Medicine’s other specialty EHRs, including urology.¹³
What Users Say (General): Users often praise the system for being tailored to their specialty, which saves considerable time in documentation.⁵ Testimonials include statements like, “We absolutely love ModMed and could not have succeeded without their amazing EHR software” and “ModMed saves me hours of time because it’s so easy to use and urology specific”.⁵ The physician-led design appears to resonate well with users looking for intuitive, specialty-focused workflows. However, the adaptive learning nature, while powerful, might present a learning curve if a practice has highly unique processes that deviate significantly from ModMed’s embedded best practices, potentially leading to the “limited customization” feedback from some users.¹⁶

6. System Architecture:

Modernizing Medicine EMA Urology is offered as an all-in-one, cloud-based suite that integrates EHR, Practice Management (PM), Analytics, Patient Collaboration tools, and Revenue Cycle Management (RCM) services.4

7. Billing Software & Practice Management:

Practice Management (PM): The integrated PM system is designed to streamline front and back-office workflows.⁴ Key PM features include automated eligibility checks, an out-of-pocket cost quoting tool, financial dashboards, task management, reporting, Autopay and Text to Pay options for patient balances, an Appointment Finder tool, and automatic waitlists to optimize scheduling.⁴ It also supports paperless check-in through the ModMed Kiosk® and a 24-hour advance mobile check-in option for patients.⁴
Billing Software (RCM): EMA Urology includes integrated billing workflows designed to improve financial performance. This includes tools for simple denial management and automated tracking and posting of payments.⁴ ModMed® Pay is integrated for streamlined payment processing.⁴ The system also offers more comprehensive RCM services.

8. Other Key Information:

Interoperability: Robust interoperability is facilitated by ModMed SynapSYS™, enabling data exchange with labs (internal and external), Health Information Exchanges (HIEs), Prescription Drug Monitoring Programs (PDMPs), hospitals, and other systems using FHIR API and HL7 connections.⁴
Mobile App: Being cloud-based, EMA is accessible on Mac, PC, iPad, and smartphones, providing full mobile functionality.⁴
Customer Support: Modernizing Medicine provides award-winning, 100% US-based, specialty-specific client support, including dedicated teams for urology practices.⁴
ONC Certification: EMA is ONC 2015 Edition Cures Update certified, ensuring it meets federal standards for functionality, interoperability, and security.⁴
Security & HIPAA Compliance: As a cloud-based, ONC-certified EHR, EMA adheres to stringent security standards to ensure HIPAA compliance.¹⁵

The physician-driven development of ModMed EMA appears to be a significant factor in its tailored urology workflows. This deep specialization likely contributes to its reported efficiency gains and high user satisfaction within the specialty.⁴ However, practices with extremely unique or non-standard operational needs should carefully evaluate the extent of customization available during demos to ensure it aligns with their specific requirements, as the system’s strength in embedded specialty logic might mean less flexibility in deviating from those optimized paths.¹⁶

B. UroChartEHR by IntrinsiQ (Cencora)

1. Overview:

UroChartEHR is an electronic health record system specifically designed for urology practices, with its development led by a urologist. The core principle is that urology-specific interfaces lead to improved patient care and practice efficiency.1 UroChartEHR is part of IntrinsiQ Specialty Solutions, which itself is a segment of Cencora (formerly AmerisourceBergen), a major player in pharmaceutical sourcing and healthcare solutions.21 This affiliation may offer broader benefits to practices, such as access to group purchasing organization (GPO) contracting and advanced business analytics.

Logo URL: https://www.intrinsiq.com/-/media/assets/ab-new-brand-logos/cencora_bu_intrinsiq-specialty-solutions_rgb_truebluesvg.svg?h=60&w=250&la=en&hash=A16640BEE1FBA98DC4A9E2D292CB185F ²¹

2. Urology-Specific Capabilities:

The system is built around the specific needs of urologists, offering a range of tailored features.

Templates & Workflows: UroChartEHR provides hundreds of urology-specific templates and allows for customizable urology-specific content to capture encounter notes efficiently.²² It includes an E&M (Evaluation and Management) assistant that draws from over 200 diagnostic codes to help ensure accurate coding for patient visits.²³
Cystoscopy Reporting, PSA Tracking, Urodynamics Integration, Bladder Diary: While detailed workflows for each of these were not explicitly found in the primary product descriptions ²³, the system’s foundation on urology-specific templates for conditions like prostate cancer and renal stones implies capabilities for PSA tracking and procedural reporting.¹ Direct confirmation of specific features like urodynamics integration or dedicated bladder diary tools would require a product demonstration.
Device Integration: The EHR is designed to interface seamlessly with practice management systems, labs, and hospitals.²³ It also offers integration with the Cubixx®MD inventory management solution for automatic capture of drug dispenses into patient records.²³

3. Cost & Pricing Structure:

Specific pricing information for UroChartEHR is not publicly available in the provided materials and requires direct inquiry with IntrinsiQ or a request for a demonstration.23

4. Software Screenshots:

Screenshots available depict the patient portal on a mobile device, the Electronic Prescribing of Controlled Substances (EPCS) feature, telehealth functionality, and the mobile app interface.23 Some generic EHR template customization screenshots are shown by Ulrich Medical Concepts 25, which may or may not be representative of UroChartEHR’s current interface.

