# Tebra EHR, PM, Billing (Kareo) vs OutsquareMD

The clearest difference is iOS requirement: OutsquareMD at 15.1 against Tebra EHR, PM, Billing (Kareo)'s 18.6. On price, update cadence, ads and in-app purchases there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Tebra EHR, PM, Billing (Kareo) ships an update every 3 weeks, OutsquareMD monthly. The most recent releases landed on November 1, 2026 and October 29, 2026 respectively.

## The numbers

| Metric | Tebra EHR, PM, Billing (Kareo) | OutsquareMD |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[1.8 (250 ratings)](https://appshunter.io/ios/app/tebra-ehr-pm-billing-kareo/id598068934/reviews)** | — |
| Number of ratings | **250** | — |
| Positive reviews | 4.3% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 3 weeks** | Monthly |
| Monetization | Freemium | — |
| Size | 101 MB | 25 MB |
| Requires iOS | 18.6 | **15.1** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 17+ |
| Developer | [Tebra Technologies, Inc.](https://appshunter.io/developer/1733539075) | [Pacsquare Technologies](https://appshunter.io/developer/1039828865) |

## What reviewers say

### Tebra EHR, PM, Billing (Kareo)

[App page](https://appshunter.io/ios/app/tebra-ehr-pm-billing-kareo/id598068934)

This integrated platform offers comprehensive tools for independent medical practices to manage schedules, patient records, and billing from a mobile device. It provides secure communication, document management, and clinical note-taking capabilities, enhancing practice efficiency and patient engagement.

**Highlights:** Schedule management, Patient record access, Secure messaging, Document management, Clinical note creation, Billing analytics, E-prescribing

**Features:** Apple Wallet, Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 👍 Useful for basic functions
- 📱 Convenient mobile access
- 🗓 Helpful for checking schedule

**What reviewers complain about**

- 🐛 Frequent crashes and bugs
- 🔍 Unreliable app functionality
- 🔒 Login issues and security problems
- 🤖 Poor customer support
- 💰 Expensive for limited features

**Reported bugs**

- Calendar and schedule not syncing properly
- Inability to log in or frequent log outs
- App crashing when trying to access patient data
- Prescription sending not working as expected
- Inconsistent app performance across devices

**Requested features**

- Improve calendar and scheduling features
- Add ability to create and sign notes
- Enable prescription refilling from app
- Enhance document upload and management
- Provide better integration with desktop version


### OutsquareMD

[App page](https://appshunter.io/ios/app/outsquaremd/id6805048870)

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is Tebra EHR, PM, Billing (Kareo) free?

Tebra EHR, PM, Billing (Kareo) is free to download, with no in-app purchases.

### Is OutsquareMD free?

OutsquareMD is free to download, with no in-app purchases.

### Do Tebra EHR, PM, Billing (Kareo) or OutsquareMD have ads?

Neither Tebra EHR, PM, Billing (Kareo) nor OutsquareMD shows ads.

### Which is updated more often, Tebra EHR, PM, Billing (Kareo) or OutsquareMD?

Tebra EHR, PM, Billing (Kareo) ships an update every 3 weeks, and OutsquareMD monthly. Most recently, Tebra EHR, PM, Billing (Kareo) was updated on November 1, 2026 and OutsquareMD on October 29, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*