Fusion Web Clinic vs. Proactive Chart: A 2026 Feature & Price Comparison

If you’re a pediatric therapy practice owner evaluating Fusion Web Clinic (now branded as Ensora Rehab Therapy Suite) and finding yourself frustrated by tiered pricing that reaches $229/user/month, limited mobile functionality, and concerns about post-acquisition support quality, you’re not alone. Many PT, OT, and SLP practices are actively seeking alternatives that deliver pediatric-specific features without the enterprise price tag or the complexity of modular billing add-ons.

TLDR: Key Takeaways

Fusion Web Clinic has undergone significant changes since its acquisition by private equity around 2021, now operating as Ensora Rehab Therapy Suite. While it offers specialized pediatric therapy features, practices face several pain points: tiered pricing ranging from $119-$229 per user monthly (compared to Proactive Chart’s flat $79 rate), no dedicated mobile app despite claims of cloud accessibility, extra charges for integrated billing features that competitors include standard, and documented customer support decline post-acquisition. User reviews consistently cite an outdated interface, limited customization options, and slow performance on mobile devices. For small pediatric practices treating 100-300 patients monthly, the cost difference between Fusion’s Premier tier and Proactive Chart can exceed $15,000 annually for a 5-provider clinic—without gaining superior functionality. Proactive Chart offers comprehensive pediatric templates, mobile-first documentation, transparent all-inclusive pricing, and white-glove data migration, making it the logical choice for practices seeking modern EMR functionality without legacy platform compromises.

Understanding the Fusion Web Clinic (Ensora) Landscape in 2026

Fusion Web Clinic entered the pediatric therapy EMR market as an innovative, practice-focused solution for PT, OT, and speech-language pathology clinics. The platform built a loyal following with its specialty-specific templates, integrated scheduling, and documentation workflows designed specifically for therapists working with children.

However, the landscape shifted dramatically around 2021 when Fusion was acquired and subsequently rebranded as Ensora Rehab Therapy Suite. This transition marked a turning point that many long-time users describe with frustration. As one verified reviewer stated: “First off, you need to know that this product was originally Fusion Web Clinic. We started using it 9 years ago when it was the original company, which was great. They sold the software around 2021 and it’s since gone WAY down hill.”

The Private Equity Effect: What Changed for Fusion Users

The acquisition brought significant changes that directly impact pediatric therapy practices:

Customer Support Deterioration: Multiple users report a stark decline in support quality post-acquisition. One particularly pointed review noted: “ZERO, and I mean ZERO, customer support. Again, under the original company, support was great. Once the terrible private equity company bought the platform, all they cared about was selling other products and services.”

Strategic Direction Shift: The rebranding to Ensora and integration into a broader suite of healthcare products suggests a pivot toward enterprise markets and cross-selling, potentially at the expense of the small-practice focus that originally defined Fusion.

Technology Stagnation: Several reviews mention that “the whole system needs an overhaul to keep up with technology and the needs of clinics” and that “it takes a long time to get anything added.” This suggests development resources may be allocated elsewhere within the parent company’s portfolio.

For pediatric practices that chose Fusion specifically because it was built by and for therapists like them, these changes represent a fundamental breach of trust—and a compelling reason to explore alternatives.

Fusion Web Clinic Pricing: The Hidden Cost of Tiered Models

One of the most significant pain points for Fusion users is the complex, tiered pricing structure that can quickly become prohibitively expensive for growing practices.

Fusion’s Three-Tier Pricing Structure (2026)

According to current industry sources, Fusion (Ensora) offers three pricing tiers:

Essentials: $119/month for the first user + $39/month for each additional user
Advanced: $159/month for the first user + $59/month for each additional user
Premier: $229/month for the first user + $99/month for each additional user

This tiered approach creates several problems for pediatric therapy practices:

Escalating Costs with Team Growth: A 5-provider clinic on the Premier tier pays $229 + (4 × $99) = $625/month or $7,500/year. As you add therapists to serve more patients, your software costs increase proportionally—penalizing practice growth.