5. User Reviews & Ratings:

G2: A qualitative summary on FindEMR, referencing G2, indicates pros such as a design specialized for urology, robust practice management features, secure messaging, and a patient portal. Noted cons include potentially limited customization options for some practices, variable support response times, and areas where reporting tools could be improved. Reviewer sentiment was reported as 60% “Good” and 20% “Average,” based on a small number of reviews.²⁴
Capterra: Specific Capterra reviews for UroChartEHR were not found in the provided information.²⁶
Software Advice: A testimonial from a urologic surgeon in Florida stated, “UroChartEHR is awesome… a great product… so much more user friendly and easy to modify. I love this platform!”.²³ Detailed Software Advice ratings were not available.
EMRFinder: UroChartEHR received a rating of 4 out of 5 stars based on 14 reviews, with 69% of users recommending the software.¹
What Users Say (General): Users appreciate that the software is specialized for urology and can adapt to a practice’s existing ways rather than forcing significant changes.²⁴ It is considered effective for telehealth and generating detailed reports. The patient portal is also seen as a positive feature. However, some users have found template customization to be limited and have experienced system slowdowns due to frequent live updates. Occasional system crashes after updates and challenges with technical support for complex issues have also been reported.²⁴ There appears to be a nuance regarding customization; while some users find it limited ²⁴, the product’s official materials emphasize “customizable urology-specific content”.²² This could mean that core system workflows are less flexible, while specific content within templates can be tailored, or simply that user experiences vary.

6. System Architecture:

UroChartEHR is presented as part of a suite of specialty solutions that are designed to work together.23 It functions as a comprehensive EHR with strong integration capabilities, particularly with practice management systems, rather than a strictly à la carte modular system.23

7. Billing Software & Practice Management:

Practice Management (PM): UroChartEHR offers seamless interfacing with various practice management systems.²³ IntrinsiQ also provides InfoDive®, a separate business intelligence engine for practice analytics, which helps benchmark performance, evaluate coding and productivity, and analyze revenue collection.²¹
Billing Software: The system offers streamlined billing processes, especially for telehealth services.²³ The integrated E&M assistant aids in accurate coding for reimbursement.²³ IntrinsiQ also offers MIPS reporting services to help practices navigate value-based care models and maximize incentives.²¹

8. Other Key Information:

Interoperability: UroChartEHR supports FHIR API integration for connection with patient-chosen healthcare apps and Direct Secure Messaging for exchanging Protected Health Information (PHI) with other providers, even those on different EHR systems.²¹ It also integrates with labs and hospitals.²³
Mobile App: UroChartEHR Mobile allows physicians to manage schedules, access patient records, view hospital rounds lists, and code for off-site services directly from their mobile devices or tablets.²¹
Customer Support: An Implementation Consulting Team is available to assist practices with setup and ongoing optimization. A support login is also provided on their website.²³ Direct contact for support is available at 877-570-8721.²³
ONC Certification: UroChartEHR is ONC Health IT certified.²³
Security & HIPAA Compliance: The platform ensures secure patient-provider communication through its patient portal messaging and offers HIPAA-compliant telehealth capabilities. It also supports EPCS for enhanced prescription security.²¹

UroChartEHR’s development by a urologist and its integration within the Cencora ecosystem are notable aspects. This may provide practices with a solution that is not only clinically focused but also supported by broader business intelligence tools like InfoDive® and potential GPO benefits.²¹ This dual focus on clinical workflow and business operations could be particularly attractive for practices seeking a comprehensive approach to managing both patient care and financial health.

C. iSalus UroChoice Urology EHR

1. Overview:

iSalus Healthcare offers UroChoice EHR, a system specifically designed for and with practicing urologists. It is marketed as a “Top-Ranked Urology EHR for 10 Consecutive Years”.6 iSalus Healthcare is a subsidiary of EverCommerce, a broader service commerce platform.28 The system aims to provide a unique, integrated approach to the daily tasks of a busy urology practice.

Logo URL: The iSalus Healthcare logo and brand assets are available for download via their media kit.²⁹ The logo is also displayed on their UroChoice product page.⁶

2. Urology-Specific Capabilities:

UroChoice is built to cater specifically to the demands of urology practices.

