Cloud Based EHR

With no software to download, no software upgrades to apply and no hardware to manage, Cloud based EHR Software reduces your ongoing hardware maintenance and software upgrade challenges and simplifies your practice operations.



What is Cloud Based Electronic Health Record (EHR) System?

  • The emergence of cloud-based EHRs can be traced back to the early 2000s when advancements in internet technology and increasing demand for accessible, secure, and cost-effective health information systems led to the development of cloud computing. Earlier versions of cloud-based EHRs were focused on small medical practices, but as the technology matured and the demand grew, the market expanded to include larger healthcare organizations.
  • EHR Systems are typically deployed in two modes - cloud based (also called as Software as service or SaaS EHR) or server based, each of which has its own pros and cons.
  • Cloud based electronic health record (EHR) is a digital system for storing and accessing patient health records that are hosted on remote servers providing convenient access via the internet from anywhere, scalability to meet changing needs and cost-effectiveness compared to traditional, locally hosted systems.
  • It also offers automatic updates, enhanced data security and backup, improved interoperability and upgrades and enables secure sharing of patient data between different healthcare organizations. 

  • Free data migration from your current EHR System
  • Free EHR with packaged solution including medical billing services

See what our online EHR system looks like with a quick demo.


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Cloud based ehr


Learn More about our Best-in-Class Cloud Based EHR System

Ability to Customize Increases Communication, Efficiency, and Revenues

Your patients deserve the best.  So why continue to waste valuable time, energy, and revenue with your current EHR software?  It’s time to transition to PrognoCIS EMR software.

You benefit from a customizable Electronic Health Records Software platform that automates tasks, avoids redundancy, and collects and reports data easily. Save time and resources with seamless communication between your practice and labs, radiology, pharmacies, and referring doctors. PrognoCIS Software maximizes efficiency and increases income and lets you be more responsive to the needs of your patients and your practice.

PrognoCIS software improves your medical practice’s efficiency by :

    • Automating workflow, with specialty-specific templates, including intake forms, SOAP notes, lab orders, and more
    • Simplifying meaningful use for improved coordination of care, referral management, patient engagement, and office efficiency
    • Providing immediate access to patient clinical records and seamless collection and reporting of data and patient health information
  • Transitioning to an integrated, responsivepatient portal
  • Customizing paperless statements and online bill pay
  • Facilitating online appointmentscheduling with an appointment reminder feature

    And several more EHR software options designed to increase efficiency and revenues of your medical practice.


    Customizable EHR Software

Accelerate your Revenue Cycle with Integration with Comprehensive Practice Management Software

The days of keeping your practice management software and electronic medical records software separate are over. Integrating your EMR with Practice Management software is the best low-risk, cost-effective way to make your practice more profitable and efficient.

PrognoCIS EHR is fully integrated with comprehensive practice management software and provides your practice with an integrated solution that eliminates lost productivity while increasing revenue and efficiency.

Here’s how full EHR and practice management integration benefit your medical practice:

  • Save time by eliminating duplicate effort. Your office staff no longer enters the same data twice. Practice Management software and EHR exchange seamlessly. With this increased efficiency, you can focus on the needs of your patients. 
  • Improve cash flow by accelerating the claim submission process and reducing claim rejections and denials. The time and effort involved in handling denials increase cost and hurt the bottom-line of the practice.
  • Increase in profits by merging the clinical and administrative sides of the practice and eliminating time-wasting procedures.
  • Enhanced patient communication that leads to improved continuity of care
  • Automatic creation of real-time claims to accelerating your revenue cycle because charge codes cross over from the EMR.


Schedule a demo today.

Integrated Practice Management Software

PrognoCIS is a MACRA-certified EHR product. The  MACRA (Medicare Access and CHIP Reauthorization Act) transformed the Medicare EHR Incentive Program into a constituent of the latest version of MIPS (Merit-Based Incentive Payment System).

Medicare providers using PrognoCIS’s EHR product participate in the Quality Payment Program (QPP) either through an Advanced Alternative Payment Model (APM) or the Merit-Based Incentive Payment System (MIPS).

