For an independent practice that wants its EHR, scheduling, and billing from one cloud vendor, AdvancedMD and RXNT both sell that suite.
Independent specialty and multi-specialty ambulatory groups that want cloud EHR, practice management, and RCM from one mid-market vendor
Primary-care clinics that want an API-first modern chart like Canvas or Elation's primary-care focus
Independent and multi-specialty ambulatory practices that want one cloud suite for EHR, e-prescribing, practice management, and billing
Health systems standardizing on Epic or Oracle Health as the system of record
RXNT, founded in 1999 in Annapolis by CEO Randy Boldyga, sells one cloud suite that covers EHR, e-prescribing, practice management, and billing, and tens of thousands of clinicians use it.
AdvancedMD is a standalone company again under Francisco Partners, with Amanda Sharp as CEO. It sells a cloud EHR, practice management, and patient engagement tools, and it can also run a practice's billing for a share of collections.
RXNT quotes a monthly per-provider price that includes the billing module and data migration. AdvancedMD quotes software alone or software plus its billing service, and clearinghouse and patient-payment tools add to the total.
RXNT keeps prescription history and claims with one vendor. AdvancedMD suits practices moving off server-based software that may want to hand off billing later.
Choose RXNT when a small practice wants prescribing, charting, and claims in one system at one monthly price.
Choose AdvancedMD when the practice wants the option to outsource its billing to the same vendor.
Skip both if your group must move onto Epic or Oracle Health, or needs a specialty EHR built for dermatology or ENT.