I have been using Icanotes since 2012 and do not regret the decision to go with Icanotes. I had researched numerous EHR's and found this one to be most affordable and customizable. There have been little problems along the way, but support has been right on top of correcting any problems. It also is a do it all EHR, including progress notes, billing, patient portal, etc. I highly recommend it.

It is easy to learn to use. First day I used it, I was able to keep up with notes throughout day. E prescribing is integrated with Dr. First which makes for easy record keeping and taking care of renewals. Icanotes is also customizable by creating buttons which will insert appropriate language where needed.

Initially, there were some quirky things about navigating , which have since been corrected.

We have been using the ICANotes program for 4 yrs. The customer service has been exceptional and courteous. They offer webinars and training for all aspects of the program and include tutorials on their website which is great when hiring new staff. ICANotes has assisted us with issues and accommodated our needs when modifications/adjustments were requested to suit our practice needs. The team at ICANotes has responded and implemented several options we suggested to improve our service delivery to clients. In addition, ICANotes has added many features to the program to meet the growing demands in the field of behavioral health. I love the fact this EMR was created by Dr. Richard Morgenstern, a psychiatrist. This program was specifically designed for behavioral health and not a modified version or altered from a medical model template. It is also a plus that one of the offices of ICANotes is within 30 min from our agency. Their staff was available to visit us and provide support when we opened in 2012. I have seen this company grow rapidly in 4yrs. since using this program which as benefited us in our growth as well. I gave ICANotes for every category primarily because it is well deserved for their hard work in keeping up with integration and the ever changing guidelines with coding, billing, and documentation etc., in behavioral health, which has made my life so much easier with running my business. However, the I gave for the value of money is a double edged sword.....And in no way do I want this to reflect as a negative connotation to the program. The rating is not entirely due to the cost of ICANotes program but also includes regulation guidelines set forth by many Insurance providers. The reimbursement rates set by insurance providers are not increasing at a rate they should be to providing services in behavioral health field. An increase in rates would tremendously help offset the additional costs accrued for agency's to remain in compliance with state, federal and local regulations thus, allowing agencies to add additional features that could really benefit service delivery. **Just an idea.......maybe to see some type of incentive programs offered to exist ICANotes customers who are growing and continue to add clinicians and features to their ICANotes program. That would be great. All in all, this is a phenomenal program, and I would highly recommend it to all behavioral health clinicians and practices.

The program does everything we need. All tasks can be completed with the features encompassed in the program.

Minor issues...... 1- I find the appointment book is extremely slow. I was told it would improve several months back but, the staff reports this most often and is the most reported issue that becomes time-consuming for staff scheduling and is frustrating for clients waiting on the phone. 2- Populating the Treatment Plan - when completing a follow-up treatment plan it populates every treatment plan into the new one created. This becomes costly if you have a client for 3 years + Ex. A treatment plan every 6 months for 3 years and an average of 4-5 pages per plan x 6 treatment plans printed for a client, the last treatment plan cumulates to 30 pages. It doesn't allow the plan to start over with a fresh slate for a new treatment plan without including the old ones as well. (Unless I haven't figured it out, which may be the case) :)

Regrettably I was sold a bill of goods. ePrescribe functionality with DrFirst was only partial of what the standalone DrFirst product offers, the integration with my existing credit card software was promised but after integration was useless and I reverted back to my old system anyway. Customer service was always available and helpful, but at the end I was charged for 2 months of access for using the program for just 2 weeks. They would not refund the 2nd month of charges because they do not refund for cancelations as a policy.

- the customer service was within the product and relatively immediate in response. This is helpful as you will need them a lot.