PrognoCIS is on the Certified Health IT Product List and meets 49 Certification criteria and 58 Clinical Quality Measures in addition to meeting twelve Safety Enhanced Design Certification criteria.

PrognoCIS makes it easy to report on MIPS measure. No additional data entry is required for reporting on MIPS measures. You continue charting as usual. Our automated MIPS reporting and tracking system keeps you earning the most in positive adjustments.

Key benefits of MACRA-certified PrognoCIS EHR include:

  • Complete certification testing for MACRA
  • Automated MIPS reporting and tracking system keeps you earning the most in positive adjustments
  • Dashboard simplifies performance tracking on quality measures
  • Continuous enhancements ensure that you are up to date with MACRA certification requirements


MACRA Certified EHR

A customized EHR solution helps you meet the goals and requirements of your practice, including medical billing, practice management, and EHR solutions. PrognoCIS streamlines work throughout the practice to save you time and money.

  • Specialty-specific EHR Software provides the tools and functions required by providers in different niches. Unnecessary tools are removed to eliminate confusion among healthcare workers and make everyday use of the EHR more efficient.
  • Specialty practices want to meet the unique needs of each patient and document their efforts. Specialty-specific EHR templates support patients that require individualized documentation.
  • With EHRs that are customized for specific specialties, no time is wasted on customization. Workers can start utilizing the software and experience efficiency immediately. Specialty-specific EHRs incorporate detail-oriented workflows designed to meet the needs of each field. Users experience enhanced productivity and greater efficiency by eliminating redundancies.
  • Specialty specific EHRs provide quick access to relevant information, thereby boosting patient satisfaction and clinical outcomes.

An agile EHR platform with specialty-specific functions simplifies your work, reduces the risk of errors, and makes your practice more proficient, regardless of your specialty. Your staff becomes more engaged and experiences fewer disruptions to workflow, which means less interruption to your practice and revenue streams.


Specialty EHR

PrognoCIS EHR Software: Integrated with Comprehensive Telemedicine Software

PrognoCIS EHR offers a Telemedicine solution that integrates seamlessly with our EMR software and is designed to keep your practice running smoothly. This interoperability provides faster and more accurate diagnoses, improved efficiency in care coordination, quicker treatment, and more.

The main components of the package include:

  1. Web Patient Portal for laptops, tablets and desktops
  2. Telemedicine app with embedded patient portal app
  3. Payment Gateway (Integrity Pays)
  4. Zoom Integration


CMS Guidance on TeleHealth / Telemedicine

Until March 2020, Medicare could only pay clinicians for telehealth services, such as routine visits in certain circumstances. For example, the beneficiary getting the services must live in a rural area and travel to a local medical facility to get telehealth services from a doctor in a remote location. In addition, the beneficiary generally could not get telehealth services in their home.Under Section 1135 waiver expansion, a range of providers, such as doctors, nurse practitioners, clinical psychologists, and licensed clinical social workers, were allowed to offer a specific set of telehealth services. The specific set of services beneficiaries can get include evaluation and management visits (common office visits), mental health counseling, and preventive health screenings.

Beneficiaries can get telehealth services in any health care facility including a physician’s office, hospital, nursing home or rural health clinic, as well as from their homes. This change has broadened telehealth flexibility without regard to the beneficiary’s diagnosis and helps prevent vulnerable beneficiaries from unnecessarily entering a health care facility when clinicians can meet their needs remotely.


Who can furnish and get payment for covered telehealth services (subject to State law)?

  • Physicians

  • Nurse practitioners (NPs)

  • Physician assistants (PAs)

  • Nurse-midwives

  • Clinical nurse specialists (CNSs)

  • Certified registered nurse anesthetists

  • Clinical psychologists (CPs) and clinical social workers (CSWs)

    • CPs and CSWs cannot bill Medicare for psychiatric diagnostic interview examinations with medical services or medical evaluation and management services. They cannot bill or get paid for Current Procedural Terminology (CPT) codes 90792, 90833, 90836, and 90838.

  • Registered dietitians or nutrition professional

Telemedicine EHR

With electronic prescribing, or e-Prescribing, providers enter prescription information into a device such as a tablet, laptop, or desktop computer – and securely transmit data to pharmacies using a software program and connectivity to a transmission network. When a pharmacy receives a request, it fills the medication right away.

