TherapyNotes vs. Omnipractice.ai Review – Best EHR for Mental Health Practices in 2025

Published on
04 Feb 2025

Introduction

Choosing the right electronic health record (EHR) system is crucial for mental health practices. Whether you’re a solo practitioner, a small group, or part of a large multidisciplinary team, having a robust, user-friendly, and scalable EHR can transform your practice.

In this detailed TherapyNotes vs. Omnipractice.ai review, we break down each system’s features, pricing, and overall value to help you decide which is best for your clinical setup.

60-Second Summary

TherapyNotes

  • Strengths: Intuitive note-taking, robust scheduling and billing, excellent customer support.
  • Limitations: Scalability challenges, limited customization and reporting, clunky multi-location scheduling.

Omnipractice.ai

  • Strengths: AI-powered documentation, fully customizable workflows, integrated scheduling and billing with automation, up to 80% cost savings, built for group practices.
  • Limitations: Newer to the market—continuous updates mean some features may still be evolving.

Bottom Line:

  • TherapyNotes is a great “tried-and-true” tool for smaller, solo practices.
  • Omnipractice.ai is engineered for growing, insurance-based group practices that demand modern, automated workflows.

What is Therapynotes?

Overview:
TherapyNotes is a cloud-based EHR designed specifically for behavioral health professionals. This software emphasizes simplicity in clinical documentation, scheduling, billing, and telehealth support.

Key Features & Benefits:

  • Intuitive Note-Taking: Includes comprehensive progress notes, treatment plans, and DSM-5 integration.
  • Scheduling & Billing: Built-in appointment scheduling, reminders, and insurance claim processing.
  • Client Portal: Provides a user-friendly interface for clients to manage appointments and billing.

Advantages:

  • Ease-of-Use: Quick setup and minimal technical overhead, perfect for solo or small practices.
  • Customer Support: Highly responsive and supportive team.
  • Regular Updates: Ongoing improvements based on user feedback.

Limitations:

  • Scalability: Challenges with multi-location setups and advanced reporting.
  • Customization: Limited flexibility in templates and forms.
  • Analytics: Basic reporting may not suffice for data-driven practices.

Target Audience:
TherapyNotes is best suited for solo practitioners and small behavioral health practices that prioritize simplicity and reliable clinical tools.

What Is Omnipractice.ai?

Overview:
Omnipractice.ai is an AI-powered EHR built for insurance-based group practices. It focuses on automating workflows, reducing documentation time, and streamlining billing and scheduling—all while delivering significant cost savings.

Key Features & Benefits:

  • AI-Powered Documentation: Reduces note-taking time by up to 50% with smart automation.
  • Integrated Scheduling & Billing: Advanced calendar syncing (Google, Outlook), real-time eligibility checks, and automated claims processing.
  • Task-board & Collaboration: A Kanban-style task-board that improves team communication and workflow management.
  • Customizable Portals: Separate secure portals for therapists and clients.

Advantages:

  • Scalability: Easily adapts to practices ranging from small groups to large, multi-location operations.
  • Cost Savings: Up to 60-80% less than legacy EHRs, with transparent, usage-based pricing.
  • Modern Integration: Robust API and third-party integrations that streamline data flow.

Limitations:

  • Evolving Platform: Some features are continually being refined, which may require a learning curve for early adopters.

Target Audience:
Omnipractice.ai is designed for mid-sized to large group practices that need a customizable, scalable, and modern solution to handle complex clinical and operational demands.

For further details, visit the Omnipractice.ai Homepage and check out their Pricing page.

Therapynotes Customer Pain Points

TherapyNotes has a loyal following because it gets the job done for smaller operations. However, its pain points—especially around scalability, customization, and advanced reporting—become significant as practices grow. Omnipractice.ai addresses these shortcomings head-on with advanced automation, flexible workflows, and transparent pricing that eases the burden on larger practices.

Pain Point
Therapynotes
Omnipractice.ai
Scalability & Multi-location

Clunky scheduling and limited multi-site support

Advanced scheduling with two-way sync and group scheduling

Customization & Flexibility

Rigid templates; limited custom form options

Fully customizable form builder and adaptable workflows

Reporting & Analytics

Basic reporting tools, insufficient for growing practices

Comprehensive, real-time dashboards and customizable reports

User Experience

Interface is user-friendly but becomes cumbersome at scale

Intuitive, modern interface optimized for team collaboration

Cost & Pricing Structure

Per-user pricing can become costly as practices expand

Transparent, usage-based pricing with potential cost savings

Use Case Comparison: Fitting Various Clinical Setups

When choosing an EHR, one size definitely does not fit all. Whether you’re running a solo practice, a small group, or a sprawling multi-location operation, your clinical setup matters. Below is a table that breaks down how each system performs across different practice environments:

Clinical Setup
Therapynotes
Omnipractice.ai
Solo/Private Practice

Ease-of-use: Simple and straightforward for a single clinician.

Affordability: No extra frills needed.