Billing Feature Segregation: Fusion offers three package deals called “Basic,” “Enhanced,” and “Billing.” The “Billing” tier contains essential features like automatic claims, one-click claim submissions, patient invoices with electronic payments, and automated group billing. These aren’t included in lower tiers, forcing practices to either upgrade or manage billing separately—defeating the purpose of an integrated EMR.

Telehealth Add-On Costs: Telehealth is priced separately at $10 + $0.70 per session (with $0.30 for each additional participant). While it’s included in Advanced and Premier plans, Essentials tier users must pay extra—critical for pediatric practices that added telehealth capabilities during and after the pandemic.

RCM Service Upsells: Ensora pushes additional Revenue Cycle Management (RCM) services (Essentials or Advanced tiers) as paid add-ons, creating yet another line item for practices trying to optimize their billing workflows.

The Proactive Chart Pricing Alternative: Transparent and All-Inclusive

In stark contrast, Proactive Chart offers one flat rate with all features included, no setup fees, no surprise charges, and no “contact us for pricing” games.

At $79/user/month, a 5-provider pediatric practice pays $395/month or $4,740/year—a savings of $2,760 annually compared to Fusion’s Premier tier. That’s nearly a third of a full-time employee’s salary returned to your practice.

More importantly, Proactive Chart includes in this single price:

Complete documentation and scheduling
Integrated billing and claims submission
Patient portal and communication tools
All pediatric-specific templates and assessments
Mobile-first documentation on tablets and smartphones
Unlimited support with no tiered service levels
White-glove data migration assistance

There are no hidden modules, no feature gates, and no surprise bills when you need to add telehealth or process patient payments. This transparent pricing model allows practice owners to budget accurately and invest savings back into patient care, staff development, or marketing—not software overhead.

Mobile Access: Where Fusion Falls Short in 2026

In 2026, mobile documentation is no longer a “nice-to-have” feature—it’s essential for pediatric therapy practices where therapists work on floor mats, in school classrooms, and in home visit settings. Unfortunately, this is where Fusion Web Clinic reveals a critical gap.

Fusion’s Mobile Limitations

No Dedicated Mobile App: Despite being cloud-based, Fusion Web Clinic does not offer a dedicated mobile app. Users can access the platform through mobile browsers, but this creates a suboptimal experience characterized by:

Poor Mobile Optimization: User reviews consistently report that “the software doesn’t integrate well on iPhones or iPads” and note “mobile and performance limitations” that disrupt workflow.
Slow Server Performance: Multiple verified reviews mention “slow servers, which makes the software run slower than expected”—a problem compounded on mobile devices with potentially weaker internet connections.
Interface Not Designed for Touch: The platform’s interface, described by some as “outdated and clunky,” was clearly designed for desktop mouse navigation, not touchscreen interaction. This makes mobile documentation frustrating during pediatric therapy sessions that require real-time charting while engaging with a child on the floor or during active play.

The Pediatric Therapy Mobile Use Case

Consider the typical workflow of a pediatric physical therapist:

Floor/Mat Work: Much of pediatric PT occurs on floor mats during tummy time, play-based activities, and gross motor skill development. The therapist needs to document observations, ROM measurements, and intervention responses without leaving the patient to walk to a desktop computer.
School-Based Services: Therapists providing services in educational settings move between classrooms, gyms, and therapy rooms. Mobile documentation allows them to complete notes between sessions during transitions, rather than accumulating a backlog for after-hours “pajama time” charting.
Home Visits: For early intervention providers, mobile access is non-negotiable. Documentation must be completed in family homes, often in real-time to involve caregivers in goal-setting and demonstrate interventions.
Parent Engagement: Modern pediatric practice is collaborative. Being able to show parents a goal progression chart or milestone tracking dashboard on a tablet during a session—rather than promising to “send it later”—dramatically improves family engagement and compliance with home exercise programs.

Fusion’s mobile limitations force pediatric therapists into workarounds: jotting notes on paper for later entry, relying on memory to complete documentation hours after the session, or awkwardly manipulating a desktop interface on a small screen. Each workaround introduces errors, delays billing, and contributes to the documentation burden that drives therapist burnout.