- ICANotes is noticeably slower relative to other EMRs and other computer programs. - There are places where you can get stuck and can't move. For example, creating a patient chart that does not have all the required information gives you an error message. - The actual look of ICANotes is grainy and unclear. It is a difficult program to look at throughout the day. - Scrolling is too fast. The windows of text are small and highlighting and scrolling through text within the text boxes is too rapid and you easily overshoot your selection. - copy/paste functionality is a deal breaker. There is an app-specific clipboard you must use as an intermediary. - the inability to easily refer to prior notes during a session. In the middle of a session, it is difficult to answer questions such as, "did we talk about sleep hygiene last time?" All the entries are kept together. - updating different areas of the medical chart can only happen through certain notes. I had one patient during a regular session tell me that she was recently diagnosed with a new medical condition. I had to start a new "complete assessment note" for that solitary piece of information for it to populate the medical history section, but then return to the progress note to finish out the session. - the active problem list is terribly difficult to manipulate and can only be done through cumbersome treatment plans. - there is a separate website just to upload documents to the chart. - no patient communication log

I believe ICANotes represents the best value in EHR for the small two medium-sized mental health practice. No other system offered is as well tailored to providing the type of medical charts kept by mental health professionals. The vast majority of EHR systems on the market were designed for standard medical practices geared towards labs/procedures/meds and are ill-suited to the needs of the mental health professional.

Built from the ground up for psychiatry needs, and quite customizable. Allows the quick creation of patients notes without the need for much typing. Integrates EHR with billing and calendaring to provide a complete solution for individual providers or small to medium practices.

Visual interface is dated, some tasks take many clicks to accomplish. However, both of these are being worked on by the company.

Since I am an individual in private practice, I cannot speak for how well this works for groups. Yet, I can tell you it is a Godsend for myself and my billing agent, who is also registered on my account and can simply look at the appointment schedule for the week, see who came in, and go do the billing for those sessions. We no longer have to make time to meet, dragging along files and flash drives. I love that it takes only 5-20 (max) minutes to document anything, from initial evalutation to routine follow-up sessions. I certainly do recommend this software for any therapist who would enjoy appropriate documentation without reinventing complete notes from scratch after each session. At professional meetings I share with colleagues routinely about this software. My mentor, now retired, exclaimed (while sitting at my side, observing the ease and speed of utilization), "Where was THIS when I was in practice?!?"

I shopped for months to find an affordable and adequate program to assist me with keeping my documentation up to date. When I found ICANotes I was very pleasantly surprised to find it has exceeded my initial expecations. Once I got caught up with documentation, I found it takes only minutes to document after each session, adding the individual's unique comments and my observations easily to the appropriate sections allowed in the format. So easy to edit, save and print. I am a very grateful therapist!

Since I am one who does not enjoy reading manuals, I was happy to learn from videos provided by ICANotes. However, I would have preferred to have just "explored" the software and figured it out, I did sit through a few hours of video training to discover how to do what I needed to do. (I must admit I am happy to have those videos available for swift research, when needed.)

Simply the best customer service of any company I have had the pleasure of working with. Throughout the whole company everyone is constantly working to accomplish some not so simple things (well as I see anyway) and this is to work for the providers to meet all the requirements of federal, state and private insurance sources while accomplishing meaningful use standards to get the provider paid appropriately for the level of services medically needed at all levels of Mental Health Service. Some companies just talk, not this one. They are always there when I need them and I have been with them for 4 years. Now I am just one provider but so far as I can see this company ICA NOTES could handle all you needs no matter how large. Michael Southern Board Certified Psychiatric APRN Garden City, Kansas. elementsofchangemsouthern@gmail.com.

So many things but the biggest pro for me as an individual provider is not having to type and still reach the highest medically correct billing. The ability to auto post payments from the clearinghouse right into ICA Notes is worth gold to me.

The only con to this program is it does yet have the ability to let customers self schedule or reschedule but I think this may be in the works.

I can breeze through the progress notes and intersperse information of the current session. Notes are comprehensive which allows me to feel secure of proving medically necessary treatment. Support is very good in all areas, such as sales, technical support, and one-one training. It did take me some time to really learn the software. I really need to learn more in order to better utilize the software.

I was disappointment there wasn't a website that could be integrated, and there was no telehealth software. Although, I understand Icanotes will soon be adding telehealth as a feature very soon.

I’ve been using the system for over 10 years. I do strongly prefer it to systems that are not specific to mental health. It definitely helps me train clinicians that I hire and bring into our system.

The ease-of-use and it is very helpful to have the checkbox symptom. I like the ability to do electronics prescribing. The system of clicking buttons to insert text helps speed documentation.

