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Healthcare · head to head

Practice Fusion vs Zanda Health

Practice Fusion logo

Practice Fusion

Healthcare

Free cloud-based EHR for medical practices

From
Free
Rated
-
Zanda Health logo

Zanda Health

Healthcare

Practice management and clinical notes for allied health clinics, formerly Power Diary

From
$19/month
Rated
-

The short version

  • Only Practice Fusion has a free tier, so it costs nothing to try first.
  • Each has a real cost: Practice Fusion cloud-based architecture requires constant internet connectivity; Zanda Health the 2024 rename from Power Diary means most third party reviews, integration guides and community answers still sit under the old name, so buyers researching Zanda Health find a thin trail and may wrongly conclude it is a new and unproven product.
  • They diverge on capability: Practice Fusion covers Electronic Health Records, Zanda Health covers Unlimited admin users.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Practice Fusion and Zanda Health actually diverge.

Attributes where Practice Fusion and Zanda Health differ
AttributePractice FusionZanda Health
Starting priceFree$19/month
Pricing modelsubscriptionPer user per month
Free tierYesNo
Founded2005Unknown

Identical on both: platforms (Web, iOS, Android), user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Practice Fusion

  • Electronic Health Records
  • e-Prescribing
  • Lab Orders
  • Patient Portal
  • Scheduling
  • Labs
  • Pharmacies
  • Imaging Centers

Only in Zanda Health

  • Unlimited admin users
  • Australian funder billing
  • Clinical note templates
  • Two way SMS
  • Telehealth Pro
  • Practitioner rostering
  • Client portal
  • BizzyAI Scribe

What people use each for

The jobs each tool is most often brought in to do.

Practice Fusion

  • Small to medium medical practicesnot Zanda Health
  • Primary care clinicsnot Zanda Health
  • Independent clinicians needing electronic chartingnot Zanda Health
  • Practice management and billing workflowsnot Zanda Health

Zanda Health

  • A five physiotherapist clinic in Melbourne that bulk bills Medicare and wants claiming inside the diary rather than a separate portalnot Practice Fusion
  • A psychology group practice with more reception staff than clinicians, where per seat pricing elsewhere would double the billnot Practice Fusion
  • A UK osteopathy practice moving off paper diaries that needs online booking and card payment without an implementation projectnot Practice Fusion
  • A multi site podiatry business that needs room and equipment allocation alongside practitioner availabilitynot Practice Fusion

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Practice Fusion

  • Cloud-based architecture requires constant internet connectivity
  • Requires annual commitment for pricing

Zanda Health

  • The 2024 rename from Power Diary means most third party reviews, integration guides and community answers still sit under the old name, so buyers researching Zanda Health find a thin trail and may wrongly conclude it is a new and unproven product.
  • North American billing is not properly served: there is no claims clearinghouse and superbill handling is basic, so a United States practice will need a separate revenue cycle tool and will pay for two systems.
  • Pricing is quoted in United States dollars while the company, support hours and product depth are Australian, so buyers outside those two time zones get support with an overnight lag on urgent clinical scheduling problems.
  • SMS is billed per message beyond the plan allowance and a dedicated number is required in the United States and Canada, so a busy clinic sending reminders and follow ups accumulates a variable monthly cost that is not visible in the headline plan price.
  • Reporting is adequate for a single clinic but weak for a group: cross site financial consolidation and practitioner productivity comparison generally end up exported to a spreadsheet, which becomes a monthly manual job as soon as you pass a handful of locations.

Pricing, plan by plan

Practice Fusion

Free
  • Standard$199/month
    • Provider license with e-prescribing and chart signing
    • 3 signing staff licenses included
    • Unlimited non-signing staff licenses

Zanda Health

$19/month
  • Starter$19/month
    • One practitioner
    • One administrative user
    • 1,000 appointments per year
  • Growth$49/month
    • Base fee plus 19 USD per additional practitioner per month
    • Unlimited free administrative users
    • Unlimited appointments
  • Telehealth Pro add-on$9/month
    • Per practitioner
    • Unlimited video consultations
    • Recording and waiting room

Which should you pick?

Choose Practice Fusion if

  • You need electronic health records.
  • You want to start without paying.
  • You work on Web, iOS, Android.
  • You also want e-prescribing.

Choose Zanda Health if

  • You need unlimited admin users.
  • You work on Web, iOS, Android.
  • You also want australian funder billing.

Questions people ask

Is Practice Fusion or Zanda Health better?
Neither clearly leads. Practice Fusion starts at Free and Zanda Health at $19/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Practice Fusion or Zanda Health?
Practice Fusion has a free tier; the other does not. Paid plans start at Free for Practice Fusion and $19/month for Zanda Health.
Does Practice Fusion or Zanda Health run on more platforms?
Both run on Web, iOS, Android, so platform support will not decide this one for you.
Can I use Practice Fusion for free?
Yes. Practice Fusion has a free tier, so you can try it without paying. Zanda Health starts at $19/month.
What is Practice Fusion best used for?
Practice Fusion is most often used for small to medium medical practices, primary care clinics, independent clinicians needing electronic charting, practice management and billing workflows. Of those, small to medium medical practices and primary care clinics are not what Zanda Health is typically brought in for.
What can Practice Fusion do that Zanda Health cannot?
Practice Fusion covers Electronic Health Records, e-Prescribing, Lab Orders, Patient Portal. Zanda Health covers Unlimited admin users, Australian funder billing, Clinical note templates, Two way SMS.

Answered from the vendors’ own pages

Practice Fusion: How much does Practice Fusion cost?

Practice Fusion starts at $199 per month per provider with an annual commitment required. The pricing includes 3 signing staff licenses and unlimited non-signing staff licenses.

Source
Zanda Health: Is Zanda Health the same as Power Diary?

Yes. Power Diary rebranded to Zanda Health in 2024. Same company, same product line, same data.

Practice Fusion: Does Practice Fusion offer a free trial?

Yes, Practice Fusion offers a complimentary 2-week trial with no commitment, no upfront costs, and no credit card required.

Source
Zanda Health: Do receptionists count as paid users?

No. On the Growth plan administrative users are unlimited and free. Only practitioners are charged.

Zanda Health: Does it handle Medicare bulk billing?

Yes, Medicare Online, DVA and bulk billing claims are submitted from within the platform for Australian practices.

Zanda Health: Is it suitable for a United States practice?

Only partly. Charting, scheduling and telehealth work, but there is no claims clearinghouse, so US insurance billing needs a separate system.

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