Templates & Workflows: The EHR includes custom templates designed for various urology procedures and conditions, such as Initial Consult exams and Kidney Stones management.⁶ It also features urology-specific documentation pathways and workflows.²⁸
Cystoscopy Reporting: Operative reports for procedures like cystoscopies are listed as an example of what their urology-specific EHR supports in their EHR buyer’s guide.³⁰
PSA Tracking: The system offers centralized tracking for lab values critical to urology, including PSA, testosterone, and creatinine levels.³⁰
Urodynamics Integration, Bladder Diary: Explicit details regarding integration with urodynamics equipment or dedicated bladder diary features were not found in the primary product descriptions.⁶ This would be an area to explore during a product demonstration.
Device Integration: UroChoice has nationwide lab partnerships with flexible order processing capabilities.²⁸

3. Cost & Pricing Structure:

iSalus Healthcare advocates for “Transparent Pricing & Packaging Options”.30 For their add-on billing software, they state there are no setup fees or long-term contracts.32 Specific pricing for the UroChoice EHR itself is not detailed in the provided materials and would require a direct quote or demo.

4. Software Screenshots:

The iSalus EHR Buyer’s Guide for Urologists suggests that vendors should provide demo video libraries and screenshots.30 A general overview video for UroChoice is available, and promotional materials mention features like “Custom Templates” and “Patient Portal”.31 However, abundant UI screenshots of the UroChoice system are not present in the summarized documents.

5. User Reviews & Ratings:

G2: Specific G2 ratings for UroChoice were not found. General iSalus EMR reviews on FindEMR (which sometimes sources G2 data) are mixed.⁹
Capterra: Specific Capterra ratings for UroChoice were not found. iSalus EHR is listed among other EHRs on some Capterra-related pages.³³
Software Advice: SoftwareReviews.com (a site with a similar review aggregation model to Software Advice) shows iSalus EHR (general, not UroChoice specific) with a composite score of 5.6/10 based on 5 reviews, and a 74% “Likeliness to Recommend”.³⁴
FindEMR (for general iSalus EMR): Based on 40 reviews, ratings were mixed: 15% Excellent, 30% Good, 30% Average, and 25% Poor.⁹

Pros ⁹: Users found it reliable for core EMR functions, good for generating printable receipts, useful for storing work/school absence letters, easy for simple tasks, and appreciated automatic fax/order entry and the ease of maintaining patient information in one place.
Cons ⁹: Communication with support was often ticket-based with vague responses, some long-standing issues remained unresolved, not always user-friendly, lacked integration with Quest Quanum (requiring manual uploads), did not integrate well with Google Chrome on Mac systems, had infrequent accounting updates, occasionally froze during work, and tasks did not always auto-refresh. Some users also reported the system running slowly or crashing more frequently over time.
User Testimonial for UroChoice ²⁸: Golden State Urology provided a positive testimonial, praising the smooth remote implementation process, the intuitiveness of the UroChoice system, faster daily operations, and the ease of viewing Accounts Receivable reports on the dashboard.

The claim of being “Top-Ranked Urology EHR for 10 Consecutive Years” ⁶ is a significant marketing point. However, the mixed reviews for the general iSalus EHR platform suggest that prospective UroChoice users should specifically seek out recent, independent reviews from other urology practices or rely heavily on thorough demos and reference checks to validate this claim against current user experiences.

6. System Architecture:

UroChoice is marketed as a “Fully Integrated Practice Management, Urology EHR, Medical Billing and Telehealth Solution,” accessible via a single login.6 This points to an all-in-one system design.

7. Billing Software & Practice Management:

Practice Management (PM): The system includes integrated practice management functionalities.⁶ Notable features are an award-winning patient timeline that gives a visual historical snapshot of patient information, an award-winning scheduler with a user-friendly interface, and real-time insurance eligibility checking.⁶
Billing Software: UroChoice offers integrated medical billing services.⁶ It provides seamless integration with a leading clearinghouse and features intuitive dashboards for reviewing claims and practice financials.⁶ The billing software aims to eradicate lost revenue with proactive claim reminders, reduce labor costs, stop redundant data entry, and slash claim rejections through e-claims and Electronic Remittance Advice (ERA).³²

8. Other Key Information:

Interoperability: The system facilitates the exchange of electronic health data between different systems ³⁵ and integrates with a leading clearinghouse.⁶
Mobile App: UroChoice provides a powerful mobile application that allows urologists to practice on the go. Features include creating or modifying encounters, capturing patient images directly from a phone, real-time access to patient medications, problems, and notes, viewing patient information and insurance files, sending secure HIPAA-compliant communications to team members, and an outstanding dictation tool.⁶
Customer Support: iSalus emphasizes “attentive customer support”.³⁷ Contact information, including a toll-free number (877-280-6640) and email for support (support@isalushealthcare.com), is provided.³⁸
ONC Certification: iSalus Healthcare’s cloud-based EHR and Practice Management software is Drummond Certified for Stage 2 Meaningful Use.³⁹ Practices should verify certification status against the current ONC 2015 Edition Cures Update requirements.
Security & HIPAA Compliance: UroChoice features a secure patient portal and offers HIPAA-compliant messaging and telehealth services.⁶ The general iSalus EHR platform is also stated to be HIPAA compliant.⁹

The tight integration of EHR, PM, and billing within UroChoice, specifically tailored for urology, appears to be its core value proposition. The positive testimonial from a urology group ²⁸ suggests that this unified approach can indeed lead to operational efficiencies. The “no setup fees or long-term contracts” for their billing software add-on ³² could also be an attractive factor for practices cautious about significant upfront investments or vendor lock-in.

