SMARTMD vs CascadeMD
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
SMARTMD
This app provides HIPAA-compliant tools for medical professionals to document patient visits, dictate reports, and manage referrals. It integrates with existing EHR systems and offers offline functionality for documenting encounters, capturing charges, and recording quality measures while on the go.
- HIPAA-compliant documentation
- EHR schedule integration
- Medical transcription
- EHR scribing
- Cloud file sharing
- Referral management
- Offline functionality
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SMARTMD gives you access to a suite of secure, HIPAA compliant solutions for medical professionals. The SMARTMD App for iPhone and iPad integrates with the EHR and workstations you are currently using. It is the fastest, easiest way to document a patient visit, dictate a letter, or produce an IME report. Traveling to see patients in SNFs, ALFs, Hospice, or at home? Get signed consent forms, scan facesheets, capture charges, and record MIPS quality measures without ever opening your laptop. Best of all, our app continues working even when you’re offline. The mobile App is free and lets you get started with absolutely no setup fees or minimum charges. Record your encounters any way you please and let our professional staff take care of the rest with opt in services, including: • EHR Schedule integration – see your patients and schedules right from the app. Know how many patients are on the slate for tomorrow and where at a glance. • Medical transcription – professionally typed letters and reports you can be proud of, faxed directly to referring physicians and attorneys. Generated from your dictation, worksheet, or photo. • EHR scribing – your words entered directly into your EHR, so you don’t have to! • Cloud File Share – safely gather documents while traveling to see patients. HIPAA compliant and accessible to your biller, admins, and peers. • Referral management – make sure ever referral turns into a patient. Analyze your network to see who to thank for sending you patients, and sources of leakage which keep patients from showing up for appointments. Since 1999, SMARTMD has earned the trust of the respected doctors and medical professionals. The SMARTMD App is like having a trusted member of your staff with you throughout your busy day. In 2017, SMARTMD was named second in the United States for “Trust, Accountability, and Transparency,” by Black Book Research for Medical Transcription, Technology, and Services.
CascadeMD
This app allows healthcare providers to dictate entire patient visits using their mobile device or tablet. Its advanced voice-to-text and AI engine captures relevant data and populates electronic medical records, reducing manual transcription and data entry time.
- Mobile and web dictation
- Natural language voice-to-text
- AI inferencing engine
- EMR integration
- Reduced transcription time
- Increased revenue potential
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Clinical Documentation reimagined! With CascadMD's mobile and web apps, a healthcare provider can dictate the entire patient visit on their device of choice including tablets and mobile phones. Our state-of-the-art natural language voice-to-text and AI inferencing engine will capture relevant data and populate the provider's EMR of choice with little or no manual transcription required. Experience an increase in revenues by reducing time spent on transcription and data entry.
Screenshots
Verdict
The clearest difference is ratings volume: SMARTMD at 265 against CascadeMD's 4. On price, rating, update cadence and ads there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Neither carries in-app purchases, so what you see is what you pay.
On the App Store both sit at effectively the same score — 4.7 for SMARTMD against 4.8 for CascadeMD. That said, the two scores are not equally well evidenced: SMARTMD has 265 ratings behind it against 4, so its average is the more settled of the two.
SMARTMD ships an update every 2 weeks, CascadeMD weekly. The most recent releases landed on October 4, 2026 and October 5, 2026 respectively.
| Parameter | SMARTMD | CascadeMD |
|---|---|---|
| Price | Free | Free |
| Rating | 4.7 (265 ratings) | 4.8 (4 ratings) — better |
| Positive reviews | 53.8% of reviews | — |
| Number of ratings | 265 — better | 4 |
| Update frequency | Every 2 weeks | Weekly — better |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Free | Free |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Requires iOS | 15.0 | 15.0 |
| Further details — not scored | ||
| Size | 74 MB | 51 MB |
| Age rating | 17+ | 17+ |
| Developer | SMARTMD Corp | Cascade Transcription LLC |
Customer experience
SMARTMD
CascadeMD
In-app purchases
SMARTMD
No in-app purchases
CascadeMD
No in-app purchases









