Best EMR for Telemedicine: 10 Systems Scored

Checked against vendor pages, federal certification listings and HHS guidance on September 16, 2026. Features and prices change, so confirm current details with each vendor before signing.

Commure publishes this page and sells no EMR. Its documentation tool, Commure Scribe, works alongside the EMR a practice chooses and is not ranked here.

What You Need to Know About the Best EMR for Telemedicine

• Pick CharmHealth for solo telehealth cost, Tebra for large video sessions and Elation Health for KLAS results.
• Telehealth price, participant limits and federal certification separate the 10 scored EMRs most.
• Confirm whether telehealth costs extra and whether the EMR holds a federal listing before a sales call.

What Makes an EMR Good for Telemedicine?

The best EMR for telemedicine on this page is CharmHealth, followed by Tebra, with Elation Health, AdvancedMD and athenaOne tied for third. An electronic medical record (EMR) is good for telemedicine when video starts from the chart. Patients should join by link without installing anything, and the telehealth price should be one you can confirm.

Use the picks by practice need, the comparison table and the published scores to build a shortlist. Each profile gives the telehealth price, what patients see and the one thing to check before choosing that EMR for telemedicine. For EMR features beyond video, compare the best EMR software.

Only an electronic health record (EHR) with telehealth built into the product earns a score. Products that connect an outside platform, such as a practice's own Zoom or Doxy.me account, are described and left unranked. Standalone video apps and remote patient monitoring tools are out of scope.

An American Medical Association (AMA) Policy Research Perspectives report finds that 71.4% of physicians worked in practices using telehealth in 2024.¹ That share was 25.1% in 2018 and 79.0% in 2020.¹

Best EMR for Telemedicine: Top Picks and Comparison

For solo cost, the top EMR for telemedicine is CharmHealth, and Tebra is the top pick for large video sessions. Elation Health fits 2 to 10 providers, and athenaOne fits 11 to 50. SimplePractice fits behavioral health without Merit-based Incentive Payment System (MIPS) reporting needs.

Solo clinicians comparing more than telehealth can start with the guide to the best EHR for solo practice.

Time the note in a test video visit before signing with any telemedicine EMR. A retrospective study at two academic medical centers linked fully telemedicine weeks to more EHR time and more documentation time.² Its 2021 to 2022 data covered physicians in 11 specialties and no independent practices.

At a glance: video, price and certification

Every telehealth EMR here documents a no-download patient join on at least one device, and the 10 split most on price and participant limits. Eight of the 10 hold an active listing on the Certified Health IT Product List (CHPL).³ The Office of the National Coordinator for Health Information Technology (ONC) runs that list.

The full scorecard

Scores for the 10 telemedicine EMRs run from 4.43 to 7.13, with a three-way tie for third inside 0.03 points.

Totals are weighted sums of the six scores, and "3=" marks a shared rank. Elation Health reaches 6.28 on its KLAS result and a published add-on price.

AdvancedMD also reaches 6.28, on video and certification. The third, athenaOne at 6.25, scores on charting, billing and the top KLAS mark. Sixth place, 0.17 below the tie, goes to eClinicalWorks.

Which EMRs Lead on Built-In Telehealth?

CharmHealth and Tebra lead on built-in telehealth, and three more telehealth EMRs share third within 0.03 points. The top two document the video visit most fully, from launch to participant limits. Each profile below also states what the vendor leaves unpublished.

1. CharmHealth

Best for: solo clinicians who want the lowest telehealth cost they can confirm before a sales call.

CharmHealth is the highest-scoring EMR for telemedicine here at 7.13, and its help pages describe all five scored video elements.