Sometimes glitchy. At times it will slow down. These issues are not unique to this program and I have experience been with multiple other electronic medical record’s. P

OUR RECORDS ARE HIPPA COMPLIANT, SUPPORT IS THE BEST EVER. IT IS A LARGE PROGRAM WITH MANY FEATURES. TUTORIALS ARE ON YOUTUBE AND CHAT IS AVAILABLE CONSISTENTLY WITH TRAINED PEOPLE WHO SPEAK ENGLISH WELL. IT IS UPDEATED AND IMPROVED ALL THE TIME.

IT IS UPDATED CONSISTENTLY. THE SUPPORT IS IMMEDIATE AND THOROUGH!! CHAT IA AVAILABLE ALL THE TIME. THEY SPEAK ENGLISH CLEARLY. THEY OFFER TRAININGS AND TUTORIALS AND CONSULTATION. THE SUPPORT PEOPLE ARE HELPFUL, KIND AND WELL TRAINED. THEY CAN DO REMOTE HELP ALSO.

My experience was poor at best. In order to make it work for me I had to create tons of buttons. Additionally there were, what I would consider, hidden/extra costs that made the whole package seem sub par. We are switching to Kareo.

They are very flexible and able to fit with our state's high level of requirements.

The program is a mess. There are so many buttons. Documenting services is like finding your way through a maze. And you need to be prepared for the system to randomly go down A LOT. Additionally the system looks like Windows 95, which is humorous and also a little sad. The training required took about a week and our GM had to create step by step procedures for everyone, which they should have provided.

Lately I have been calling them every day for IT support and although it says I am first in line, nobody answers the phone. I also try to live chat at the same time and they will take over my computer run a "test" and say everything is fine. If it is so fine, why as soon as I resume use do the same problems occur?

When it works, it has good features that make charting faster and easier.

It has issues 5 out of 5 days a week. It is impossible to go directly to the chart room so that starts the day off totally wrong since that is where you are most likely to go to get your patient chart. Then when you can get the chart it decides when you can actually document in the chart . I wait a long time for a blue ring to stop going round and round and I also wait a really long time for something that says a find is in progress and processing inquiry. I get a coffee cup with steam several times a day as well and I have no idea what that icon means. Does mean, your patient will wait while you go get a coffee of coffee and we get this software working?

I used to spend 1-2 hours daily on documentation. With ICANotes, I spend only 2-3 minutes per session note, which frees me up for one to two extra session each day. My practice consists almost exclusively of Medicaid clients. The documentation requirements for Medicaid are very strict in my state. I have been audited twice by the state Medicaid auditors. Half of the content audited in my first audit were session notes I created manually before switching to ICANotes. The auditors found many discrepancies in my documentation from the period I was manually creating my session notes (typos, times incorrect, wrong date, wrong CPT code, members in family sessions not identified, etc.), but none after I switched to ICANotes. The only discrepancy in the second audit, which was entirely content created in ICANotes, was one missing session note. The auditors rated my clinical documentation as the most comprehensive they had seen.

Templates for most types of encounters. Session notes are done with a few mouse clicks on preloaded buttons. Compiled notes are very comprehensive. It is simple to generate hard copies of documentation, if required. Signature pages, release forms, and other papers can be scanned an added to the client's file electronically, allowing for complete elimination of hard copies of file contents. ICANotes team is very receptive to customizing product, and very responsive to suggestions for improvements.

None for me.

Love ICANotes. If we could have an easy way to get the ICD 10 codes, better medication database and a little faster it would be the perfect software (at least for me).

The built-in templates (phrases) and that is perfect for the field of addictions.

Getting ICD 10 codes, not a good medication database and the time it takes to process some of the steps.

Highest recommendation. No reservations. I am an "early user" and have been using ICANotes for over ten years.

Button driven narrative note is fast, easy and secure. Supports multitude of symptoms + adult and child population. Program scores and delivers valid E/M code specific to inpatient (and outpatient) setting. Can pull up any note 24/7 from any computer anywhere in the world with internet connection. Progress note can be constructed in two minutes. Supports practice management services. Easy access to live customer support via phone or internal email. Tablet friendly. Program is designed to support various practitioners Including: psychiatrists, psychologists, therapists, nursing, social workers, dietary, pastoral counselors and supports basic medical H & P. Can download demo from this site: www.icanotes.com Not required to sign a contract. Very reasonable priced. Software buttons are clinically relevant and program is easy to learn. HIGHLY RECOMMENDED

There are no cons. ICANotes is a "must have" for any behavioral health practioner, outpatient or inpatient.