D. RXNT Urology EHR

RXNT Urology EHR

1. Overview:

RXNT has been providing cloud-based healthcare software solutions since 1999. Their platform for urology is designed as a fully-integrated system aimed at streamlining practice workflows, reducing administrative tasks, and enhancing patient care.8 The company emphasizes affordability and comprehensive functionality.

Logo URL: The RXNT logo is visible on their website; a version is https://www.rxnt.com/wp-content/uploads/RXNT_BrandLogo_Inverse@1440px.png.⁸

2. Urology-Specific Capabilities:

RXNT’s EHR is built with the specific challenges of the urology sector in mind.

Templates & Workflows: The system includes urology-specific functions and offers access to over 1,000 customizable “Smart Forms” templates. These are designed to help urology providers standardize charting, improve workflow efficiency, and reduce documentation errors.⁸
Cystoscopy Reporting, PSA Tracking, Urodynamics Integration, Bladder Diary: While these specific workflows are not individually detailed in the primary product overview ⁸, the presence of “Urology-specific functions” and a vast library of customizable templates suggests that the system can be configured to manage such documentation needs.⁸ The EHR allows physicians to review previous procedures and lab/test results, which would be essential for PSA tracking.⁸
Device Integration: The EHR system provides a complete electronic patient history, including lab and test results.⁸ G2 reviews for RXNT’s e-prescribing module mention lab integration capabilities.⁴⁰

3. Cost & Pricing Structure:

RXNT promotes an “all-in pricing” model, claiming “unbeatable value” with 24/7 cloud-based access, premium in-house support, and regular system upgrades included at no additional cost.8 Their suite is described as offering affordable, award-winning Billing and Scheduling, EHR with Patient Portal, and E-Prescribing.8 However, one user review on Software Advice mentioned that the “cost is quite high, especially for a new business owner” 41, indicating that perceptions of affordability may vary.

4. Software Screenshots:

Screenshots are available for RXNT’s “Smart Forms” customizable encounter templates.8 Additionally, images of the EHR Dashboard, which includes widgets for Today’s Appointments, Prescriptions, and a To-Do list, are accessible.42

5. User Reviews & Ratings:

G2: RXNT holds an overall rating of 4.2 out of 5 stars, based on 53 reviews.⁴⁰

Pros (from G2 reviews ⁴³): Users frequently praise the helpfulness and responsiveness of the customer support team, the ease of use (particularly the mobile app for e-prescribing), system customizability, good value for money, and seamless EHR integration.
Cons (from G2 reviews ⁴³): Some users reported slow website loading and system performance, technical glitches including “out of memory errors,” data management issues such as problems with integrating data or lost/doubled information, and a complex user interface for some.
Capterra: On Gartner (Capterra’s parent company), RXNT received a 3.0 out of 5 rating from a single review.⁴⁴ This particular reviewer described the system as “a bit antiquated” with “no significant product roadmap or feature enhancement pipeline” and mentioned past compliance concerns.⁴⁴ Testimonials on the RXNT website itself are positive but are not specific Capterra ratings for urology.⁸

Software Advice: RXNT has an overall rating of 4.3 out of 5 stars based on 481 reviews (for the general RXNT platform, not urology-specific).⁴⁵

Pros (from Software Advice reviews ⁴¹): Positive comments include ease of use, straightforward e-prescribing, good reports for meaningful use, effective customizable templates, and responsive customer support in some instances.
Cons (from Software Advice reviews ⁴¹): Negative feedback includes reports of the system being down for several hours at a time, issues with login codes, frequent outages, information not saving instantly, the cost being perceived as high for new businesses, and very poor customer service experiences by some users, including difficulties with patient data migration and encounter formation.
Testimonials on RXNT Site: The RXNT website features positive testimonials, with users calling it the “best EHR company out there” and praising its customer service.⁸

The variability in user reviews, particularly concerning customer support and system stability, suggests that prospective clients should seek recent, independent feedback, possibly from current urology users, to get a clearer picture of current performance levels.

