Finding software can be overwhelming. We've helped thousands of mental health care providers choose the right therapy notes software so they can digitize assessments and track outcomes.

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ClinicSource

ClinicSource is a cloud-based practice management solution that helps in scheduling and documenting the therapy appointments of the patients. ClinicSource Therapy Practice Management’s scheduler includes billing and electroni... Read more

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Recent recommendations: 52 recommendations

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AdvancedMD for Mental Health

AdvancedMD is a unified suite of software designed for independent laboratories, medical, physical therapy and mental health practices. Features include practice management, electronic health records, patient engagement, telemedic... Read more

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Recent recommendations: 42 recommendations

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TherapyNotes

TherapyNotes is a cloud-based mental/behavioral health software system that includes electronic health records (EHR), a patient portal, patient scheduling and medical billing. The solution is suitable for practices of all sizes, i... Read more

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Recent recommendations: 41 recommendations

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TheraPlatform

TheraPlatform is a HIPAA compliant practice management and video conferencing platform. Providers and patients do not need to download software, as it can be accessed via browser on a laptop, desktop, tablet, or smartphone. Group ... Read more

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Recent recommendations: 24 recommendations

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Valant EHR Suite

Valant’s EHR for behavioral health offers tools for providers to streamline documentation, increase efficiency, and enhance the productivity of their practice or agency. The fully integrated suite includes secure patient reco... Read more

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Recent recommendations: 21 recommendations

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CarePaths EHR

HIPAA-Compliant & ONC-Certified Cloud-Based Electronic Health Records & Practice Management. Solo-practitioners or groups of all sizes can grow and manage their practice for an affordable price. Get telehealth, claims, and eligib... Read more

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Recent recommendations: 20 recommendations

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Kareo Clinical

Kareo is a Web-based EHR, medical billing, and practice management used by thousands of physicians across the United States. This system suits small practices and billing companies. With Kareo, practices can schedule patients, con... Read more

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Recent recommendations: 12 recommendations

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MedicsCloud EHR

Ideal for all levels of care, the MedicsCloud Suite operates as a singular solution from one vendor (ADS). Yet, the Suite's MedicsCloud EHR and its MedicsPremier financial/management segments are available separately as needed. ... Read more

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Recent recommendations: 12 recommendations

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PHYSIMED EMR

Physimed EMR was established by medical professionals in response to their growing frustration with legacy EMRs. It is a thorough system that addresses all the pain points faced by physicians in deploying EMR technology. For examp... Read more

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Recent recommendations: 12 recommendations

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InSync Healthcare Solutions

MD Online's InSync® is a practice management and EMR system that assists healthcare professionals in providing superior care while maintaining regulatory compliance; it is one of the first solutions to be ONC-ATCB certified.... Read more

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Recent recommendations: 11 recommendations

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Sigmund Software

For nearly two decades, Sigmund Software has had the opportunity to create individualized Software Solutions for many diverse organizations. Sigmund’s enterprise, cloud-based platform, AURA, contains a robust features suite that ... Read more

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Recent recommendations: 11 recommendations

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CAM

Celerity’s CAM is a cloud-based, behavioral health care management solution and electronic medical records (EMR) for chemical dependency and mental health treatment providers. CAM incorporates a variety of clinical features, ... Read more

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Recent recommendations: 7 recommendations

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EHR YOUR WAY

****15+ Users*****$600 month min....EHR YOUR WAY is a behavioral health EHR that can be deployed on desktop and mobile cloud-based devices. The solution covers various aspects of behavioral health including inpatient and outpatien... Read more

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Recent recommendations: 6 recommendations

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Sharenote

ShareNote is a web-based solution designed to help healthcare organizations simplify operations. It has received ambulatory EHR-certification from the Drummond Group. This solution is specifically built for organizations that spec... Read more

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Recent recommendations: 6 recommendations

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Behaviorsoft

Behaviorsoft is an all-in-one secure clinical management solution that empowers small independent ABA providers to automate routine daily tasks for billing, client scheduling, human resource management, medical data collection, pa... Read more

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Recent recommendations: 5 recommendations

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CentralReach

CentralReach is an EMR, practice management, and clinical platform for Applied Behavior Analysis (ABA) therapy providers who treat autism and related disorders. The web-based, HIPAA compliant system integrates workflows such as sc... Read more

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Recent recommendations: 4 recommendations

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AZZLY Rize

AZZLY Rize is a cloud-based solution for behavioral health providers featuring a full range of integrated electronic health record, revenue cycle management, e-prescribing, and practice management, and outcomes measurement functio... Read more

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Recent recommendations: 4 recommendations

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Catalyst

Catalyst is a cloud-based solution, which assists mental health professionals with data collection and practice management. Key features are graphical representations, file sharing, predefined templates and notifications. The... Read more

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Recent recommendations: 3 recommendations

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Opus

Opus Behavioral Health is a cloud-based electronic health record (EHR) platform for behavioral health and substance abuse teams at inpatient, outpatient and residential care facilities. Opus EHR is a certified solution that enable... Read more

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Recent recommendations: 3 recommendations

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WebABA

As a tech-enabled ABA practice management solution, WebABA utilizes business management technology along with integrated billing and enrollment services to assist ABA organizations with managing all business operations. WebABA's p... Read more

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Recent recommendations: 3 recommendations

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Buyers guide


Last Updated: December 1, 2021

 

To mental and behavioral health care providers, therapy notes are essential for documenting patient encounters. What’s more, therapy notes are consistently cited as a top-requested electronic health records (EHR) software functionality by buyers who contact Software Advice.