• Price: Telehealth is a $20 per provider per month add-on.⁴
• Video visit: According to CharmHealth, the provider clicks the "Video" button at the top of the consultation note to start.⁵ Up to three people can join on the integrated platform, and either side can share a screen.⁵
• Patient side: Patients join from the portal, the app or an emailed or texted link, then wait for the provider to admit them.⁵ They can also book and pay through the portal.⁶
• Charting: Providers can write chart notes during the session.⁶
• Certification: CharmHealth EHR 1.2 holds an active CHPL listing, certified November 15, 2018.³ No 2026 KLAS ranking was located.
• Check before choosing: The optional Zoom mode requires both sides to install the Zoom app.⁷ The pages checked describe no place of service handling or business associate agreement (BAA) for video.

2. Tebra

Best for: practices running group visits or large virtual sessions.

Tebra ranks second at 6.63, with browser video that opens in its own tab beside the chart.⁸

• Price: Telehealth sits inside the Practice Essentials and Practice Automation bundles, with Practice Essentials from $199 per provider per month.⁹
• Video visit: A visit supports 200 participants, with 24 on video and the rest on audio.¹⁰ Providers can share a whole screen, a browser window or an app.⁸
• Patient side: Participants join from any computer, tablet or phone with a browser.⁸ According to Tebra's help center, reminders give patients access to the visit room, and a waiting room opens when the patient taps Knock.¹¹
• Certification: Tebra EHR 5.1 holds an active CHPL listing, certified December 19, 2024.³
• Check before choosing: Tebra's help center says patients must run a pre-call test first.¹¹ The pages read do not show how a provider launches a visit from the schedule or describe a BAA for video.

3. Elation Health

Best for: small independent practices of 1 to 10 physicians that want KLAS-rated software with a published telehealth add-on.

Elation Health shares third at 6.28, carried by its independent evaluation score.

• Price: Integrated Telehealth adds $25 per provider per month to Standard at $425 or Premium at $500.¹²
• Independent evaluation: Elation won 2026 Best in KLAS for small independent practices of 1 to 10 physicians, with a score of 81.7.¹³ Its 9.0 on that criterion is the value used on this site's other EMR comparisons.
• Patient side: According to Elation, patients on a desktop click a link and need no download or account.¹⁴ The practice controls how many patients are admitted.¹⁴
• Charting: Clinicians can document during the visit.¹⁴
• Certification: Elation EMR Version 3 holds an active CHPL listing from December 31, 2018.³
• Check before choosing: Patients joining on a mobile device "must download the Zoom mobile app."¹⁴ The telehealth page describes no waiting room, screen share or BAA for video.

3. AdvancedMD

Best for: independent practices of 11 to 50 providers that want video launched from the EHR schedule and encounter details sent to billing.

AdvancedMD also scores 6.28, on the strength of its video documentation.

• Price: Medical specialty plans cost $429 to $1,070 per provider per month.¹⁵
• Video visit: According to AdvancedMD, staff book the visit, send the link and start the session from the EHR schedule.¹⁶ During a session, the provider can add family or staff, share a screen and save screenshots to the chart.¹⁶
• Patient side: Patients click a link on a phone, tablet or computer, with nothing to install.¹⁶
• Billing: Encounter details go to the billing team for claims.¹⁶
• Certification: AdvancedMD 25 holds an active CHPL listing from December 15, 2025.³
• Check before choosing: The pricing FAQ lists telehealth as a core feature.¹⁵ The telemedicine trial page instead sells an "essential patient bundle" add-on, so the two pages conflict.¹⁷ No participant limit or waiting room is described.

3. athenaOne

Best for: independent practices of 11 to 50 providers that want telehealth visit types tied to coding and billing.

The third entry in the tie is athenaOne from athenahealth, at 6.25.

