PaySec + Practice Fusion: Free EHR Meets Free Payment Processing
How practices using Practice Fusion's cloud-based EHR are pairing it with PaySec's Network Offset Pricing to eliminate credit card processing fees.
Practice Fusion built its reputation by doing something radical in healthcare IT: offering a free, cloud-based electronic health record system. For solo practitioners, small group practices, and community health providers, Practice Fusion made it possible to adopt an EHR without the five-figure implementation costs that kept many practices on paper charts for years. It democratized access to digital health records.
But even practices that pay nothing for their EHR still pay a significant hidden cost every single day: credit card processing fees. Every copay collected at the front desk, every patient balance paid online, and every payment plan installment carries a 2.5-3.3% processing fee that quietly drains thousands of dollars from the practice each year. For a practice that chose Practice Fusion specifically because affordability matters, those fees represent exactly the kind of unnecessary expense that should be eliminated.
PaySec is the natural next step for Practice Fusion practices. Through Network Offset Pricing (NOP), PaySec brings the effective cost of payment processing to zero, extending the same "free essential tools" philosophy that attracted you to Practice Fusion in the first place.
What Is the PaySec + Practice Fusion Integration?
PaySec integrates alongside Practice Fusion as your patient payment collection solution. Practice Fusion handles the clinical side — charting, e-prescribing, scheduling, and lab orders — while PaySec handles the financial side, collecting every patient payment through Network Offset Pricing. NOP displays two prices to the patient at the point of payment: a cash/check/ACH price and a card price. The card price includes a small network offset to cover processing, so the practice receives the full amount either way. This approach is legal in all 50 states, compliant with all card network rules, and HIPAA compliant with a BAA available.
No changes are needed to your Practice Fusion setup. PaySec operates alongside your EHR, handling payments while Practice Fusion handles clinical workflows.
The Real Cost of Processing Fees for Practice Fusion Practices
| Practice Profile | Monthly Patient Collections | Processing Rate | Annual Cost |
|---|---|---|---|
| Solo FP/IM | $12,000 | 2.8% | $4,032 |
| 2-provider family medicine | $24,000 | 2.7% | $7,776 |
| Pediatrics (3 providers) | $18,000 | 2.8% | $6,048 |
| Internal medicine group | $35,000 | 2.6% | $10,920 |
Most Practice Fusion practices are smaller operations — solo or small group — where $4,000-$10,000 per year in processing fees represents a meaningful percentage of overhead. That money could fund staff bonuses, equipment upgrades, or simply improve the practice's financial health.
How Network Offset Pricing Works with Practice Fusion
Checkout Workflow
The patient flow is simple and unchanged from the clinical side:
- Patient arrives, visit is managed in Practice Fusion
- At checkout, the front desk presents the PaySec terminal
- The terminal displays dual pricing for the amount owed
- Patient pays, and payment data syncs to the billing system
Copay example ($45):
| Payment Method | Amount |
|---|---|
| Cash/Check | $45.00 |
| Card | $46.80 |
Patient balance example ($320):
| Payment Method | Amount |
|---|---|
| Bank transfer (ACH) | $320.00 |
| Credit/Debit card | $332.80 |
Multiple Collection Channels
PaySec supports multiple ways to collect patient payments alongside Practice Fusion:
- In-office terminal — copays and balances collected at the time of visit
- Text-to-pay — send payment links via SMS for outstanding balances
- Email payment requests — include payment links in statement emails
- Online payment portal — 24/7 self-service payment with dual pricing displayed
Integration Features
- PCI Level 1 compliant — the highest level of payment security
- HIPAA compliant — BAA available for protected health information
- Contactless NOP terminal — modern tap-to-pay terminal at the front desk
- Patient payment portal — online self-service payments with dual pricing
- Text-to-pay and email links — digital outreach for outstanding balances
- Payment plan support — installment billing at zero processing cost
- No contracts, no minimums — matches Practice Fusion's accessible approach
- 10-minute staff training — minimal disruption to front desk operations
The "Free Stack" Philosophy
| Component | Cost |
|---|---|
| EHR (Practice Fusion) | Free |
| Payment processing (PaySec NOP) | Effective $0 |
| Scheduling | Included with Practice Fusion |
| e-Prescribing | Included with Practice Fusion |
If you chose Practice Fusion to minimize overhead, PaySec extends that philosophy to the payment side of your practice.
Who Benefits Most?
The PaySec + Practice Fusion combination is ideal for cost-conscious solo practitioners and small group practices, community health providers serving populations where every dollar of overhead matters, practices that chose Practice Fusion specifically for its affordability and want the same value from their payment processor, and any practice collecting $10,000 or more per month in patient payments where processing fees have become a noticeable expense.
Getting Started
- Sign up for PaySec with no minimum volume required. Merchant account approval takes 3-5 business days.
- Receive your payment terminal and portal access. PaySec ships the NOP-enabled terminal directly to your practice.
- Configure alongside your Practice Fusion workflow. No changes needed to your EHR setup — PaySec operates independently on the payment side.
- Train front desk staff in approximately 10 minutes and start collecting every patient payment at zero effective cost.
Practice Fusion made EHR free. PaySec makes payment processing free. Together, they form the affordable practice stack for providers who refuse to overpay for essential tools.