Proactive Chart’s Mobile-First Architecture

Proactive Chart was designed from the ground up with mobile workflows in mind. The platform features:

Responsive Design: The interface automatically adapts to screen size, providing touch-optimized controls on tablets and smartphones without sacrificing functionality.
Offline Capability: Document during sessions even with spotty internet connectivity (common in schools and rural home visits), with automatic sync when connection is restored.
One-Handed Operation: Critical functions are accessible with thumb reach on smartphones, allowing therapists to document while holding assessment tools or supporting a patient.
Photo/Video Integration: Seamlessly capture movement videos or progress photos directly from mobile devices and attach them to patient charts for qualitative outcome tracking.

This mobile-first approach doesn’t just improve convenience—it fundamentally changes practice economics. When therapists can document at point-of-care on mobile devices, practices see:

Reduced “Pajama Time”: Therapists complete notes before leaving work, improving work-life balance and reducing burnout.
Faster Billing Cycles: Claims go out days earlier when documentation is completed same-day, accelerating cash flow.
Improved Note Quality: Real-time documentation captures accurate details that would be forgotten hours later, reducing audit risk.

For pediatric practices, mobile functionality isn’t an add-on—it’s the foundation of efficient, sustainable clinical operations.

Feature Comparison: Pediatric-Specific Capabilities

Both Fusion and Proactive Chart target the pediatric therapy market, but how do they compare on the specialized features that actually matter for PT, OT, and SLP practices working with children?

Standardized Pediatric Assessments

Fusion Web Clinic: Offers 80+ pediatric-specific templates customized to practice workflows. The platform includes support for common developmental assessments, though users report significant limitations in customization. One verified review stated: “Disappointed with the lack of customization options, especially when it comes to field names. The inability to change or define additional fields is a major drawback.”

Proactive Chart: Includes comprehensive standardized assessment libraries with built-in support for:

GMFM-88/66 with structured data entry, automatic scoring, and longitudinal tracking
PEDI domain documentation with normative score calculations
PDMS-2/PDMS-3 (Peabody) support for children birth through age 5
Age-referenced milestone libraries with visual timelines
Custom assessment builder for facility-specific tools

Critically, Proactive Chart allows full customization of fields, templates, and workflows—addressing the primary complaint Fusion users voice about rigidity.

Developmental Milestone Tracking

Fusion Web Clinic: Provides pediatric templates, but the platform’s “episode-based” documentation approach doesn’t naturally support the longitudinal tracking needed to follow a child’s development over months and years. Users note that “it takes a long time to get anything added” when requesting feature enhancements.

Proactive Chart: Built with longitudinal tracking as a core feature. The milestone tracking system includes:

Age-referenced developmental norms (2, 4, 6, 9, 12, 18, 24, 36, 48, 60 months)
Visual milestone timelines showing where a child falls on the developmental spectrum
Automatic progress dashboards for family communication
Growth chart integration (CDC curves) with automatic percentile calculations

This architectural difference is fundamental: Fusion was adapted for pediatrics, while Proactive Chart was designed for developmental tracking from the start.

Family-Centered Communication

Fusion Web Clinic: Offers a patient portal and secure messaging capabilities. However, users report limited functionality around multiple contact management—critical for pediatric practices managing complex custody arrangements and coordinating with schools, parents, and other providers.

Proactive Chart: Purpose-built for family-centered care with:

Unlimited contact management supporting primary guardians, secondary contacts, billing contacts, and pickup authorization
Custody arrangement documentation with court-ordered restriction notes
Communication preference tracking per contact (email, text, phone)
One-click parent-friendly progress report generation in accessible language
School integration features: IEP goal tracking, educational team communication logs, and report generation for IEP meetings

Billing and Claims Management

Fusion Web Clinic: This is where Fusion’s tiered pricing becomes problematic. Essential billing features—automatic claims, one-click submissions, patient invoices, electronic payments, and automated group billing—are segregated into the higher-priced “Billing” tier package. Even then, user reviews cite significant frustrations:

Clearinghouse Problems: “A few months back, the clearing house they used screwed up a lot of claims, but Fusion didn’t handle it well. Their support manager sent at least 10 very long emails giving clinics a laundry list of things to do to fix it… The emails were so confusing users had to call them, and it was described as ‘a disaster.’”
Back Office Reporting Gaps: Users report that “the software needs more development on back office reports, such as being able to pull unpaid treatment codes or pulling unpaid claims into excel spreadsheets to send to payers.”

