SimplePractice is a therapy-first practice EHR that layers prescriber features on as paid add-ons: e-prescribing, PDMP, and AI notes each cost extra on top of the base plan. JotPsych is the operating system for behavioral health: notes, e-prescribing, scheduling, telehealth, billing, and credentialing in one platform, with the prescriber workflow (intakes, medication management, TMS, Spravato) built in. Start alongside the EHR you use today in five minutes, or replace it entirely on your timeline. From $53/mo versus SimplePractice's roughly $163/mo for a solo prescriber with AI notes and e-prescribing.
Most tools do one job and stop. JotPsych runs the whole behavioral health practice: it knows where the money goes, protects every claim, grows with every hire, and coaches every clinician. From the first intake to the paycheck.
Every encounter tracked from scheduled to paid. JotPsych flags the unbilled visit, the undercoded note, the denied claim, and the receivable aging past 60 days, then shows you how to fix it.
Every note and claim scanned against 150+ payer rules and the latest audit standards before you sign. Clawbacks and denials caught while they are still fixable.
Onboard a new clinician in minutes. Documentation and coding stay sharp and uniform at every seat, so quality and revenue scale with you, not against you.
JotCoach reads every note your team writes, flags what to fix and why, and develops every clinician, like you are in the room without being in the room.
Notes, e-prescribing, scheduling, telehealth, billing, and credentialing in one system that talks to itself, instead of seven vendors that do not.
Psychiatric intakes, medication management, TMS and Spravato, the 99214 and the 90833 add-on, e-prescribing with PDMP. The prescriber workflow native, alongside the therapy hour.
Most scribes stop at the note. JotPsych runs the whole practice. Add it to the EHR you use today with no migration and write your first note in five minutes, then make it your entire system when you are ready, on your timeline. One platform for any behavioral health practice.
Where a behavioral health platform and a therapy-first practice EHR diverge for prescribers.
| Feature | JotPsych | SimplePractice |
|---|---|---|
| Built for psychiatric prescribers | Yes, BH-only platform | Therapy-first chassis, e-prescribing is an add-on(SimplePractice support, Adding ePrescribe) |
| Psychiatric eval with MSE & med management formats | Structured intake + MSE + dedicated prescriber format | SOAP, DAP, BIRP only; no psych eval or MSE(SimplePractice Wiley Treatment Planners) |
| TMS & Spravato (REMS) documentation | Session templates, REMS-aware | Not offered |
| E-prescribing with PDMP | JotRx (DoseSpot), from $62/mo | Add-on: $49/mo + $89 setup; PDMP a further $699 setup + $6.25/mo(SimplePractice support, Adding PDMP) |
| Pre-bill denial prevention & audit | Gap flagging + JotAudit | No pre-bill gap detection or coding guidance |
| AI notes work with any telehealth or in person | Zoom, Doxy.me, or in person | AI Note Taker only inside SimplePractice telehealth(SimplePractice support, Note Taker with telehealth) |
| Practice management (scheduling, billing, telehealth) | Full platform, works alongside any EHR or replaces it | Full all-in-one: scheduling, telehealth, claims, ERA posting(SimplePractice pricing page) |
| Entry price | $53/mo billed annually · see all plans | ~$163/mo for solo with AI notes + e-prescribing(SimplePractice pricing page) |
SimplePractice is a genuine all-in-one practice EHR with real depth: scheduling, telehealth, a client portal, and functional insurance billing (claim submission, ERA posting, eligibility checks) in one login, backed by 225,000+ clinicians and a 4.6/5 average across more than 2,800 Capterra reviews(Capterra SimplePractice reviews). If you run a therapy-led practice and want a patient login portal with self-scheduling above all, that ecosystem is hard to match. For a prescribing practice, that breadth does not replace the prescriber tools JotPsych is built around, and e-prescribing, PDMP, and AI notes all come at extra cost(SimplePractice support, Adding ePrescribe).
Public reviews, unedited.
"No lab integration possible for solo telepsychiatry. Added billing fees are exorbitant. Worst off 30% or more of claims submitted are rejected. No support or guidance. Now that I have many patients and am paying a biller and ever increasing fees I feel trapped and am trying to search for another EMR with prescribing and billing."
Windsong H., Psychiatrist, Capterra review"77% increase if I want to keep some features and 154% increase for all features. Unresponsive to customer feedback, unfulfilled promises."
Catherine R., Licensed Mental Health Counselor, Capterra review"Its customer service is dreadful. Extremely hard to get a person on the phone."
Harry A., Psychotherapist, Capterra reviewKeep the EHR you use today, or replace it entirely on your timeline. No credit card. Set up in under 5 minutes. HIPAA compliant with a BAA. From $53/mo billed annually.