Efficiency & Flexibility: Advanced AI note taker available to cut documentation time by up to 50%, yet users can opt for basic note templates and traditional EHR workflows if they prefer a non-AI approach.

Small Group Practices

Reliable: Solid scheduling and billing designed for a small team.

Limitations: May lack deep customization for reporting.

Scalability: Automated workflows and enhanced scheduling scale with your team. Plus, while the AI-powered documentation is a key asset, individuals can choose traditional note-taking methods via customizable templates.

Large/Multidisciplinary Group Practice

Basic Functionality: Reliable for individual clinicians but less equipped for complex, multi-location setups.

Advanced Features: Customizable workflows, detailed reporting, and integrated task management designed for complex setups. Offers both AI-driven and traditional note-taking options to suit varied preferences.

Specialty Clinics (e.g., Mental/Behavioral Health)

Tailored Templates: Offers specialty-specific note templates and treatment plans ideal for mental health.

Industry-Specific Customization: Provides flexible, AI-powered documentation while also allowing clinicians to stick with basic note templates when desired, ensuring the system fits specialized clinical needs.

Community Mental Health Centers

Stability: Delivers essential documentation and billing, though it may struggle with high patient volumes.

Robust & Scalable: Manages high patient volumes and complex workflows efficiently. Its dual documentation options (AI and traditional) ensure it adapts to both tech-forward and conventional users.

For solo and small practices, TherapyNotes offers a familiar, user-friendly approach without overwhelming you with features you don’t need.

However, when it comes to scaling up—especially in large, multidisciplinary or high-volume settings—Omnipractice.ai clearly steps into the future with its customizable workflows, AI-powered documentation, and advanced scheduling features.

Think of it like choosing between a trusty bicycle and a high-speed electric scooter: both will get you where you need to go, but if you’re navigating busy city streets (or a bustling practice), that extra boost makes all the difference.

Feature Comparison

A comparative analysis of Therapynotes and Omnipractice.ai reveals distinct differences in their features

Feature
Therapynotes
Omnipractice.ai
Documentation & Note Taking

• Comprehensive, clinician-driven note templates (including DSM-5 integrated tools)
• Manual documentation with robust clinical forms

• AI-powered note taker that automates progress notes and session summaries (cutting documentation time by up to 50%)
• Option to use basic, customizable manual note templates

Scheduling

• Basic appointment scheduling with reminders
• Standard calendar management suitable for solo or small practices

• Advanced scheduling features including two-way calendar sync (Google, Outlook), group scheduling, color coding, and SMS reminders

Billing & Insurance Automation

• Simplified billing and insurance claims processing with manual data entry for insurance claims

• Real-time insurance eligibility checks (up to 94% accuracy)
• Automated claims processing, integrated online billing, and autopay options

Reporting & Analytics

• Basic reporting features covering fundamental financial and productivity metrics

• Detailed, customizable dashboards and real-time analytics that provide deeper insights into practice operations

Client & Therapist Portals

• An integrated client portal for scheduling and billing, offering a unified view for users

• Separate, secure, and mobile-friendly portals for clients and therapists, enhancing privacy and tailored access

Task & Team Collaboration

• Separate, secure, and mobile-friendly portals for clients and therapists, enhancing privacy and tailored access

• Separate, secure, and mobile-friendly portals for clients and therapists, enhancing privacy and tailored access

Customization & Integrations

• Limited form/template customization
• Fewer API and third-party integration options

• Fully customizable workflows and robust API integrations that allow deep personalization and seamless data exchange with other systems

E-Prescribing

• Integrated E-Prescribe Module that allows clinicians to electronically send prescriptions to pharmacies, streamlining medication management

• Not currently offered as a dedicated feature

Additional Features

• Telehealth support (standard integrations)
• 24/7 customer support focused on individual practices

• Advanced supervision features, dedicated help & support channels, and comprehensive intake workflows
• Option for both AI-powered and traditional documentation approaches

Insights

  • TherapyNotes excels with a traditional, clinician-driven approach, including an integrated e-prescribing module that streamlines medication management. It’s well-suited for solo and small practices that value a straightforward, all-in-one solution.
  • Omnipractice.ai offers cutting-edge features like AI-powered documentation, advanced scheduling, and real-time insurance automation, along with the flexibility of choosing between automated and traditional note-taking. Its robust customization and integration capabilities make it ideal for larger, multi-location practices—even though it does not currently include an e-prescribing feature.

This side-by-side breakdown highlights the strengths of each platform, allowing you to choose the best EHR based on your practice’s unique needs.

• Separate, secure, and mobile-friendly portals for clients and therapists, enhancing privacy and tailored access

Pricing Comparison

Below is a comparison of the pricing models of Therapynotes and Omnipractice.ai.

Plan Tier
Therapynotes
Omnipractice.ai
Solo / Individual

- Solo Plan: $49/month per clinician  
- Includes core EHR features such as clinical documentation, scheduling, billing, and telehealth support.