• Price: The telehealth service is priced per provider per month or per encounter, with no figures published.¹⁸
• Video visit: According to athenahealth, a practice can run a visit "from appointment scheduling through billing" without leaving athenaOne.¹⁹ Up to four people can take part.¹⁹
• Patient side: Patients join from a web browser.¹⁹ Join links also appear in the patient portal and the athenaPatient app, active on the day of the visit.¹⁸
• Charting and billing: Clinicians can shrink the video window while they chart, and "Telehealth" visit types trigger their own coding and billing workflows.¹⁹
• Independent evaluation: The maker's athenaClinicals EHR won 2026 Best in KLAS for independent practices of 11 to 75 physicians, scoring 85.4.²⁰ That product holds an active CHPL listing as athenaClinicals v26, certified April 9, 2026.³
• Check before choosing: No waiting room or screen share is described.

How Do the Other Five Compare?

eClinicalWorks, SimplePractice, DocVilla, OptiMantra and DrChrono score from 4.43 to 6.08, and each is an EHR with telehealth built in. SimplePractice and DocVilla have no CHPL listing. eClinicalWorks and DrChrono publish no telehealth price, and OptiMantra does not describe charting during its own video visits.

6. eClinicalWorks

Best for: practices that book video visits from provider or resource schedules and want patients to have several ways to join.

eClinicalWorks ranks sixth at 6.08 with healow TeleVisits, which staff book from a provider or resource schedule.²¹

• Price: EHR Only costs $499 per provider per month and EHR with practice management $599.²² The page lists no start-up costs, though practices with more than nine providers pay added implementation fees.²²
• Video visit: Providers can invite others into an active visit.²¹
• Patient side: Patients get a secure link by text or email, or join from the healow app, the portal or a browser.²¹
• Charting: Providers can write a complete progress note from a computer, smartphone or iPad.²¹
• Certification: Two active CHPL listings cover eClinicalWorks, dated June 13, 2023, and March 22, 2024.³
• Check before choosing: The pricing page lists no telehealth price, and the TeleVisits page describes no participant limit or BAA for video.

7. SimplePractice

Best for: behavioral health practices without MIPS reporting needs.

SimplePractice ranks seventh at 5.80, and it includes telehealth "on all subscription plans at no additional cost."²³

• Price: Starter costs $49, Essential $79 and Plus $99 per month at standard rates.²⁴
• Video visit: Its telehealth features include waiting rooms, screen sharing and interactive whiteboards, with no cap on session length.²⁵ Group appointments take up to 15 clients on Plus and cost $20 per month as an add-on on Essential.²⁵
• Patient side: Clients join from a web browser, with no application to install on a computer.²³ They can request telehealth slots in the Client Portal, and reminders carry the telehealth link.²³
• Billing: SimplePractice lists place of service (POS) codes 02 and 10 and adds telehealth locations to superbills.²³
• Certification: No CHPL listing was found for SimplePractice on September 16, 2026.³ HealthIT.gov lists MIPS among payment programs that require certified health IT.²⁶
• Check before choosing: The support articles read describe no charting during the session.

8. DocVilla

Best for: practices without federal certification needs that want booking, reminders and payment in one portal on a one-year contract.

DocVilla ranks eighth at 4.85, and it ties CharmHealth for the top patient-side score.

• Price: Telemedicine with HD video starts on the Silver plan at $200 per provider per month, and all plans require a one-year contract.²⁷ Monthly plans cost more, and an initiation and training fee applies, with neither amount published.²⁷
• Video visit: According to DocVilla, the video visit launches "straight from the appointment in the patient's chart."²⁸ Doctors can share their screen and bring a third party into the consult by SMS.²⁸
• Patient side: Patients need "no account, app download, or login," and they join from a secure link on a smartphone.²⁸ They book telemedicine visits in the portal, get automated reminders with links and can pay there too.²⁸
• Certification: No CHPL listing or independent evaluation was found for DocVilla.³
• Check before choosing: DocVilla states that visits bill with the correct telehealth place of service codes and does not describe how.²⁸ The $100 Bronze plan lists "Basic Telemedicine" without defining it.²⁷

9. OptiMantra

Best for: solo practitioners who want telehealth included in a month-to-month base plan, with a BAA that comes with the license.

OptiMantra ranks ninth among these telehealth EMRs at 4.60 and shares the top telehealth cost score with SimplePractice.

