Kareo (Tebra)

Best Self Hosted Alternatives to Kareo (Tebra)

A curated collection of the 1 best self hosted alternatives to Kareo (Tebra).

Kareo (now part of Tebra) offers cloud-based practice management, EHR, billing, and telehealth solutions for small and independent medical practices to streamline clinical workflows, patient communications, and revenue cycle management.

Alternatives List

#1
OpenEMR

OpenEMR

A full-featured EHR/EMR and medical practice management system with scheduling, e-prescribing integrations, billing/claims support, patient portal, and reporting.

OpenEMR screenshot

OpenEMR is an electronic medical record (EMR/EHR) and practice management application used by clinics and healthcare providers to manage patients, clinical documentation, scheduling, and administrative workflows. It combines charting, orders, billing/claims-related workflows, and patient engagement tools in a single web application with an extensible module ecosystem.

Key Features

  • Patient charting: demographics, encounters, problems, allergies, medications, labs, documents, and clinical notes
  • Appointment scheduling with calendar views and clinic/provider/resource scheduling
  • Patient portal for messaging, document sharing, forms, and viewing clinical information (deployment dependent)
  • E-prescribing support via integrations (availability varies by region/vendor)
  • Billing and revenue-cycle features including CPT/ICD coding, fee sheets, and claims workflow support
  • Reporting and analytics (clinical, operational, and financial reports; export options)
  • Interoperability options including HL7/FHIR-oriented capabilities (configuration and modules may be required)
  • Role-based access controls and audit logging to support healthcare compliance workflows
  • Multilingual UI and configurable forms/templates
  • Extensible architecture with modules/plugins and a large community ecosystem

Use Cases

  • Small-to-mid clinics running end-to-end operations (appointments → encounters → billing)
  • Multi-provider practices needing centralized scheduling, charting, and reporting
  • Community/low-cost clinics seeking a customizable EHR with broad feature coverage

Limitations and Considerations

  • Some capabilities (e.g., eRx, clearinghouse/claims, patient portal options, interoperability workflows) depend on third-party services, local regulations, and site configuration
  • Feature breadth can increase setup/maintenance complexity; production deployments typically require careful hardening and operational processes

OpenEMR is a mature, widely adopted EHR platform with a broad clinical and practice-management feature set and strong extensibility. It is best suited for organizations that can invest in proper configuration, workflow design, and ongoing maintenance to match local clinical and regulatory requirements.

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Why choose an open source alternative?

  • Data ownership: Keep your data on your own servers
  • No vendor lock-in: Freedom to switch or modify at any time
  • Cost savings: Reduce or eliminate subscription fees
  • Transparency: Audit the code and know exactly what's running