TherapyNotes is a therapist-first EHR with a psychiatry module bolted on. It is a real EHR, with e-prescribing, scheduling, and insurance billing built in. 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. A full JotPsych prescriber setup lands in the same range as TherapyNotes (Basic at $135/mo versus around $134/mo once ePrescribe is added), with the prescriber workflow, coding, and audit built in rather than bolted on.
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 prescriber-first behavioral health platform and a therapist-first EHR diverge for PMHNPs and psychiatrists.
| Feature | JotPsych | TherapyNotes |
|---|---|---|
| AI note generation | Included at every tier, AI-native | TherapyFuel add-on, $40/mo (currently free for med-management users)(TherapyNotes blog: TherapyFuel launch) |
| Psychiatric intake & evaluation | Structured intake + MSE | Intake form exists, not a dedicated psychiatric evaluation format(TherapyNotes help center: psychiatry intake note) |
| Medication management visits | Dedicated prescriber format | Psychiatry progress note covers med fields, but med-management fields are largely free text(Mentalyc: TherapyNotes AI review roundup) |
| TMS & Spravato (REMS) documentation | Session templates, REMS-aware | Not offered |
| E-prescribing with PDMP | JotRx (DoseSpot), from $62/mo | $65/prescriber/mo via DrFirst(TherapyNotes blog: DrFirst partnership) |
| Pre-bill denial prevention & audit | 48-rule scrubbing + gap flagging + JotAudit | No pre-submission gap flagging |
| Insurance billing & RCM | JotBill: 837P, ERA posting, eligibility | ERA/EOB, Waystar clearinghouse, auto charge posting(TherapyNotes help center: ERA enrollment) |
| Entry price | $53/mo billed annually · see all plans | ~$134/mo prescriber ($69 base + $65 ePrescribe)(TherapyNotes pricing update) |
TherapyNotes is a long-established, mature EHR with a bundled-by-default billing stack and deep payer history: ERA/EOB, Waystar clearinghouse, and auto charge posting in one system(TherapyNotes help center: ERA enrollment), a psychiatry progress note with medication, vital signs, MSE, and exam sections(TherapyNotes blog: note template updates), and consistently strong, responsive phone support(Capterra reviews: TherapyNotes). For a multi-provider group already standardized on it for billing at volume, the switching cost is real. For a prescriber, that maturity does not replace the prescriber-grade AI documentation, coding, and audit tools JotPsych is built around.
Public reviews, unedited.
"Medication provider notes are all free text. The system constantly lags no matter what internet connection I use or that I clear my internet history and cache daily. Sending prescriptions is a nightmare, the tab to send prescriptions will disappear and then reappear and then that tab takes 2-3 minutes to load. There is no patient messaging system as most medication providers have for patients."
Amanda H., APRN (Medication Provider), Capterra review"Due to a clearinghouse error affecting claims submitted through the TherapyNotes system, multiple claims were never received by the payer, resulting in over $2,000 in lost reimbursements for services I had already provided. What makes this particularly concerning is that these claims were marked as successfully sent within the system, creating the impression they had been properly transmitted when they had not."
Michelle G., Therapist, Capterra review"Reports and data collection is almost non existent. Tracking and reporting for missed appointments is extremely difficult, billing secondary insurances is not an easy process, areas for notes and memos are not clean, I wish you could change appointment color based on different things such as checked in or canceled."
Darcie K., HIM Director (Hospital & Health Care), 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.