• Price: Telehealth is in the base plan at $99 per month for the first practitioner and $49 for each added one.²⁹ Billing runs month to month with no long-term commitment.²⁹
• Video visit: According to OptiMantra, providers run visits in its built-in video with "no third-party software or downloads required."³⁰ Group visits and the waiting room run through OptiMantra's Zoom integration, separate from the built-in video.³⁰
• Patient side: Patients join from a browser, and sessions can include caregivers, family members or specialists.³¹ The platform sends automated visit links and reminders.³¹
• HIPAA agreement: A business associate agreement comes with the license.³⁰
• Certification: OptiMantra 2026.02.01 has held an active CHPL listing since July 20, 2026.³
• Check before choosing: No OptiMantra page read describes charting in its own video visits or telehealth billing. Its blog names charting during sessions only as general advice on what to look for.³¹

10. DrChrono

Best for: practices willing to request a quote that want appointment profiles to fill in billing codes for video visits.

DrChrono ranks tenth among these telemedicine EMRs at 4.43, with no published price and few readable video details.

• Price: The pricing page marks telehealth in the Foundation, Growth and Premium plans.³² It publishes no prices and routes buyers to a quote request.³²
• Video visit: According to DrChrono, providers schedule and conduct visits directly from the EHR.³³
• Patient side: Patients can get a link that needs no set-up, join from a desktop, iPhone or iPad and sign consent forms.³³
• Billing: Pre-set appointment profiles populate billing codes.³³
• Certification: The drchrono EHR 11.0 listing on CHPL is active, dated May 31, 2022.³
• Check before choosing: DrChrono's telehealth help articles returned no readable text, so waiting room, participant and screen share details were not assessable.

Described, not ranked

Seven more products came up for these searches or suit larger organizations, and each is left unranked for a stated reason.

• RXNT connects outside video. According to RXNT, its VideoBridge tool links to the practice's preferred video platform, such as Doxy.me or Zoom for Healthcare.³⁴
• ClinicTracker has clinicians join their own Zoom account or another teleconferencing program, and it is built for behavioral health.³⁵
• Practice Fusion lists video chat only under Updox Patient Engagement and Premium Reminders, not among the features its EHR subscription includes.³⁶
• Praxis EMR publishes no description of how its video works and no telehealth price on its telemedicine page.³⁷
• Epic, Oracle Health and MEDITECH published no pricing an independent practice could buy on when last checked in August 2026. Epic Telehealth won 2026 Best in KLAS for EHR-Centric Virtual Care Platforms, with a score of 89.8.³⁸

What Does Telehealth Cost Inside an EMR?

An EMR for telehealth can include video at no extra cost or charge up to $25 per provider per month for it. Three vendors publish no telehealth price. As of September 16, 2026, the 10 EMRs here use five price structures.

• Included on every plan. SimplePractice includes telehealth from $49 per month.²⁴ OptiMantra includes it from $99 per month for the first practitioner.²⁹
• Included only in a bundle. Tebra's Practice Essentials bundle starts at $199 per provider per month for a low-volume non-physician provider.⁹ DocVilla's Silver plan costs $200 per provider per month on an annual contract.²⁷
• Sold as an add-on. CharmHealth's $20 add-on on its $25-minimum Encounter plan comes to at least $45 per provider per month.⁴ Elation's $25 add-on on Standard comes to $450 per provider per month.¹²
• Published, then contradicted. AdvancedMD publishes $429 to $1,070 per provider per month for medical specialties, and its own pages disagree on whether telehealth costs extra.¹⁷
• Not published. eClinicalWorks lists EHR Only at $499 per provider per month with no telehealth line.²² athenaOne names two telehealth pricing models without figures.¹⁸ DrChrono publishes no prices.³²

Setup and contract terms move the total too. AdvancedMD lists setup fees from free to $1,000 for smaller practices.¹⁵ According to athenahealth, its pricing follows a practice's collections, with "No long-term contracts."³⁹

SimplePractice currently shows a 50% promotion beside its standard prices, and this page uses the standard figures.²⁴ Before comparing totals, ask each telehealth EMR vendor to put the telehealth line, setup fee and contract term in writing.