Proactive Chart: Includes comprehensive billing functionality in the base price:

Integrated clearinghouse with real-time claim scrubbing
Automated ERA (Electronic Remittance Advice) posting
Built-in NCCI edit checker preventing bundling errors
Modifier compliance alerts (CQ for PTAs, GP/GO/GN for disciplines)
Denial management workflows with root cause tracking
Custom reporting with export to Excel for payer analysis

More importantly, Proactive Chart’s billing features aren’t an upsell—they’re core functionality available to every practice from day one.

User Experience: Interface and Usability Concerns

The user interface might seem like a secondary consideration compared to features and pricing, but in practice, it directly impacts therapist satisfaction, documentation speed, and ultimately practice profitability.

Fusion’s Interface Challenges

User reviews of Fusion Web Clinic consistently mention interface issues:

Outdated Visual Design: Multiple reviewers describe the interface as “outdated and clunky,” “needing an overhaul to keep up with technology,” and having an appearance that feels dated compared to modern web applications.

Learning Curve: Users report “a steep learning curve due to the software’s complexity and non-intuitive design, leading to a longer onboarding process.” This is particularly problematic for pediatric practices with high turnover among new graduate therapists who expect consumer-grade user experiences.

Workflow Rigidity: The lack of customization extends beyond just field names. Users express frustration that workflows cannot be tailored to their specific practice patterns, forcing them to adapt their clinical processes to fit the software’s rigid structure.

Performance Issues: Beyond the mobile problems already discussed, users note “glitches, slowdowns” that “can disrupt workflow” even on desktop computers.

The Hidden Cost of Poor Usability

These usability issues have real financial consequences:

Extended Training Time: When new staff take 2-3 weeks to become proficient (versus 3-5 days with intuitive software), that’s lost productivity. For a new grad PT earning $80,000/year, an extra week of reduced productivity costs the practice approximately $1,500 in lost billable time.

Documentation Inefficiency: If an outdated interface adds even 5 minutes per note, that’s 50 minutes per day for a therapist seeing 10 patients—more than 4 hours per week or 200+ hours annually. At $50/billable unit, that’s over $10,000 in lost revenue per therapist per year.

Staff Satisfaction and Retention: Therapists who struggle with clunky software experience higher frustration and burnout. In a tight labor market where replacing a therapist costs $50,000-$75,000 in recruiting, onboarding, and lost productivity, EMR-driven turnover is a silent profit killer.

Proactive Chart’s Modern, Intuitive Design

Proactive Chart prioritizes user experience with:

Clean, Modern Interface: A visually appealing, uncluttered design using current UI/UX best practices. Therapists can find what they need without hunting through nested menus or confusing navigation.

Workflow Customization: Practices can configure templates, quick phrases, documentation sequences, and default settings to match their specific clinical workflow—not vice versa.

Rapid Onboarding: Most therapists report feeling comfortable with Proactive Chart within 1-2 weeks (often faster), thanks to intuitive design and comprehensive training resources.

Performance Optimization: Built on modern cloud infrastructure with 99.9% uptime guarantee and fast page loads, even during peak usage hours.

The Migration Question: Is Switching Worth the Effort?

Many Fusion users tolerate pricing frustrations, mobile limitations, and interface problems because they fear the disruption of switching EMR systems. This is understandable—your EMR holds your entire patient database, billing history, and clinical documentation. The prospect of migration feels overwhelming.

However, practices that have switched from Fusion to Proactive Chart consistently report that the transition was far smoother than anticipated, and the long-term benefits dramatically outweighed the short-term effort.

What Migration Actually Involves

Data Export from Fusion: Fusion allows data export in standard formats (typically CSV files for demographics and structured data). Historical clinical notes are usually exported as PDF files attached to patient records.