6. System Architecture:

RXNT offers a fully-integrated, cloud-based software platform that encompasses EHR, Practice Management, Medical Billing and Scheduling, a Patient Portal, E-Prescribing, and Telehealth functionalities.8 While presented as a full suite, the listing of individual software components (e.g., Practice Management, Electronic Health Records) on their site might suggest some degree of modularity or options to subscribe to specific services.8

7. Billing Software & Practice Management:

Practice Management (PM): The platform includes robust Scheduling software for managing both in-office and telehealth appointments. It also features automated billing processes.⁸
Billing Software: RXNT provides award-winning billing services. The system facilitates electronic payments and automated billing to help increase practice cash flow and reduce time spent on patient finances.⁸

8. Other Key Information:

Interoperability: The EHR system provides a complete electronic patient history, allowing urologists to review previous procedures, lab results, and more.⁸ EHR integration is also noted as a feature for its e-prescribing module.⁴⁰
Mobile App: RXNT offers mobile applications for both iOS and Android devices, enabling physicians to access patient data, manage care, and interact with patients remotely.⁸
Customer Support: RXNT states they offer premium in-house support with 24/7 cloud-based access.⁸ As noted, user experiences with support have been mixed.⁴¹
ONC Certification: RXNT’s Electronic Health Records 7.2 software achieved ONC Health IT 2015 Edition Cures Update certification via Drummond Group LLC on December 28, 2022.⁴⁷ It is also described as MACRA certified.⁸
Security & HIPAA Compliance: The platform is HIPAA-compliant.⁸ All applications and data are hosted on SOC-2 Type II certified data centers. RXNT also provides a free Risk Awareness Toolkit to help practices mitigate risks such as malpractice, cybercrime, and HIPAA violations.⁸

RXNT’s longevity as a cloud-based provider (since 1999) and its comprehensive, integrated suite with a strong emphasis on customizable templates present it as a potentially solid option for urology practices seeking an all-in-one solution.⁸ The “all-in pricing” model could also be appealing for budget predictability.⁸ However, the mixed user feedback regarding system performance and customer support underscores the importance of thorough due diligence.

E. NextGen Healthcare Urology EHR (Urology Focus)

1. Overview:

NextGen Healthcare has a long history in the health IT sector, providing ambulatory healthcare technology solutions since 1974.49 They offer distinct EHR and Practice Management solutions tailored to different practice sizes: NextGen® Enterprise for practices with 10 or more providers, and NextGen® Office for smaller practices with under 10 providers.50 Both platforms aim to deliver integrated health IT solutions with specialty-specific content, including for urology.50

Logo URL: https://www.nextgen.com/wp-content/themes/nextgen-v2/dist/images/logo.svg.⁵⁰

2. Urology-Specific Capabilities:

NextGen Healthcare emphasizes its commitment to specialty-specific needs within its platforms.

Templates & Workflows: The NextGen Enterprise platform features a “Urology Suite” which includes specialty-specific workflows such as urine culture tracking, a timeline view for prostate cancer patients, management of hormone treatments, and a horizontal patient timeline view.⁵³ NextGen Office also offers specialty-specific blueprints to guide documentation.⁵¹
Cystoscopy Reporting, PSA Tracking, Urodynamics Integration, Bladder Diary: The “timeline view of prostate cancer patients” ⁵³ directly implies capabilities for PSA tracking. While cystoscopy reporting, urodynamics integration, and bladder diary features are not explicitly detailed as pre-built components in the primary overview ⁵⁰, the customizable nature of NextGen Enterprise reporting ⁵⁵ and the availability of population health analytics and patient portal access for results ⁵⁶ suggest these needs could be met. The Dash by Relatient integration is focused on scheduling, not clinical device integration like urodynamics.⁵⁷ Specific functionalities should be confirmed during a demo.
Device Integration: The Mirth® Connect Integration Engine facilitates connections to various systems.⁵⁰ NextGen Office is noted to connect to major labs.⁵¹

3. Cost & Pricing Structure:

Pricing for NextGen Healthcare solutions varies. NextGen Office is positioned with “free training and support”.51 General commentary on NextGen Healthcare suggests it can be “more affordable than many other EHRs” and offers “good value for the price,” but also warns that “extra modules add up quickly, making customization pricey”.16 This indicates a base offering with potentially significant costs for additional functionalities or extensive customization, likely differing between the Office and Enterprise versions.

4. Software Screenshots:

Visuals of the NextGen Mobile interface and the NextGen Ambient Assist™ AI documentation feature are available.50 Screenshots depicting the NextGen Office ecosystem and its AI-driven documentation capabilities can also be found.51

