An EHR built around how your team works, not a generic insurance-billing template.
You need subscription billing, automated workflows, and seamless patient communication. The big insurance EHRs and generic EMRs weren’t built for that, and it shows.
About five minutes. No sales call to get your numbers.
Why the big systems miss the mark
Epic, athenahealth, AdvancedMD, and the rest were built for insurance billing and fee-for-service medicine. Your business works differently.
Optimized for insurance billing
The big EHRs are built around CPT codes, claims, and insurance authorization workflows you don't use. You pay for complexity you don't need.
Generic EMRs miss your workflows
Off-the-shelf platforms don't understand your specific workflows and treatment plans. You work around them instead of through them.
No subscription billing integration
Your revenue model is subscriptions and cash transactions, but most EHRs bolt billing on as an afterthought, or hand it off to a separate tool.
Per-seat pricing that climbs
Add a user, add a software bill. The per-seat model means your EHR cost rises every time you hire.
Clunky patient communication
Messaging, reminders, and patient engagement live in separate tools instead of flowing naturally through the same system that holds the clinical record.
You don't want to configure and maintain it
Generic platforms dump the integration, customization, and upkeep on your team. You run a business, not an IT department.
A complete core, fitted to you
You get a deep, proven core: charting, e-prescribing, patient portal, identity, and compliance. Then we shape it to how your team works and bills. You’re not paying to invent an EHR from scratch, and you’re not forced into someone else’s rigid template.
Clinical charting and documentation
SOAP notes, vitals, treatment plans, lab results. Structured fields for the data that matters, free-text for the narrative.
Workflow automation
Treatment ordering, patient tracking, and follow-up workflows, modeled to match how your team actually works.
E-prescribing with controlled-substance support
Integrated e-Rx for routine medications; controlled-substance prescribing uses a certified third-party module.
Subscription billing and cash transactions
Subscriptions, one-time payments, package sales, and treatment add-ons, all in the same system as the clinical record.
Patient portal and communication
Secure messaging, appointment requests, consent forms, lab review. Patients engage through the same platform that holds their chart.
Identity and access control
Role-based permissions, single sign-on (SSO), audit logging. Your IT keeps control; the app inherits it.
The result is a system as capable as the big platforms, shaped to you and run for you, without the price tag or timeline of building one from scratch.
Regulatory guardrails
Practices that don’t bill insurance operate under different rules. Here’s what actually applies.
Practices that don’t bill insurance generally don’t require a certified EHR
ONC EHR certification is a CMS requirement tied to Meaningful Use and insurance reimbursement programs. Practices that don’t bill insurance and don’t participate in Meaningful Use programs are not required to use a certified EHR.
The Nuverra EHR is built to the clinical and regulatory standards the work demands, HIPAA compliance, state record-retention rules, secure messaging, audit logging, without paying for certification you don’t legally need.
Controlled-substance e-prescribing uses a certified module
DEA rules require controlled-substance e-prescribing (EPCS) to use a certified system.
The Nuverra EHR integrates a certified third-party EPCS module (like Surescripts or a similar vendor) rather than building and certifying that component in-house. You get compliant controlled-substance prescribing without the cost and complexity of maintaining certification yourself.
HIPAA and state retention rules always apply
HIPAA privacy and security rules apply to all covered entities and business associates handling protected health information. State medical-record retention laws also apply.
The Nuverra EHR is hosted on HIPAA-grade infrastructure with BAAs in place, encrypted data at rest and in transit, audit logging, and role-based access controls. Record retention and export capabilities meet state requirements.
Telehealth and state licensure
Many practices operate multi-state telehealth. Practitioners must be licensed in the states where patients are located, and prescribing rules vary by state.
The EHR tracks practitioner licenses by state, enforces location-based prescribing rules, and supports consent workflows that meet telehealth requirements. Your compliance team stays in control of the rules; the system enforces them.
Built and run for you, kept compliant
An EHR holds your patients’ records, manages prescribing, and has to stay on the right side of the rules, every day, not just on launch day. That’s a lot to own and babysit.
So we don’t hand you an EHR and walk away. We build it, host it, keep it patched and compliant, and support it, for one flat monthly fee that covers the whole thing. No per-seat pricing, no surprise bills as you hire.
What’s included in the subscription
- Hosting on HIPAA-grade infrastructure with BAAs.
- Security patching, uptime monitoring, and backups.
- Regulatory compliance upkeep (HIPAA, state retention, audit logging).
- Support for your clinical and administrative staff.
- Ongoing iteration and feature development as your organization grows.
- Flat monthly fee, no per-seat penalty as you add users.
See what your stack really costs as you grow
Run the free Stack Scorecard, about five minutes, no sales call. You'll see your per-seat penalty, a consolidation map, and any BAA gaps.