White-Glove Migration Assistance: Unlike Fusion’s post-acquisition support reputation, Proactive Chart provides dedicated migration support at no extra charge. A migration specialist works with your practice to:

Extract and structure your Fusion data
Import patient demographics, insurance information, and clinical history
Validate data integrity and completeness
Train your team on the new system before go-live

Hybrid Period: Most practices run both systems in parallel for 1-2 weeks during the transition. New patients start in Proactive Chart, while established patients complete their current plan of care in Fusion. This phased approach minimizes disruption and allows staff to gain confidence before fully committing.

Timeline: Typical Fusion-to-Proactive Chart migrations are completed in 2-4 weeks from kickoff to full go-live, depending on practice size and data complexity.

The ROI of Switching

Let’s quantify the return on investment for a typical 5-therapist pediatric practice:

Annual Savings on Software Costs:

Fusion Premier tier: $7,500/year
Proactive Chart: $4,740/year
Savings: $2,760/year

Productivity Gains from Mobile Documentation:

30 minutes saved per therapist per day × 5 therapists × 220 working days = 550 hours/year
At $50/billable unit and assuming 4 units/hour, that’s 2,200 additional billable units
Revenue recovery: $110,000/year

Reduced “Pajama Time” Overtime:

If mobile documentation eliminates 3 hours of after-hours charting per therapist per week, that’s 780 hours/year
Even if not directly billable, reducing burnout improves retention. Avoiding one therapist replacement saves $50,000-$75,000

Faster Billing Cycles:

Same-day documentation (enabled by mobile) means claims go out 3-5 days faster
For a practice with $50,000/month in claims, accelerating payment by 4 days improves cash flow by approximately $6,500 working capital (equivalent to a month of Fusion subscription costs)

Total First-Year Financial Impact: Even conservatively estimating half the productivity gains and excluding retention savings, the net benefit exceeds $40,000-$60,000 for a 5-provider practice.

The migration effort—perhaps 20-30 hours of staff time over 3 weeks—is a trivial investment against this return.

Addressing Common Migration Concerns

“We’ll lose our historical data”: You won’t. Patient demographics, insurance details, and clinical documentation are exported from Fusion and imported to Proactive Chart. While some formatting may change (PDF notes instead of structured data for old visits), all your historical records remain accessible.

“Our therapists are finally comfortable with Fusion”: This is the “sunk cost fallacy.” Yes, your team invested time learning Fusion. But they’re also working around its limitations daily. Proactive Chart’s intuitive design means they’ll reach equivalent proficiency in 1-2 weeks—and then surpass their Fusion efficiency within a month.

“We’re locked into a Fusion contract”: Review your agreement carefully. Many EMR contracts have 30-60 day out clauses with written notice. Even if you have a yearly commitment, calculate whether paying the remaining months while starting your migration immediately still delivers positive ROI (it usually does).

“What if Proactive Chart isn’t better?”: Proactive Chart offers demo accounts and trial periods. You can evaluate the platform hands-on with your actual workflows before committing. Additionally, the company’s migration assistance means you’re supported throughout the transition—not left to figure it out alone.

Beyond Price and Features: The Philosophy Difference

The choice between Fusion (Ensora) and Proactive Chart ultimately comes down to more than features and pricing—it’s about which company’s philosophy aligns with your practice values.

Fusion/Ensora’s Post-Acquisition Direction

The current trajectory suggests Ensora is focused on:

Enterprise Growth: Expanding into larger health systems and multi-site operations
Product Suite Expansion: Cross-selling RCM services, telehealth add-ons, and ancillary products
Efficiency Through Scale: Standardizing support and reducing customization to serve more clients with fewer resources

This isn’t inherently wrong—it’s a common private equity playbook. But it does mean small pediatric practices (the original Fusion core market) are no longer the priority customer. Your needs for customization, responsive support, and feature development will increasingly conflict with the parent company’s enterprise focus.

Proactive Chart’s Small Practice Focus

Proactive Chart’s philosophy centers on:

Right-Sized for Independent Practices: Features and pricing designed specifically for solo practitioners through 10-provider clinics
Transparent, Predictable Economics: No hidden fees, no surprise upsells, no “contact sales” pricing games
Continuous Innovation: Regular feature updates driven by actual practice feedback, not enterprise requirements
Support as a Differentiator: Fast, knowledgeable support treated as core value, not cost center

When you choose Proactive Chart, you’re choosing a partner whose business success depends on your success—not a vendor trying to extract maximum subscription revenue while minimizing service costs.

