ModMed vs NextGen Ambient Assist (2026)
Two ambulatory record systems that added a scribe, competing for the same independent specialty practice. ModMed Scribe 2.0 is native to ModMed's EMA and gGastro systems across eleven specialties, turns the visit into suggested notes, prescriptions, lab orders and billing codes for the provider's review, runs on specialty trained models that ModMed says were trained on de identified data from more than 750 million encounters, and is central to the EHR's certification under the ONC decision support intervention criterion. NextGen Ambient Assist listens through the NextGen Mobile app, returns a SOAP note in about thirty seconds, places it in the NextGen Enterprise chart pending provider review with ICD-10 codes, medications and orders offered as suggestions, and stores neither audio nor transcripts. NextGen also publishes its own security attestations, where ModMed publishes none. Neither sells the scribe on its own or publishes a price for it, so the record system a practice already runs usually decides this.
- Specialty depth is the platform's center, with record systems for eleven medical specialties through EMA and gGastro.
- ModMed states its training provenance, describing proprietary, specialty trained models trained on de identified data sampled from more than 750 million patient encounters.
- The scribe sits inside a certified regime, named as central to the EHR's ONC certification under the decision support intervention criterion, which requires source attributes and intervention risk management.
- The data handling statement is specific, with audio and transcripts never stored or saved and transcripts used only to generate the note.
- It is conservative where it matters. Codes, medications and lab or imaging orders arrive as suggestions rather than pre filled entries, and the note lands in the chart pending provider review.
- Security is attested by NextGen itself, with annual SOC 2 Type II and SOC 3 audits, a HITRUST CSF letter, TX-RAMP level 2 certification and DirectTrust accreditation.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. ModMed and NextGen Ambient Assist are each graded against the same capability taxonomy, from each vendor's own public materials and the regulatory record, under the AI Health Index verification standard. No vendor pays for placement, and no vendor has reviewed this page. How this evidence is graded
Plain facts
| Fact | ModMed | NextGen Ambient Assist |
|---|---|---|
| Primary category | Ambient Scribes | Ambient Scribes |
| Founded | 2010 | 1974 |
| Headquarters | Boca Raton, Florida, United States | Not recorded |
| Website | modmed.com | nextgen.com |
Side by Side
Select any grade to read the note behind it.
Product updates
The latest logged changes from each vendor, newest first, each linked to its source.
ModMed
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Product / capability
ModMed launched an AI package for general surgery practices that extends ModMed Scribe, which drafts notes from the patient conversation and works with the EMA EHR to suggest surgical ICD-10 codes for the surgeon to review.
Source
Each vendor in one paragraph
Written to be quoted whole. Each paragraph opens the AI Health Index profile of the vendor: what the product is, who buys it and what it does.
Specialty specific cloud EHR and practice management vendor, formerly Modernizing Medicine, serving eleven medical specialties through its EMA and gGastro platforms. Its AI layer includes ModMed Scribe, now in version 2.0, an ambient documentation assistant built natively into the EHR that turns the visit conversation into suggested notes, prescriptions, lab orders and billing codes for the provider's review.
Source: AI Health Index, August 2026
NextGen Ambient Assist is the native ambient documentation capability inside NextGen Healthcare's ambulatory EHR, aimed at the independent and specialty practice market NextGen serves. It listens through the NextGen Mobile app, returns a structured SOAP note within about thirty seconds, and places it directly in the patient's NextGen Enterprise chart pending provider review, along with suggested ICD-10 codes, medications and lab or imaging orders.
Source: AI Health Index, August 2026
Questions buyers ask
How do ModMed and NextGen Ambient Assist work with the EHR?
For ModMed, the company states the AI is built directly into EMA with no additional software or integrations required, so approved note content flows into prescriptions and lab orders without a handoff, and clinical charts link directly to practice management and billing.
The interoperability asset usually attributed to NextGen, the Mirth Connect integration engine supporting HL7v2, FHIR R4 and C-CDA, belongs to the parent platform rather than to this module, and third party scribes hold certified NextGen integrations of their own, so native does not automatically mean deepest here. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
How are ModMed and NextGen Ambient Assist priced and sold?
In ModMed's case, an existing customer evaluating the AI layer is not making a competitive purchase, and nothing published tells them what the addition costs relative to what they already pay.
Activation runs through a NextGen account representative and pricing is negotiated by practice size and contract, so the ambient line item is bundled inside an EHR relationship reported by third parties at roughly $150 to $500 per provider per month for the platform overall. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
How do ModMed and NextGen Ambient Assist handle patient data?
With ModMed, the privacy policy adds that de identified information may be used for any lawful purpose and shared in all legally permissible ways, and that voice recordings made through the EHR's speech to text module may be collected by a dictation service provider and used to improve dictation.
NextGen states that conversations become temporary transcripts used only to generate the structured note, and that documentation flows into the Enterprise EHR rather than persisting on the mobile device, which is a purpose limitation and a data location statement rather than a generic assurance. Its named control set also includes patient consent alongside encryption, secure storage, access controls and audit trails. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
Which settings and specialties do ModMed and NextGen Ambient Assist cover?
For ModMed, specialty depth is the company's central differentiator and it is substantiated.
With NextGen Ambient Assist, no inpatient or emergency coverage and no published language coverage. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
Related comparisons
Other published head to head assessments involving these vendors or their closest peers. The full set for this category is on the Ambient Scribes page.
NextGen's accuracy figure of over 90 percent is published without a definition, reference standard or denominator, and ModMed publishes no accuracy figure. ModMed publishes no SOC 2, HITRUST or ISO 27001 attestation, no trust center and no business associate terms, and NextGen publishes no business associate position for the product. Neither publishes results by accent or dialect, and neither publishes a price for the AI module.
An earlier version of this comparison said NextGen's trust page describes its cloud host's certifications rather than the product's; the page states NextGen's own SOC 2 Type II and SOC 3 audits, HITRUST CSF letter and TX-RAMP certification. That statement was corrected on 10 October 2026.