5. User Reviews & Ratings:

G2: NextGen Practice Management (often integrated with the EHR) has a G2 rating of 4.6 out of 5 stars.⁵⁸ Users generally find it user-friendly and easy to navigate, with good support. Some cons include a potentially challenging training curve for less tech-savvy users and frequent updates that some find disruptive. The interface, while straightforward, was thought by some to lack visual appeal.⁵⁸ General NextGen EHR reviews on G2 ¹⁶ note pros like fast charting with templates/macros, a good mobile app, and affordability. Cons include a complex UI, concerns about outsourced billing services, too many clicks for some tasks, time-consuming setup, and pricey customization. InfoTech Software Reviews (which aggregates user feedback similar to G2) gives NextGen Healthcare an 81% Likeliness to Recommend and an 85% Positive Emotional Footprint score.⁵⁹
Capterra/TrustRadius: On TrustRadius, NextGen Healthcare EHR has an overall rating of 8.2 out of 10 based on 54 reviews.⁶⁰ Pros highlighted include customization capabilities, interoperability, ease of use, and the NG Mobile app. Cons mentioned include the cost of the system, difficulties with upgrades (especially with customizations), EMR reports lacking detailed data, and issues with lab/radiology ordering.⁶⁰
Software Advice: Reviews for NextGen Office on Software Advice are mixed.⁶¹ Positive aspects include smooth e-prescribing, good integration between clinical and PM components, employee tracking, care management, and a user-friendly system. Negative feedback points to experiences with poor support and onboarding, the system not being streamlined for certain specialties (e.g., dermatology, indicating specificity is key), high pricing, inaccurate reporting/analytics in some cases, limited specialty areas available in the system for some users, labs requiring excessive clicking, and system downtime.⁶¹ General reviews for NextGen Ambulatory EHR on EMRSystems.net are largely positive, citing enhanced communication, workflow streamlining, and responsive support, though occasional software hiccups and dependence on internet connectivity for the cloud platform were noted.⁶²
KLAS: NextGen Office was named the #1 KLAS Small Practice PM/EMR (for practices with 10 or fewer physicians).⁶³

The varied user experiences likely reflect the different platforms (Office vs. Enterprise), the extent of customization, and the specific modules implemented by each practice. This makes it crucial for practices to identify which NextGen solution they are evaluating and to seek reviews relevant to that specific product.

6. System Architecture:

NextGen Healthcare provides two main platforms: NextGen® Enterprise for larger practices (10+ providers) and NextGen® Office for smaller practices (under 10 providers).50 Both are described as fully integrated platforms combining EHR and PM functionalities. NextGen Office is a cloud-based solution.51

7. Billing Software & Practice Management:

Practice Management (PM): Integrated PM is a core component of both NextGen Enterprise and NextGen Office.⁵⁰ NextGen Enterprise PM includes an AI Rules Engine for claims processing, tools for coding and operations, collections and AR management, and comprehensive registration and scheduling features.⁵⁰ NextGen Office PM is designed to simplify scheduling, appointment reminders, real-time eligibility verification, and streamlined billing and reporting.⁵¹
Billing Software (RCM): Both platforms feature integrated billing functionalities aimed at increasing collections and reducing days in A/R.⁵⁰ NextGen Office also offers dedicated Revenue Cycle Management (RCM) services.⁵¹ An award-winning clearinghouse and EDI capabilities are provided to streamline claims processing and accelerate reimbursements.⁵⁰

8. Other Key Information:

Interoperability: NextGen Healthcare offers the Mirth® Data Platform, which includes Mirth® Connect Integration Engine and Mirth® Health Data Hub, to facilitate robust data exchange. They also have an API Vendor Program and NextGen® Share for expanded interoperability.⁵⁰ NextGen Office connects to major labs and supports e-faxing.⁵¹
Mobile App: NextGen® Mobile provides an intuitive, user-friendly mobile EHR experience for iOS and Android devices, allowing access anytime, anywhere. This includes the NextGen Ambient Assist™ feature, which uses AI for streamlined documentation by converting conversations into SOAP notes.⁵⁰
Customer Support: NextGen Healthcare provides client support services, a client success community, and a learning center.⁵⁰ NextGen Office specifically includes free training and support as part of its offering.⁵¹ However, user reviews on the quality and responsiveness of support are mixed.⁵⁸
ONC Certification: NextGen® Office version 5.0 has achieved ONC 2015 Edition Cures Update Health IT certification.⁶³ NextGen® Enterprise is certified for Meaningful Use Stage 3.⁵⁵
Security & HIPAA Compliance: NextGen Healthcare utilizes secure hosting with Amazon Web Services (AWS).⁵⁰ NextGen Office is HIPAA-compliant.⁵¹ Integration with services like Documo for fax-to-chart also emphasizes HIPAA compliance.⁶⁴

NextGen Healthcare’s strategy of offering distinct platforms for different practice sizes (Enterprise and Office) allows for more tailored solutions. The development of the “Urology Suite” for the Enterprise platform ⁵³ and specialty-specific blueprints for NextGen Office ⁵¹ demonstrates an effort to meet the particular needs of urologists. The increasing integration of AI tools like Ambient Assist ⁵⁰ is a forward-looking approach to reducing physician documentation burden. However, the complexity of managing and evolving two major platforms, coupled with mixed reviews on cost and support for some offerings, means that practices must carefully vet the specific NextGen solution that aligns with their size, budget, and workflow requirements.

IV. Comparative At-a-Glance: Feature Matrix of Top Urology EHRs

To provide a succinct overview, the following table compares key aspects of the reviewed EHR systems. This allows for a rapid assessment of differentiators relevant to urology practices.

