Doctors and practice managers who want a remote assistant for charting, phones, and admin work often compare HelloRache and MEDVA. Both firms were started by physicians, and both place HIPAA-trained virtual medical assistants who work for one practice. HelloRache, founded in 2017 by family physician Mark Carnett in the Phoenix area, centers on live charting in the practice's electronic medical record (EMR) and publishes a rate of about $9.50 an hour. MEDVA sells tiers up to a secured office for practices with stricter rules about who can open their medical records system, and it quotes each role after a discovery call.
Clinicians who want a virtual assistant for live charting, reception, and admin work at a published low hourly rate
Organizations that need a secured office approved for Epic access before they sign
Practices that want a large virtual assistant firm with HIPAA training and processes monitored under SOC 2, an outside security audit standard
Practices that want to see an hourly rate on the website before a sales call
| Axis | HelloRache | MEDVA |
|---|---|---|
| Published price | Stronger About $9.50 an hour, with no minimums or setup fees in its current marketing. |
Quoted by role and security tier after a discovery call. |
| Charting help | Stronger Charting is its main focus, built around after-hours documentation and the practice's EMR templates, and it scores 7.6 for charting and admin relief. |
Charting support is one of several roles, alongside phones, scheduling, and back-office work. |
| Security options | HIPAA-trained assistants, with no SOC 2 monitoring or secured-office tier in its marketing. | Stronger HIPAA training, SOC 2 monitored processes, and a secured-office tier for stricter access to records systems such as Epic. |
| Range of work covered | Live charting, phones, referrals, and admin work, with tracks for medical, dental, veterinary, and optometry practices. | Stronger Admin, bilingual, licensed medical assistant, and scribe roles, and it scores 8.0 for covering the practice's work. |
| Getting the practice live | Stronger Scores 7.6, with no contract and no setup fee marketed. |
Scores 7.4, starting with a discovery call to set the role and security tier. |
| Knowing what you will pay | Stronger Scores 7.8, though older pages listed $9 an hour. |
Scores 7.2, since the rate depends on role, hours, and security tier. |
HelloRache is for a clinician whose biggest burden is charting, who wants one assistant trained on the practice's EMR templates, and who is comfortable with a Philippines-based assistant at a known hourly price. MEDVA is for a practice or group that needs stricter security, such as a secured office for Epic access, or that wants several kinds of roles from one firm.
Walk away from both if nobody in your office will train the assistant and check the work, or if your legal team will not sign a business associate agreement, the HIPAA contract that lets an outside firm handle patient data. Walk away from HelloRache if you need a secured office for Epic access on day one. Walk away from MEDVA if you will not take a discovery call before you see a price.