Key benefits of our e-Prescription solution include:

  • Ability to send e-prescriptions immediately from your patient’s chart to their desired pharmacy
  • Improved prescription accuracy and reduced medical errors through automatic interaction checks including drug-drug or drug-allergy issues
  • Better connectivity with PACs and labs
  • Reduced risk of controlled substance abuse, particularly pain management medication
  • Lower out-of-pocket cost to patients through access to prescription eCoupon discounts
  • Simplify prescription management for both patients and providers.
  • Immediately access patient medical records, including information about patient medications, prescription history, and allergies

Medication Management for Adherence

  • Medication non-adherence is a national epidemic. Medication non-adherence, sub-optimal prescribing, and improper drug administration cost the U.S over $300 billion annually. More than 20% of an employer’s healthcare cost is caused by non-adherence, with 50% of patients never taking the medication as prescribed.

Medication Management for Adherence from Surescripts is integrated into PrognoCIS EHR. Surescripts analyzes prescription usage data from Pharmacy Benefit Managers (PBMs) and funnels relevant information into PrognoCIS. This information empowers physicians to improve adherence by arming them with timely and targeted information.


Electronic Prescription

Our patient-friendly, fully-integrated patient portal provides patients with a secure platform needed to become active partners in their healthcare management.  With the integrated patient portal, patients have access to customizable features, including patient records, patient charts, lab results, and more.

RevenueXL’s Referral Management Service’s industry-leading integrated data solution ensures continuity of value-based quality of care through efficient optimization, streamlining, and management of your referred patients.

Key benefits of our patient portal

  • Patient access to lab results, financial statements, and prescription refill options
  • Automated creation and delivery of electronic statements
  • Efficient platform to communicate with physicians about recent tests and treatments
  • Easy, quick online payments for both biller and patient

Key benefits of referring physician portal

  • A secure HIPAA compliant method of referring doctors and staff to view reports and images, request appointments, and manage patient eligibility
  • Automated workflows improve efficiency among providers and staff
  • Streamlined patient referrals and report distribution, including charts and lab reports.
  • Creation of a network of collaboration with other providers
  • Integration with other portals for improved interoperability
  • Access to patient clinical data from any connected source
  • Improved productivity by reducing the need for phone calls, faxes, and follow-up visits

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Reduce lost revenue from missed appointments and late arrivals by providing your patients with a way to communicate with your office for tasks such as online appointment scheduling. Patients can receive important reminders through multiple media sources, including phone, text message, and email.

Patient Appointment Scheduler

Medical scheduling software is a specific type of software that automates the patient scheduling process for medical offices. This software provides a tool for coordinating provider calendars and patient appointment requests and for confirming available time slots.

Provides patients the option of scheduling appointments with their preferred method of communication):

Patient Appointment Reminders

Our appointment reminder service uses a text messaging mechanism and allows medical staff to send “appointment reminder” text messages to patients.

  • Reducing lost revenue resulting from no-show or late arrivals with automated appointment reminder and confirmation features sent through our text messaging service
  • Increasing efficiency by streamlining the patient check-in process upon arrival
  • Quickly and easily communicating important information to patients
  • Simple appointment confirmation scheduling through our integrated text reminder feature
  • Improving patient experience and building patient trust and engagement with responsive, direct communications.

Implementation ensures that your practice continues running smoothly

If you’re considering switching EHR systems, the full-featured systems from RevenueXL focus on the needs of small- to medium-sized practices with affordable cloud-based EHR solutions. You can deploy this system straight out of the box or customize it to your precise needs.

While there is more to replacing your EHR system than installation, RevenueXL helps make EHR transitions easy and successful. Here’s a brief look at how we’ll help you:

  • Recognize data ownership
  • Discover the technology or format in which the data is stored
  • Determine all aspects of the data migration
  • Assess the impact on the productivity of your practice during installation and implementation
  • Identify costs and budget concerns of installation, implementation, and beyond

We’ll communicate with you regularly to make sure implementation is smooth and worry-free.

Contact us today to discuss your practice needs and schedule a live demo. Discover how our agile EHRs can benefit your practice.


