Practice Fusion runs day-to-day independent-practice operations: cloud EHR charting with customizable templates, ePrescribe including controlled substances where available, patient scheduling and online booking, online check-in and intake, labs and imaging orders, messaging, ICD-10 superbills and claims pathways, practice reporting, and optional fully integrated Billing Services. Online check-in and appointment booking move patients into the visit — patient flow, not a dedicated employee time-clock or punch history for payroll attendance. Keito is the layer practices add for the hours: AI-drafted time entries a staff member confirms, reviewed and approved by someone else, with any change reasoned and recorded, before the hours become a paycheck.
Illustrative review queue
Illustrative pay period
Hours reviewed
Entries confirmed
46
Staff reviewed
10
Shifts covered
108
Hours tied to each shift
Staff member, role, and shift on every entry
Reviewed before payroll runs
A separate reviewer confirms hours before the batch closes
Evidence behind payroll
Reviewed hours back the payroll run
Practice Fusion practices schedule patients, document encounters, send e-prescriptions, order labs, and collect payments through a cloud EHR and practice management suite — with optional Billing Services for credentialing, claims, and A/R follow-up. Practice Fusion’s own materials describe online check-in and appointment booking as tools for getting patients into the visit with completed intake — useful for visit flow, not as a substitute for an independently reviewed time-and-attendance record before payroll. Keito answers the payroll question that leaves open: did each staff member confirm their hours, and did a separate reviewer approve them, before those hours became a paycheck.
Set up clinicians, front-desk staff, and reviewers in Keito in days — Practice Fusion keeps running EHR charting, ePrescribe, scheduling, online booking, labs, messaging, and billing pathways exactly as it does today.
Keito drafts a time entry from the shift a staff member worked, so they confirm hours instead of reconstructing attendance from appointment calendars or patient check-in logs at payroll time.
A separate reviewer approves payroll status before the period closes, then hands the approved hours to payroll as evidence.
Patient check-in is not payroll attendance
Practice Fusion is published as a cloud EHR and practice management platform for independent healthcare practices: customizable charting templates, ePrescribe (including EPCS where available), patient scheduling and online booking, online check-in and intake forms that flow into the chart, labs and imaging orders with structured results, messaging, document management, ICD-10-ready superbills and claims pathways, quality/clinical/practice-management reporting, and optional fully integrated Billing Services (credentialing, claims scrubbing and submission, patient statements, A/R follow-up, and financial reporting). Public pricing on Practice Fusion’s pricing page starts at $199 per provider per month with a required annual commitment (taxes excluded), and each provider license includes three signing staff licenses plus unlimited non-signing staff for scheduling and document tasks; a free trial and demo are offered before the annual commitment. Online check-in and appointment booking are described as patient-facing visit tools — intake and booking into the schedule — not a documented employee punch clock with In/Out history for payroll attendance. Reviewed Practice Fusion product and pricing materials do not describe a native employee timesheet, staff clock-in/out, or payroll attendance module; practices that need staff timesheets typically use separate workforce or payroll tools. Keito’s argument is not that practices need a new EHR, scheduler, or claims platform — Practice Fusion already publishes that stack, and Keito makes no claim to clinical documentation, ePrescribing, patient scheduling, claims, or patient billing. It is that the hours behind a paycheck deserve AI-drafted entries a staff member confirms and a separate reviewer approves, rather than reconstructing attendance from calendars or patient check-in. The boundary is deliberate: Keito has no EHR, scheduling, or medical billing tools, and it claims no native Practice Fusion integration, automatic import, or synchronisation. Practice Fusion keeps running the practice; Keito is where staff hours get an independent review before payroll.
Choose Practice Fusion when the practice needs a cloud EHR, scheduling, ePrescribe, labs, claims pathways, and optional Billing Services purpose-built for independent practices
Choose Keito when the problem is independently reviewed payroll hours that Practice Fusion’s appointment and online check-in tools are not designed to replace
Prove it in one pay period: Keito runs alongside Practice Fusion, reviewing hours without touching charts, claims, or patient billing
Workflow fit
Keito keeps Practice Fusion alternative connected to client, project, billable status, approval, and invoice context before the work reaches finance.