What Do Medicare, HIPAA and DEA Rules Require for Video Visits in 2026?

Medicare pays for non-behavioral home telehealth through December 31, 2027, and home behavioral health telehealth is permanent. Covered providers need a video vendor that signs a BAA. The Drug Enforcement Administration (DEA) rule for prescribing controlled drugs by telemedicine runs through December 31, 2026.

These rules and dates apply to video visits run from any EHR with telehealth.

• Medicare home telehealth for non-behavioral care runs through December 31, 2027, with audio-only visits counted and no geographic restriction.⁴⁰ That date is on Telehealth.HHS.gov's Medicare payment policies page, last updated February 5, 2026.⁴⁰
• Starting January 1, 2028, patients outside behavioral health "will generally need to be in a medical facility and in a rural area."⁴¹ That reversion comes from the Centers for Medicare & Medicaid Services (CMS) Telehealth FAQ, updated February 26, 2026.⁴¹
• Behavioral and mental health home telehealth is permanent, per the same HHS page.⁴⁰ Its in-person visit rule, due within six months of the first telehealth visit and yearly after, is waived through December 31, 2027.⁴⁰
• Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) can be paid for non-behavioral telehealth visits through December 31, 2027.⁴² A CMS fact sheet on the proposed 2027 Physician Fee Schedule, dated July 14, 2026, gives that date.⁴²
• Place of service codes in the same CMS FAQ are POS 10 when the patient is at home and POS 02 elsewhere.⁴¹ Since January 1, 2024, Medicare home telehealth claims are paid at the non-facility rate.⁴¹ Commercial payer modifier rules vary, so confirm them with each plan.
• HIPAA enforcement discretion for telehealth tools has expired, and its transition period ended at 11:59 p.m. on August 9, 2023, per an April 11, 2023, HHS Office for Civil Rights press release.⁴³ Covered providers must use vendors that "will enter into HIPAA business associate agreements," per Telehealth.HHS.gov guidance last updated November 6, 2023.⁴⁴
• A vendor that is "more than a mere conduit" for patient information needs a BAA, per HHS guidance last reviewed June 23, 2026.⁴⁵ OptiMantra and SimplePractice state that they provide one. Ask the other vendors for theirs, and work through a HIPAA compliance checklist.
• DEA telemedicine prescribing flexibilities run through December 31, 2026, under a fourth extension HHS announced on January 2, 2026.⁴⁶ Telehealth.HHS.gov, last updated January 5, 2026, says DEA-registered practitioners can prescribe Schedule II to V drugs this way "if required conditions are met."⁴⁷ Check DEA guidance before relying on them after December 31, 2026.
• State licensure typically follows the patient's location, so the clinician must meet the licensing rules of the state where the patient is, according to the Center for Connected Health Policy.⁴⁸ Rules vary by state, so verify cross-state visits with a healthcare attorney or compliance officer.

How Were These EMRs Scored?

Each telemedicine EMR was scored from 0 to 10 on six criteria. The weights sum to 100 and reflect an independent practice, solo to about 50 providers, buying video visits inside its EMR. Every score is published, so a reader can recompute any total and rank on this page.

Every telehealth EMR entry was checked on the CHPL on September 16, 2026.³ ONC and KLAS scores match this site's other EMR comparisons, including the guide to the best EMR for small practices.

Five rules turn vendor pages into numbers.