Real-World Comparison: Total Cost of Ownership

Let’s compare the true three-year total cost of ownership for a 5-provider pediatric PT/OT practice with moderate growth:

Fusion Web Clinic (Ensora) TCO

Year 1:

Premier tier: 5 users × average $149/user/month = $8,940
Telehealth add-on (estimated 20 sessions/month): $240
Setup/training time (indirect cost): $2,000
Year 1 Total: $11,180

Year 2 (add 1 provider):

Premier tier: 6 users × $149/month = $10,728
Telehealth add-on: $240
Year 2 Total: $10,968

Year 3 (add 1 provider):

Premier tier: 7 users × $149/month = $12,516
Telehealth add-on: $240
Year 3 Total: $12,756

3-Year Fusion TCO: $34,904

Proactive Chart TCO

Year 1:

Flat rate: 5 users × $79/month = $4,740
Setup/migration: $0 (included)
All features included (telehealth, billing, etc.): $0 additional
Year 1 Total: $4,740

Year 2 (add 1 provider):

Flat rate: 6 users × $79/month = $5,688
Year 2 Total: $5,688

Year 3 (add 1 provider):

Flat rate: 7 users × $79/month = $6,636
Year 3 Total: $6,636

3-Year Proactive Chart TCO: $17,064

Total Savings Over 3 Years: $17,840

That’s enough to:

Hire a part-time admin to reduce therapist burden
Fund continuing education for your entire team for 3 years
Invest in marketing to grow your patient base
Provide staff bonuses to improve retention

What Current Fusion Users Are Saying

While Fusion has loyal users who appreciate its pediatric specialization, the user review landscape reveals consistent pain points:

On Customization: “Disappointed with the lack of customization options, especially when it comes to field names. The inability to change or define additional fields is a major drawback. Some users have had to repurpose certain fields to track patient status, sub-status, flagging purposes, and referral dates.”

On Support Quality Post-Acquisition: “ZERO, and I mean ZERO, customer support. Again, under the original company, support was great. Once the terrible private equity company bought the platform, all they cared about was selling other products and services.”

On Development Pace: “The whole system needs an overhaul to keep up with technology and the needs of clinics” and “it takes a long time to get anything added.”

On Technical Performance: “Some users have reported that Fusion Web Clinic has slow servers, which makes the software run slower than expected. Additionally, some reviewers found that the software doesn’t integrate well on iPhones or iPads.”

On Missing Features: “Several users have expressed disappointment over a lack of online booking widgets as well as templates to fill out client intake forms, making it hard to keep track of clients’ progress.”

These aren’t isolated complaints—they represent consistent themes across multiple review platforms including G2, Capterra, and TrustRadius.

Making the Switch: Your Action Plan

If you’ve read this far, you’re likely seriously considering alternatives to Fusion. Here’s your roadmap:

Step 1: Quantify Your Current Pain (Week 1)

Calculate your actual Fusion costs: Add up subscription, add-ons, and any RCM service fees
Survey your therapists: Ask them to rate (1-10) their satisfaction with mobile access, documentation speed, and interface usability
Measure documentation time: Track how long notes actually take, including any after-hours “pajama time”
Review your support tickets: How many have you submitted in the last 6 months? How quickly were they resolved?