- Free Plan: $0/month  - Supports up to 10 members and 100 appointments per month.  
- Features include client and provider portals, online and offline appointments, two-way calendar sync, online payments, custom forms, notes, treatment plans, team and client messaging, and telehealth integrations.

Small Group Practice

- Group Plan: $59/month for the first clinician, plus $30/month for each additional clinician  
- Offers enhanced scheduling and basic reporting functionalities.

- Growth Plan: $9/provider/month (annually) or $13/provider/month (monthly)  
- Includes all Free plan features, plus unlimited appointments, advanced calendar filters, custom color codes, SMS reminders, insurance claim filing ($0.20/claim), biller login, dashboards, analytics, reports, tasks, and a Kanban board.

Established Group Practice

- Enterprise Plan: Custom pricing for larger practices  
- Provides advanced administrative support, multi-location scheduling, and comprehensive reporting features.

- Business Plan: $15/provider/month (annually) or $21/provider/month (monthly)  
- Includes all Growth plan features, plus support for multiple locations, appointment request widgets, group scheduling, autopay, customizable client communication templates, global search, and priority support.

Large / Multi-Location Practice

- Custom Enterprise: Tailored pricing for large, multi-location practices  
- Offers extensive customization, dedicated support, and advanced integrations.

- Enterprise Plan: Custom pricing  
- Includes all Business plan features, plus advanced SMS integrations, custom dashboards, volume discounts on payment processing, API access, custom branding and whitelabeling, single sign-on (SSO), enterprise security, custom integrations, 24/7 support, and a dedicated manager.

Note: Omnipractice.ai offers transparent, usage-based pricing and significant cost savings (up to 60-80% less than legacy systems), making it especially attractive for growing practices.

Summary & Insights:
TherapyNotes’ pricing is straightforward for small practices, but costs can quickly escalate as your team grows. Omnipractice.ai’s pricing model—designed for scalability and transparency—offers considerable savings and advanced features for practices of any size.

How Omnipractice.ai Addresses Therapynote’s Limitations

TherapyNotes is a well-regarded EHR system, particularly favored by solo practitioners and small practices for its user-friendly interface and robust note-taking capabilities. However, as practices expand, certain limitations become apparent, such as scalability challenges, limited customization, and basic reporting features. Omnipractice.ai addresses these limitations effectively, offering a more adaptable and feature-rich solution for growing practices.

Scalability and Customization

As practices grow, the need for scalable solutions becomes critical. TherapyNotes has been noted to struggle with managing large teams and complex scheduling scenarios, often due to its limited customization options. Omnipractice.ai, on the other hand, is fully customizable for companies of all sizes, built from the ground up for modern team collaboration and operational efficiency. This flexibility allows practices to tailor the platform to their specific needs, facilitating smoother expansion and more efficient management of larger teams.

omnipractice.ai

Advanced Reporting and Analytics

TherapyNotes offers basic reporting capabilities, which may not suffice for practices seeking in-depth data analytics to inform decision-making. Omnipractice.ai addresses this gap by providing comprehensive dashboards and analytics features. These tools empower practices with real-time data insights, enabling informed decisions, streamlined workflows, and effective monitoring of practice health.

omnipractice.ai

Enhanced Team Collaboration

Effective team collaboration is essential for growing practices. TherapyNotes has minimal internal collaboration features, which can hinder efficient teamwork. Omnipractice.ai enhances team collaboration through its Taskboard feature, offering a centralized, visual workspace that helps manage tasks, track progress, and facilitate seamless communication across the team. This ensures accountability and helps the practice run more efficiently.

omnipractice.ai

Automated Documentation with AI-Powered Note Taking

Documentation can be time-consuming, and while TherapyNotes provides comprehensive note templates, it lacks automation in this area. Omnipractice.ai introduces an AI-powered note taker that automates progress notes and session summaries, significantly reducing documentation time by up to 50%. This feature allows clinicians to focus more on patient care and less on paperwork.

omnipractice.ai

Comprehensive Client Intake Management

Managing client intake efficiently is crucial for practice growth. Omnipractice.ai offers a robust intake feature that streamlines the process of converting referrals into clients, managing each step seamlessly, and enhancing communication—all within one platform. This comprehensive approach ensures a smooth onboarding experience for new clients.

omnipractice.ai

Final Thoughts

Both TherapyNotes and Omnipractice.ai have their merits in the EHR space. TherapyNotes is a solid choice for solo practitioners and small practices that need a simple, reliable system.

However, for practices looking to future-proof their operations, especially those with complex, multi-location setups, Omnipractice.ai offers advanced automation, customization, and significant cost benefits.

If you’re ready to leave behind outdated systems and embrace a modern, scalable solution, Omnipractice.ai is the EHR upgrade you’ve been waiting for.

Are you ready to upgrade your practice management and EHR experience?

Explore the advanced features and AI-powered efficiency by booking a demo today

For more information, explore Omnipractice.ai’s feature pages such as Why We're Different, Taskboard, Billing & Payments, Supervision, Help & Support, Documentation, AI Notes Taker, Dashboard, and Intake Feature for a complete feature overview.