• Documented features only. A capability scores on what the vendor's own site, help center or pricing page describes. A feature that is named but not described earns 2.0 at most.
• Obtainable at this size. A capability counts only if an independent practice can buy it on published terms. Enterprise EMRs are described and left unranked for that reason.
• No fact, no credit. An unpublished telehealth price scores in the quote-only band, and a feature no page describes earns nothing for that element.
• Vendor figures score zero. Provider counts and other self-reported numbers carry no weight.
• Close means tied. Entries that one sentence cannot separate on a criterion get the same score, and totals within 0.03 share a rank.

Scores run in half points, and a 10 needs an objective external standard such as a 2026 Best in KLAS win. An 8 means fully documented with one gap. A 6 or 7 means documented with real limits, and a 4 or 5 means a material part is undocumented.

Three other weightings were tested. Two cut ONC to 10 and raise either telehealth cost to 25 or video to 30. The third raises ONC to 20 and cuts charting to 10.

CharmHealth stays first under all three, and second place stays with Tebra. The athenaOne entry drops to fifth or sixth under all three. DrChrono stays tenth every time.

AdvancedMD holds third alone when video rises. A higher telehealth cost weight leaves Elation Health tied within 0.03 for third with SimplePractice.

Under the higher ONC weight, AdvancedMD and Elation Health share third. SimplePractice returns to seventh there, and OptiMantra passes DocVilla.

No product was tested. Vendor pages were read on September 16, 2026, through a text-extraction tool. Check quoted wording against each live page.

Where Commure Scribe fits on this page

Commure publishes this page and sells no EMR. Its product, Commure Scribe, is a documentation tool that works alongside the EMR a practice chooses, and it is not scored.

No score on this page rests on company confirmation. The sweep test, which asks whether the publisher's product leads most criteria, returns zero of six.

How Commure Scribe Documents the Video Visit

Commure Scribe is an ambient AI medical scribe. It works for in-person and video visits, hosts no video, replaces no EMR and runs alongside whichever telehealth EHR a practice picks.

The note for a video visit moves through four steps.

• Capture: During a video visit, the clinician can stay present with the patient on screen while the talk is captured.
• Draft: Within seconds of clicking End Recording, the clinician sees a structured SOAP note. The draft comes with suggested ICD-10 and CPT codes.
• Review and finalize: Before anything enters the chart, the clinician reviews and edits the draft and always has the choice to finalize it.
• Move to the EHR: Among the EMRs on this page, Commure Scribe's verified integrations include AdvancedMD, Elation, eClinicalWorks, athenahealth, SimplePractice, and Tebra. Solo and small practices of 1 to 5 providers copy and paste the note through a Chrome extension overlay. Medium and large group practices can get one-click sync with the EHR.

More EMR and EHR Guides

These guides cover the AI scribes, specialty systems and EHR concepts a practice weighs after picking an EMR for telemedicine.

• AI scribes for athenahealth: The guide compares five tools on how notes reach the athenahealth chart.
• AI scribes for AdvancedMD: It reviews four options for practices running AdvancedMD.
• AI scribes for SimplePractice: It covers scribes for behavioral health clinicians on SimplePractice.
• AI scribes for eClinicalWorks: The guide compares five tools for eClinicalWorks practices.
• Best EMR for pediatric practices: It compares seven systems on pediatric workflows such as growth charts and immunization tracking.
• Best internal medicine EMR: It compares seven options for internal medicine providers managing complex, multi-condition patients.
• Best EHR for mental health private practice: It covers EHR choices for clinicians running a mental health private practice.
• EHR for behavioral health organizations: It covers EHR choices for behavioral health organizations.
• EMR vs EHR: It explains the difference between the two system types and how to choose.
• EHR integration API: It explains how third-party tools connect to an EHR's data.

Keep the note moving after the video ends

Commure Scribe works alongside the EMR that runs your video visits and drafts each visit note for you to review and finalize. The 7-day trial needs no credit card, and current terms are listed under Commure Scribe pricing and plans.

This article is for informational and educational purposes only, does not constitute legal, medical, or professional advice, and does not guarantee any particular billing, compliance, or reimbursement outcome.

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