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Getting started with Briefcase is easy, but if you are new to the HubSpot COS you may need a little assistance. To help you out, we offer a library of tutorial videos, a COS eBook, and a COS Blog that can help to answer a lot of the basic questions. If you still need help, let us know!

Ready to see how RevenueXL can help your medical practice improve efficiency and enhance quality of patient care?

Fill out the form below to schedule your customized EHR demo.


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Healthcare Solutions



How You Benefit by Implementing PrognoCIS Cloud based EHR System

  • Easy and quick implementation of your new or replacement Cloud based EHR system which automates time-consuming administrative tasks, allowing you to focus more attention on patient engagement
  • Specialty Cloud EHR fully customized to meet your individual needs and configurable workflow designed for practice efficiency
  • Integrated Practice Management and Medical Billing Software that saves time and increases efficiency
  • Seamless Migration of data from your current EHR into PrognoCIS Cloud based EHR
  • Cloud-based, HIPAA compliant and Meaningful Use Certified Cloud Software.
  • Increased reach and availability to care for patients across wide geographic distances via telemedicine
  • All-in-one solution for small practices including all of the above features and medical billing services for one low cost


Frequently Asked Questions

What is the difference between Cloud based and Client-Server based or on-premise EHR?

Cloud-based EHRs and server-based EHRs are both electronic health record systems that store and manage patient information, but there are several key differences between the two:

Accessibility: Whereas cloud based EHRs allow healthcare providers to access patient information from anywhere with an internet connection, server-based EHRs require a direct connection to the server where the EHR is stored.

Cost: While cloud based EHRs typically have lower upfront costs and are more cost-effective in the long term, because they don't require investments in hardware, software, and maintenance costs, server based EHRs, require a significant investment in hardware, software, and support, and ongoing maintenance costs can be high.

Scalability: Due to inherent design, cloud based EHRs can easily scale to meet the changing needs of a healthcare organization, without the need for in-house IT infrastructure. On the other hand, server-based EHRs can be more difficult to scale, as adding new users or services often requires additional hardware and software investments.

Updates and upgrades: Because of the technology components used for implementation, cloud based EHRs are automatically updated and upgraded by the vendor, reducing the need for in-house IT resources and minimizing downtime. Server-based EHRs require manual updates and upgrades, which can be time-consuming and disrupt workflows.

Security: Both cloud-based EHRs and server-based EHRs can be secure, but cloud-based systems are designed to meet the highest security standards, with multiple layers of protection in place to protect patient data. Server-based EHRs are subject to security threats such as hacking and data breaches, and the responsibility for security lies with the healthcare organization.


What is the Cost of Cloud EHR?

The cost of implementing cloud EHR is directly dependent on the number of providers, medical specialty and the features included. While some Cloud EHR vendors charge on the basis of number of providers (other non-providers do not incur any cost), others price their EHR on a ‘per user per month’ model or on the basis of per encounter. Cloud EHRs for some specialties like mental or behavioral health or chiropractic typically cost less than what it would cost for other specialties.

Since cloud based EHRs do not require any upfront license cost and any investment in servers or databases that on-premise systems require, they are less expensive than on-premise or client server based EHR solutions.

To get a comprehensive list of what goes into cloud EHR cost, read more here.

Network Infrastructure necessary

To support the implementation of a cloud-based EHR in a practice, the following network infrastructure is typically required:

  1. High-speed internet connection: A high-speed internet connection is necessary to support the transfer of large amounts of data, including patient information, images, and other digital files. This connection should be reliable and have sufficient bandwidth to support multiple users accessing the EHR system simultaneously.

  2. Firewall: A firewall is necessary to protect the practice's network from cyber threats and unauthorized access. The firewall should be properly configured and updated regularly to ensure that it remains effective in protecting the network.

  3. Network switches and routers: Network switches and routers are necessary to route network traffic and ensure that the practice's network is properly segmented.

  4. End-point protection: End-point protection, such as anti-virus software and intrusion detection systems, should be installed on all devices that access the EHR system to protect the network from malware and other cyber threats.