Feature	Modernizing Medicine EMA Urology	UroChartEHR by IntrinsiQ (Cencora)	iSalus UroChoice EHR	RXNT for Urology	NextGen Healthcare EHR (Urology)
	Website	Website	Website	Website	Website
Urology Specialization	Dedicated Urology Suite with adaptive learning; built by urologists ⁴	Urology-specific EHR designed by a urologist; hundreds of urology templates ²¹	Top-Ranked Urology EHR claim; custom urology templates & workflows ⁶	Urology-specific functions; 1000+ customizable “Smart Forms” templates ⁸	“Urology Suite” for Enterprise; specialty-specific blueprints for Office ⁵¹
Indicative Pricing Model	Custom Quote Required ¹⁵	Custom Quote Required ²³	Transparent pricing aimed for; No setup fees/long-term contracts for billing add-on ³⁰	“All-in pricing”; Affordable suite claim; Some users report high cost ⁸	Tiered (Office/Enterprise); Office has free training/support; Modules can add cost ¹⁶
Overall User Rating Snapshot	G2/Capterra: Specific urology ratings N/A. KLAS: Strong platform tech (Derm example) ¹³	EMRFinder: 4/5 (14 reviews). G2: Mixed (Good 60% from few reviews) ¹	FindEMR (general iSalus): Mixed (40 reviews). SoftwareReviews (general iSalus): 5.6/10 (5 reviews) ⁹	G2: 4.2/5 (53 reviews). Capterra (Gartner): 3.0/5 (1 review). Software Advice: 4.3/5 (481 gen. reviews) ⁴⁰	G2 (PM): 4.6/5. TrustRadius: 8.2/10. Software Advice (Office): Mixed. KLAS (Office): #1 Small Practice ⁵⁸
Key Urology Feature Highlight	Adaptive learning engine, Anatomical Atlas™ for procedures ⁴	Urologist-designed; E&M assistant; InfoDive® analytics ²¹	Patient timeline, integrated PSA tracking, robust mobile app with dictation ⁶	1000+ customizable templates; “Smart Forms” ⁸	Urology Suite workflows (urine culture, CaP timeline), AI Ambient Assist ⁵¹
Billing/PM Integration	Fully Integrated All-in-One (EHR, PM, RCM) ⁴	Seamless PM integration; InfoDive® for business analytics; MIPS reporting services ²¹	Fully Integrated (EHR, PM, Billing, Telehealth) ⁶	Fully Integrated (EHR, PM, Billing, Scheduling, Portal, eRx) ⁸	Fully Integrated (EHR, PM); RCM services available ⁵⁰
All-in-One System?	Yes ⁴	Largely, with strong PM integration and analytics add-on (InfoDive) ²¹	Yes ⁶	Yes (core suite), potential for modularity ⁸	Yes (Office & Enterprise are distinct all-in-one platforms) ⁵⁰
Mobile App Availability	Yes – Cloud-based, accessible on Mac, PC, iPad, smartphone ⁴	Yes – UroChartEHR Mobile (iOS/Android implied by general mobile access) ²¹	Yes – Powerful Mobile App (iOS/Android implied) ⁶	Yes – iOS & Android apps ⁸	Yes – NextGen Mobile (EHR) with Ambient Assist (iOS/Android) ⁵⁰
ONC Certified (2015 Cures Update)	Yes ⁴	Yes (ONC Health IT certified) ²³	Drummond Certified Stage 2 MU (Verify 2015 Cures) ³⁹	Yes (Drummond Certified 2015 Cures Update) ⁴⁷	Yes (NextGen Office 2015 Cures Update; Enterprise MU3) ⁵⁵

N/A: Not Available in provided information.

This table underscores the diversity in offerings. For instance, Modernizing Medicine’s adaptive learning and physician-led design offer a unique approach to documentation ⁴, while UroChartEHR’s connection to Cencora might provide broader business analytics and GPO benefits.²¹ iSalus UroChoice emphasizes its long-standing reputation and tightly integrated suite ⁶, RXNT highlights its extensive template library and affordability claims ⁸, and NextGen provides distinct solutions for different practice sizes with an increasing focus on AI.⁵⁰

V. Making Your Choice: Recommendations for Urology Practices

Selecting the right EHR is a significant strategic decision that can shape a urology practice’s efficiency, profitability, and the quality of patient care for years to come. While this report has provided a comprehensive overview of leading options, the ultimate “best fit” depends on the individual practice’s specific circumstances and priorities.

A. Recap of the Importance of Due Diligence

It is paramount that urology practices conduct thorough due diligence. The information presented here serves as a strong foundation, but each practice is unique in its patient population, procedural focus, staff capabilities, and business goals. No single EHR system will be a perfect solution for every urology practice. Referring back to the “Essential Features for Urology EHRs” outlined earlier can serve as a valuable checklist during the evaluation process.