There are hundreds of solutions that offer therapy notes for practitioners looking to make a first-time or replacement purchase. To help you narrow down your options and better understand what’s available in today’s market, we put together this buyer’s guide.

Here’s what we’ll cover:

What Is Therapy Notes Software?
Common Functionality of Therapy Notes Software
Benefits of Electronic Therapy Notes
Deployment Strategies and Pricing
Market Trends To Understand

What Is Therapy Notes Software?

“Therapy notes” can refer to several different kinds of medical forms that are needed to document patient encounters in mental and behavioral health care settings.

These can include:

therapy notes

These types of mental health progress notes are essential for practitioners to record patient assessments, treatments and results over time. The data can also be used for tracking and coordinating care to achieve healthy outcomes. And in some cases, these notes serve as the official record of the patient relationship and may be subpoenaed in court.

In light of all this, it’s extremely important for therapy notes to be as comprehensive, up-to-date and secure as possible. Indeed, the right software ensures notes are legible and automatically marked with time and date stamps. Drop-down menus and templates make it easy for practitioners to enter detailed patient observations. Plus, electronic files are generally more secure than paper-based records.

Common Functionality of Therapy Notes Software

Specialty-specific notes templates Most systems should offer notes templates for a range of specialties, such as psychotherapy, psychiatry and behavioral health. Some allow users to customize templates with additional fields/terminology. Templates usually offer drop-down menus and click-boxes.
Note management Allows users to easily view/retrieve notes and assessments, in order for human services specialists to access old notes and review previous sessions.
Outcomes tracking Allows users to turn therapy notes data into reports, for gauging health outcomes across patient populations. (Measuring care outcomes is recommended by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [DSM-5].)
Coding tools Help users select and enter codes in note templates and billing modules from a pre-programmed menu or searchable database. These clinical documentation codes may include CPT, ICD and/or DSM codes.
Staff management Users are assigned roles within the system (e.g., site administrators, clinicians or billers) that provide different levels of access (e.g., clinicians can only see the notes for their own patients). Supervisors can receive missing notes reports and notifications for notes that need approval. Standard functionality for systems aimed at larger organizations.

Benefits of Electronic Therapy Notes

Some of the benefits of electronic therapy notes should already be clear from our discussion, but here’s a complete listing:

  • No double-entry. When you enter data electronically, you don’t need to bother with digitizing it down the road.
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  • Paperless office. By using electronic therapy notes, you’re one step closer to achieving the ecological nirvana (and the cost-savings) of a paperless office.
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  • Improved organization. Electronic therapy notes are automatically organized by time/date and patient - no hunting through file-cabinets.
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  • Patient analytics. As we’ve seen, electronic therapy notes can feed historical reports that track patient progress over time. Do you really plan to turn all your old paper notes into charts?
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  • Easier coding. ICD 10 codes are a pain, and we all know the DSM V tends to make coding more painful rather than less. Thankfully, these tools offer features to assist with the tedious task of coding.

Deployment Strategies and Pricing

Stand-alone or “best-of-breed” programs can be implemented to create, edit and store different kinds of therapy notes. Vendors of this type of software often offer tiered pricing plans.

For example, at the first, most basic tier, buyers might pay a monthly fee allowing a small pool of users access to basic functionality and services, such as progress notes templates, document storage and limited email support from the vendor.

At the higher-priced tiers, buyers might be able to add more users to the system and/or to access more advanced functionality or services beyond what the lower tiers provide. These additional capabilities might include reporting and analytics, electronic claims submissions or live phone support from the vendor.

Buyers seeking a more comprehensive deployment strategy can implement a therapy software suite that includes other capabilities in addition to therapy notes. For example, an EHR suite may also offer billing, patient scheduling and human resources applications. Pricing for these suites can be much more expensive, as they offer a greater breadth of both clinical and practice management functionalities.

Your choice between a best-of-breed system or integrated suite will come down to the size of your practice, your budget and whether you want your solution to integrate with other software.

Market Trends to Understand

You will likely come across some of the following market trends as you begin your search for therapy notes software:

Cloud-based deployment. One of the most important choices buyers need to consider is whether they’d like a cloud-based or an on-premise solution. The cloud model provides Software-as-a-Service (SaaS), in which the system is hosted on external servers and accessed remotely through the Web. In on-premise systems, the software is hosted on the practice’s own servers and must be updated and maintained locally.

Cloud-based EMR mental health systems are becoming increasingly popular. Not only do they offer the flexibility of remote access, they also involve lower upfront costs, and updates and maintenance are handled by the vendor.

Mobile device support. Support for wireless devices, such as smartphones and tablets, is becoming common among mental and behavioral health software vendors. The convenience and portability of such devices makes them ideal for reviewing progress notes and managing scheduling changes on the go. Some vendors are even introducing HIPAA-compliant native applications for Windows, Android and/or iOS devices. What's more, a report conducted by Software Advice finds that mobile users cite higher levels of satisfaction and fewer challenges with their EHR than non-mobile users.