  5. Backup and disaster recovery: The practice should have a robust backup and disaster recovery plan in place to ensure that patient information is protected in the event of a network failure or other disaster.

Overall, it is important for a practice to have a reliable and secure network infrastructure to support the implementation of a cloud-based EHR. Working with a trusted vendor or IT consultant can help ensure that the necessary infrastructure is in place and properly configured.

Are Cloud based EHR solutions right for your practice?

How do you know if it's time to implement a new or upgrade to cloud based EHR solutions?

  1. You are frustrated by the hardware, network infrastructure, and IT support costs and requirements of your existing EHR?
  2. Is your practice expanding, either with additional providers or a partner facility?
  3. Does your EHR need to communicate with health information exchanges (HIEs) or other technologies to meet coordinated care standards?
  4. Do you need anytime-anywhere access to your medical record and practice data from your mobile device?

Benefits of Cloud based EHR

  1. Accessibility:  Healthcare providers can access patient information from anywhere with an internet connection, making it easier for providers to collaborate and provide timely care.

  2. Scalability: Makes it very easy to scale to meet the changing needs of a healthcare organization, without the need for in-house IT infrastructure.

  3. Cost-effectiveness: It is typically more cost-effective than server-based EHRs, as it does not require the investment in hardware, software, and maintenance costs.

  4. Security: It is designed to meet the highest security standards, with multiple layers of protection in place to protect patient data.

  5. Automatic updates and upgrades: It is automatically updated and upgraded by the vendor, reducing the need for in-house IT resources and minimizing downtime. This helps ensure that healthcare providers are using the most current and up-to-date version of the EHR system.

  6. Quick implementation: Simplifies implementation and significantly reduces the initial implementation cost and timelines because the EHR vendor owns the servers and infrastructure required to store data and ensures scalability, fault-tolerance, security and integrity. Providers still own all their data, but the EHR vendor is responsible for ongoing updates and maintenance.


“PrognoCIS is the perfect…system for us. This is our 3rd EMR system and by far better then [sic] then the others. We don’t have to worry about waiting til the next day to access a patient chart. Also very easy to use with [our] dictation system.”

– J. with P.B., MD

“We have been with PrognoCIS for 5 years after experiencing an epic failure with another EHR solution. Our practice is a small private medical office and flexibility is paramount to optimizing our functionality. What we like most about PrognoCIS is the adaptability or customization of the product.”

– A. from S.W. Clinic

“Streamlined, easy to use, and comprehensive! I can customize myself on the fly and I like the ability to…access on my PC, Apple (Mac or iPad at home) or via the iPhone app. After using a few other systems, I saw the designers of PrognoCIS truly understand how a clinical office functions.”

– S. Wellness Group

PrognoCIS Cloud Based EHR / EMR:
A Fully Integrated, Award-Winning EMR, PM, & Billing Solution

EMR Software

Customizable workflow,templates, and content created for your specialty

Meaningful Use Support

Two service options to ensure your MU attestations are smooth and hassle-free

Practice Management

Easily identify patient eligibility and reconcile accounting and insurance billing

Patient Portal

Easily share lab results, appointment reminders, statements, and prescriptions with patients

Online payments

Patients can complete secure credit card transactions from the comfort of their homes

Revenue Cycle Management

RCM services process statements and handle claims while you connect with patients

Customized for 30+ Specialties

Designed for specialty, from Allergy to Urology


Quickly prescribe or refill prescriptions and send straight to the patient’s preferred pharmacy

Prescription Management

Surescripts feature allows you to monitor patient prescription usage and medication adherence

Technical Support

Friendly, knowledgeable 24/7 support staff available via support ticket, phone, email, or chat


Quickly enroll your practice with 3rd-party payers and begin seeing patients



Electronically sign documents within EMR or patient portal with HIPAA-compliant e-signature feature


HL-7 interfacing and CCHIT & ONC-ATCB-certified, conforming to critical security and functionality measures

Seamless Correspondence

Communicate with practice & labs, radiology, pharmacies, & referring doctors

Mobile for Today’s World

Convenient with iPhone & iPad

Schedule a PrognoCIS EHR Software Demo Today
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PrognoCIS EMR Software - Award-Winning Patient Records Learn how it works