Charm EHR vs Practice Fusion (2026): which should you pick?

Pick Charm EHR if

• Fits if you run a psychiatry or medical practice that prescribes and orders labs
• Works for a practice that wants an AI scribe inside the EHR

Look elsewhere if

• Skip it if you need to know the price first, as the pricing page is a request form
• Not for you if you only do talk therapy, as it is a general medical EHR with a psychiatry page
• Watch out: what the free start includes is not stated
• Too light on detail for planning a budget: no per-provider or billing-claim rates are shown

Pick Practice Fusion if

• Fits if you are a doctor in a small practice that needs e-prescribing
• Makes sense if three signing staff per provider is enough for you

Look elsewhere if

• Pricey if you are a solo therapist, at $199 per provider
• Skip it if you want therapy tools, since the pages mention no client portal or telehealth
• Tight if you need billing, as billing services are separate with no price
• Watch out: billed monthly but with a required annual commitment

Charm EHR

• No prices are published: the pricing page is a request form.
• It is a general medical EHR with a psychiatry page, not built only for therapists.
• The site gives no billing-claim or per-provider rates, and what the free sign-up includes is not stated.

Practice Fusion

• The $199 price carries a required annual commitment, even though it is billed monthly.
• Billing services are a separate offering with no published price.
• It is built for medical practices; the pages read do not mention therapy-specific features such as telehealth sessions or client portals.

Charm EHR

AI scribe and assistant

CharmAI Scribe helps write visit notes, and CharmAssist is a clinical assistant that can draft referral letters and read lab results.

Specialty SOAP templates

Custom SOAP templates tailored to a specialty, with decision trees to drill into chart annotations and a flowsheet for vitals and labs.

Private charting for psychiatry

The psychiatry page describes private charting that restricts psychotherapy notes to the treating psychiatrist.

E-prescribing and labs

Electronic prescriptions to over 70,000 pharmacies, plus lab interfaces for LabCorp, Quest and others over HL7.

Patient portal and billing

A patient portal for appointments, documents and questionnaires, plus practice management and a medical billing platform.

Practice Fusion

Charting templates

A library of customizable charting templates for documenting visits, with signing licenses for providers and signing staff.

E-prescribing

Prescribing of regular and controlled substances and approval of refill requests. Controlled-substance prescribing is available only in the 50 US states and DC.

Labs and imaging

Orders go to lab and imaging centers from the chart, with structured results returned to the patient record and saved panels for re-ordering.

Reporting

Quality, clinical and practice management reports, plus MIPS, Meaningful Use and eCQM dashboards on provider licenses.

Billing services

An optional service with a billing team that handles claims scrubbing, submission, payment posting, denials and patient statements. Its price is not published.

Charm EHR

Pricing could not be confirmed. See charmhealth.com.

Practice Fusion

• EHR provider license$199

  per provider / month, billed monthly with an annual commitment

  Each provider license includes 3 signing staff licenses and unlimited non-signing staff. Prices exclude taxes.