B. Assessing Individual Practice Needs Against EHR Offerings

A critical first step is an internal assessment of the practice’s needs:

Practice Size and Scalability: A solo practitioner has different needs than a multi-provider, multi-location clinic. EHRs like NextGen offer distinct solutions for small (NextGen Office) versus larger practices (NextGen Enterprise).⁵⁰ Consider future growth plans and whether the EHR can scale accordingly.
Specific Procedural Focus: Practices with a high volume of specific urological procedures (e.g., complex oncological surgeries, numerous cystoscopies, or advanced urodynamics testing) should prioritize EHRs with robust and intuitive documentation tools for those specific areas. For example, Modernizing Medicine’s Anatomical Atlas™ for procedural documentation could be highly beneficial for surgical specialties.⁴
Budgetary Constraints: The financial investment is a major factor. Consider not only the upfront costs and monthly subscription fees but also potential expenses for additional modules, interfaces, customization, data migration, and ongoing support.⁸ Some vendors, like RXNT, claim an “all-in pricing” model ⁸, while others, like iSalus for its billing add-on, highlight no setup fees or long-term contracts ³², which can be appealing.
IT Infrastructure and Support: Most modern EHRs are cloud-based, reducing the need for extensive on-premise IT infrastructure.² However, the practice’s internal IT expertise versus its reliance on vendor support should be assessed. The quality and responsiveness of vendor support have been highlighted as variable across different EHRs in user reviews.⁶¹
Integration Needs: Identify all necessary integrations: specific laboratories, imaging centers, local hospitals, and any existing practice management or billing software if not opting for an all-in-one solution. The robustness of an EHR’s interoperability capabilities (e.g., support for HL7, FHIR, Direct Messaging, HIE connections) is crucial for care coordination.¹
User Experience and Training: The technical proficiency of the clinical and administrative staff will influence the importance of an extremely intuitive user interface versus the practice’s willingness to invest time in comprehensive training. Some systems are noted for a steeper learning curve.¹¹

The process of matching these internal needs to vendor offerings is crucial. A feature-rich system might seem appealing, but if many of those features are unused or if the system is too complex for the staff, it can lead to inefficiencies and dissatisfaction, as seen in some user critiques of overly complex or non-intuitive systems.¹⁶

C. Tips for Requesting Urology EHR Demos and Asking the Right Questions

Product demonstrations are a vital part of the selection process. To maximize their value:

Insist on urology-specific demonstrations, not generic EHR overviews. Have the vendor showcase workflows for 3-5 of the most common diagnoses and procedures handled by your practice.
Ask to see how customizable templates, reports, and clinical workflows truly are. Can the system adapt to your practice, or must your practice adapt to the system?
Clarify all potential costs meticulously: implementation fees, data migration charges (especially if switching from another EHR ⁶⁶), training costs (initial and ongoing), monthly support fees, charges for each interface (lab, imaging, HIE), and costs for any add-on modules or advanced features.³⁰
Request references from other urology practices that are similar in size and scope to your own. Speaking with current users can provide invaluable real-world insights.
If mobile access is important, thoroughly evaluate the mobile app’s functionality during the demo. Is it a full-featured extension of the desktop EHR, or does it offer limited capabilities?
Understand the data migration process in detail: what data can be migrated, what is the expected timeframe, what are the costs, and what is the practice’s responsibility versus the vendor’s?
Inquire about the process for managing system updates and new version releases. How are users trained on new features, and what is the potential for disruption?

D. Final Thoughts on Future-Proofing Your EHR Selection

Choosing an EHR is a long-term commitment. Consider the vendor’s vision and investment in future technologies:

Commitment to Research & Development: Look for vendors actively incorporating advancements like Artificial Intelligence (AI) for clinical decision support or documentation assistance (e.g., NextGen Ambient Assist ⁵⁰, eClinicalWorks AI tools ⁶⁸), telehealth enhancements, and sophisticated patient engagement platforms.
Adaptability to Regulatory Changes: The healthcare landscape is constantly evolving with new regulations (e.g., TEFCA for interoperability ⁶⁷). Choose a vendor that demonstrates a proactive approach to meeting these requirements.
Vendor as a Partner: The ideal EHR vendor acts more like a partner than just a software supplier. Consider their track record for customer support, responsiveness to user feedback, and willingness to collaborate on solutions.¹² The KLAS Arch Collaborative’s findings emphasize that factors like education, governance, and personalization are crucial for EHR user satisfaction, highlighting that the success of an EHR is a shared responsibility between the vendor and the practice.¹²

Ultimately, the EHR selection process is an investment in the future of the urology practice. A system that is well-aligned with the practice’s clinical workflows, financial goals, and user capabilities will not only streamline operations but also enhance the ability to deliver high-quality patient care in an increasingly complex healthcare environment. A mismatch, conversely, can lead to frustration, inefficiencies, and a failure to realize the potential benefits of digital health technology, as evidenced by the wide range of user experiences documented across various platforms.⁶⁵ Therefore, a patient, methodical, and practice-centric approach to selection is indispensable.

Curious about the Top Family Medicine EHRs of 2025? Click here to learn more.