Step 2: Demo Proactive Chart (Week 2)

Schedule a personalized demo: See how Proactive Chart handles your specific pediatric workflows
Test mobile functionality: Use your own tablet or smartphone to document a mock patient visit
Review migration process: Understand exactly what data transfers and how the process works
Calculate your ROI: Use the cost comparison framework above with your actual practice numbers

Step 3: Trial Period (Week 3-4)

Request a trial account: Document a few real patients in Proactive Chart parallel to Fusion
Involve your team: Get feedback from the therapists who will actually use the system daily
Test billing workflows: Submit a few test claims to verify integration with your clearinghouse
Validate reporting: Ensure the reports you need for practice management are available and accurate

Step 4: Commit and Migrate (Week 5-8)

Give Fusion notice: Review your contract and submit written cancellation notice per terms
Schedule migration with Proactive Chart: Coordinate data export/import timeline
Train your team: Leverage Proactive Chart’s training resources and onboarding support
Go live: Set a date, communicate to patients (if needed), and make the switch
Optimize: Spend the first month customizing templates, workflows, and settings to match your practice

Step 5: Measure Success (Month 2-3)

Track documentation time: Measure the improvement in note completion speed
Monitor staff satisfaction: Survey therapists again on usability and mobile functionality
Analyze financial impact: Calculate actual savings and productivity gains
Celebrate the win: Use some of your cost savings for a team appreciation event

Conclusion: The Case for Proactive Chart in 2026

The pediatric therapy software landscape has evolved significantly in recent years, and unfortunately for Fusion Web Clinic users, not all changes have been positive. The acquisition by private equity, rebranding to Ensora, declining customer support quality, outdated interface, mobile limitations, and tiered pricing that punishes practice growth have created a perfect storm of dissatisfaction.

Meanwhile, Proactive Chart has emerged as the logical alternative: purpose-built for independent and small group practices, offering pediatric-specific features without the enterprise complexity, transparent flat-rate pricing with all features included, mobile-first architecture that actually works, and white-glove support that treats practices as partners, not transactions.

For a 5-provider pediatric practice, switching from Fusion to Proactive Chart delivers:

$2,760+ annual cost savings on software subscription alone
$40,000-$60,000 first-year financial impact from productivity gains and improved billing cycles
Improved therapist satisfaction through better mobile documentation and modern interface
Future-proof technology built on current cloud infrastructure with continuous innovation

The question isn’t whether you can afford to switch—it’s whether you can afford not to.

Your practice deserves software that makes therapists more efficient, not more frustrated. Your patients deserve therapists who can focus on care, not combat with clunky technology. And you deserve transparent pricing that treats you like a partner, not a revenue extraction opportunity.

Ready to see how Proactive Chart can transform your pediatric practice? Visit ProactiveChart.com to schedule a personalized demo and discover why pediatric therapy practices are making the switch from Fusion in 2026.

Frequently Asked Questions

Can I export my data from Fusion Web Clinic?

Yes, Fusion allows data export in standard formats including CSV files for patient demographics and insurance information. Historical clinical notes are typically exported as PDF files. Proactive Chart’s migration team assists with this process at no additional charge.

How long does migration from Fusion to Proactive Chart take?

Most practices complete migration in 2-4 weeks depending on practice size and data complexity. Many practices run both systems in parallel for 1-2 weeks during the transition to minimize disruption.

Does Proactive Chart support multi-disciplinary practices (PT, OT, SLP)?

Yes, Proactive Chart supports PT, OT, and SLP in one unified platform with discipline-specific templates, automatic modifier management (GP, GO, GN), and co-treatment documentation rules.

What happens to my historical patient data after I switch?

All historical patient records, clinical documentation, and billing history are imported into Proactive Chart and remain fully accessible. You maintain complete continuity of patient care records.

Is there a contract commitment with Proactive Chart?

Proactive Chart offers flexible terms without long-term contracts locking you in. Month-to-month options are available, though annual prepay provides additional savings.

How does Proactive Chart handle GMFM and other pediatric assessments?

Proactive Chart includes built-in templates for GMFM-88/66, PEDI, PDMS-2/PDMS-3 (Peabody), and other common pediatric standardized tests with automatic scoring, longitudinal tracking, and progress visualization.

Can Proactive Chart integrate with my current clearinghouse?

Proactive Chart includes integrated clearinghouse services as part of the base pricing, eliminating the need for separate clearinghouse fees. Claims are submitted directly from the EMR with real-time scrubbing and status tracking.

What kind of training and support does Proactive Chart provide?

Proactive Chart includes comprehensive onboarding training, ongoing support via phone/email/chat, training resources and video libraries, and regular webinars on new features and best practices—all included in the flat monthly rate with no tiered support levels.

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