It has quick and accurate session notes. Many standard statements are pre-programmed onto buttons, and there are many customization options. The company has a real focus on customer service. They do a great job of advising customers if there are any performance or other problems. Customer communication is outstanding. I have increased my productivity by as much as two sessions per day in the time I save using this product.

Nothing. The product is easy to use, the interface is intuitive, and the support is outstanding.

Despite internet delays, ICA Notes are professional looking documents that can be customized. It is also economic. It helps to practice on a fake client to learn the system but once you do (it took me about 10 times and trust me, I'm not computer savy). I can now do a progress note in about 3 minutes. Plus, there is no paperwork to worrry about losing.

I like how professional my documentation looks. I also like that I can add my personal touch and that I can there are screenings available to keep track of my client's progress.

Get some psychologist or other therapist to expand the text options for other types of treatment.

I enjoy the flexibility of the program for taking my text and formatting it professionally for letters and notes. I like how I can use menu options and easily change them to reflect my own ideas. Technical support is immediately available, but answers are short and there is little opportunity to get a more in-depth orientation. I took the test drive and found it to be helpful, but this hasn't been an advertised offering for current users, and I think it should be.

The options for therapy interventions and treatment planning are old fashioned and problem focused. More advanced therapeutic practices are solution focused and strength focused. There are also very few options for reflecting relationship based problems and solutions- the orientation is almost entirely intra-psychic instead of interpersonal.

With Icanotes my notes are much faster and know I am going to incorporate the billing at my office.

The organization of the working from left to right.

The selection of the drop down choices tend to be more pathalogicall then the clients I see therefore I end up typing more than I would like.

Overall, I am very pleased with ICANotes for electronic mental health records. They appear to be keeping this product current to meet the everchanging needs within the mental health field. I have recommended this product to other professionals in my area.

Loved the ease of downloading to my computers and finding video instruction for using the program. The support staff has always been extremely helpful and friendly. I like the features that allow me to tailor my progress notes to the way I focus on treatment issues. Progress notes can be completed very easily and quickly. Appointment book and patient account features are easy to learn and use.

The billing on HCFA forms will only print one service per form and I would like to be able to print and bill weekly or monthly with several charges on one form. If you subscribe to clearinghouse for billing this is not an issue.

It is very easy to enter a new client, get a Client ID. It is great for looking up documents, etc.

The calendar is awful. It has to load twice and is very slow. Appointments are made then disappear. This happens too frequently and clients arrive, but someone else has taken their time slot. It is difficult to explain to someone how this happens.

Know that my best choice was to throw in the towel and cut the losses.

After 8 months of endless problems and little support from technicians, we discontinued using the software. The extra expense of paying for mistakes made by a poorly conceived and slow-running program, for which the technicians and management would not and/or would not remedy, is unfortunate. The vendor refused to compensate for lost revenue due to poor programming.

How it is color coded to help things stand out for billing and missing data

That we have to populate everything in the begging ourselves. Some other billing programs pre-populates all details other than patient data for you. Such as codes, payer ID's, payers..etc.

The customer representatives and technicians are very helpful and knowledgeable. It is easy to navigate and works better than the other program I use!

It is easy to navigate and get back to main screen from anywhere in the program

Changing documents and diagnosis are a little clustered and it not very user-friendly if one is new to this type of program

It not only gets the job done it has enhanced my practice. Wouldn't trade it!

I've been using ICANotes for almost 5 years. I have a (mostly) solo LTC and ALF practice. I am able to work on site or do progress notes later in my office. ICANotes creates a narrative note that is readable and thorough. I get lots of compliments on my documentation and I feel more confident in my coding. Customer service is excellent. It is easily searchable.

Needs an internet/wifi connection which can be ify in rural areas.

I have reviewed this system for 1 year prior to purchasing. The ease and functionality of the electronic health system is helpful for new employees. Also, the availability to create customized areas that are suited to your company's needs is superb! Last but not least, the customer service is amazing! I can make one call and do not have to be on hold for several minutes and you can also live chat for better assistance. When or if you send an email to a developer or ICAnotes staff, the response time is immediate!