Choose Practice Fusion when the practice needs a cloud EHR, scheduling, ePrescribe, labs, claims pathways, and optional Billing Services purpose-built for independent practices
Choose Keito when the problem is independently reviewed payroll hours that Practice Fusion’s appointment and online check-in tools are not designed to replace
Prove it in one pay period: Keito runs alongside Practice Fusion, reviewing hours without touching charts, claims, or patient billing
Keito drafts a time entry from the shift a staff member worked; they confirm and correct it instead of reconstructing attendance from appointment calendars at payroll time.
Practice Fusion’s schedules and dashboards surface when patients are booked and how the practice performed; Keito’s reviewer settles payroll status for every entry before the period closes.
Reviewers approve staff hours and hand the evidence to payroll for labor-cost review, through exports the team designs and tests itself.
The difference is not just recording time. It is whether the record can support billing, project decisions, and client conversations.
Product shape
A standalone workspace for reviewed, payroll-ready hours and labor-cost evidence.
Practice Fusion publishes a cloud EHR and practice management suite — charting, ePrescribe, scheduling, online booking/check-in, labs, messaging, claims pathways, reporting, and optional Billing Services.
How time is captured
AI drafts a shift-specific entry from the time worked; the staff member confirms it, and a separate reviewer approves before it becomes a paycheck.
Practice Fusion tracks patient online check-in and appointment booking into the visit schedule; reviewed product materials do not describe a dedicated employee time clock for payroll punches.
Correction and review
Every reviewed hour carries a reviewer, an approval state, and a reasoned record of any change, tracked from the first draft.
Practice Fusion’s reporting and schedule tools help practices run appointments and understand clinical and financial performance; they are not documented as a second-approver payroll attendance workflow.
Review before payroll
A reviewer distinct from the staff member settles payroll status per entry before the period closes.
Practice Fusion keeps the clinical and revenue-cycle source of truth; payroll-grade attendance review is outside the documented appointment and online check-in path.
Pricing and adoption
Published flat team pricing and a setup measured in days, run alongside Practice Fusion.
Practice Fusion presents per-provider monthly pricing online (from $199/provider/month with annual commitment) plus optional Billing Services, with a free trial and demo.
Data movement
Team-designed, tested exports and API handoffs moved in deliberate stages.
Practice Fusion’s own reporting, portals, labs, and billing integrations belong to its platform; connecting reviewed-hours data to outside payroll tools is not an assumed automatic sync with Keito.
It is software an independent medical practice adopts instead of, or alongside, Practice Fusion, which runs cloud EHR charting, ePrescribe, scheduling, online booking, labs, claims pathways, and optional Billing Services for clinics and providers. Because Practice Fusion already covers that much of running a practice, an alternative rarely replaces all of it at once. Keito is the alternative for independently reviewed staff hours: AI-drafted entries a staff member confirms, approved by a separate reviewer before those hours become a paycheck.
Practice Fusion schedules patients and providers and lets patients book and check in online before the visit. Reviewed Practice Fusion product and pricing materials describe those as appointment-oriented tools, not a dedicated employee time-clock or punch history used as the payroll attendance source of truth.
The gap is payroll attendance review, not EHR or practice management. Practice Fusion already owns charting, ePrescribe, scheduling, online booking, labs, claims pathways, and optional Billing Services. Keito adds the hours layer: it drafts a time entry from the shift worked, the staff member confirms it, and a separate reviewer settles payroll status before the hours become evidence. Practice Fusion still owns the chart and the claim; Keito owns the independently reviewed hours record.
Choose Practice Fusion when the practice needs a cloud EHR and practice management suite — scheduling, clinical documentation, ePrescribing, labs, claims pathways, patient engagement, and optional Billing Services — on one platform. Keito does not reproduce any of it: no charts, no claims, no patient scheduling, no ePrescribing, no patient billing. It is the wrong choice if the immediate need is an EHR or billing suite rather than an independently reviewed record of staff hours.
Each reviewed record keeps the staff member, role, shift, duration, description, payroll status, reviewer, approval state, and pay period, tied to the specific shift worked rather than an appointment count or patient check-in event. That package backs the payroll run and gives a practice manager a reviewed answer when a staff member’s hours are questioned.
No. Keito claims no native Practice Fusion integration, automatic import, or two-way synchronisation — Practice Fusion’s own EHR, scheduling, billing, portal, and integration workflows belong to its platform, not Keito’s. Capture in Keito is its own workflow: AI-drafted, typed, timed, and manually entered records that pass review before becoming payroll evidence. A practice can keep Practice Fusion for clinical and revenue-cycle work and run Keito alongside it as the independent review layer for staff hours, with any transfer between them designed and tested by the team.
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