TherapyNotes Vs Practice Fusion: Which EHR Powers Your Practice More Effectively?
Choosing the right electronic health record (EHR) system is a crucial decision for any healthcare practice. The system you choose can greatly impact your workflow, patient care, and overall efficiency. A well-chosen EHR can make a practice run smoothly, saving time and reducing errors, while a poor choice can lead to frustration, delays, and unnecessary complications.
With so many options available, it can be overwhelming to select the right one, which is why, in this blog, we’ll compare two popular platforms, TherapyNotes and Practice Fusion.
We’ll break down their core features, strengths, and weaknesses to help you decide which one is the better fit for your practice. This side-by-side comparison will help you determine what software truly powers your practice better.
TherapyNotes Vs Practice Fusion: Head-On Comparison
TherapyNotes is a cloud-based EHR and practice management software built specifically for mental and behavioral health professionals, including therapists, psychologists, and social workers. It offers features like specialty-specific clinical note templates, scheduling and task management, billing and insurance processing, and a secure patient portal. TherapyNotes commands an estimated 0.28% market share, positioning it at #35 among EHR providers.
Practice Fusion is a cloud-based EHR and practice management platform tailored for independent and small to mid-sized medical practices. It offers a suite of features designed to streamline clinical and administrative workflows, including customizable charting templates, e-prescribing, lab and imaging integrations, appointment scheduling, billing services, and patient engagement tools. Practice Fusion holds a 1.8% share in the electronic health records market, positioning it at #9 among EHR providers.
TherapyNotes Vs Practice Fusion: At A Glance
Feature | TherapyNotes | Practice Fusion |
|---|---|---|
SOAP Notes | ✓ | ✓ |
Mobile Apps | ✘ | ✘ |
HIPAA Compliance | ✓ | ✓ |
Voice Recognition | ✓ | ✓ |
Clearinghouse | ✓ | ✓ |
Practice Management | ✓ | ✓ |
Customer Support | ✓ | ✓ |
TherapyNotes Vs Practice Fusion: Comparing Strengths And Weaknesses
TherapyNotes | Practice Fusion |
|---|---|
Pros | Pros |
Frequent updates based on user feedback | Delivers ease in documenting patient encounters |
Lacks an integrated ROI system | Easy to navigate |
Organizes patient-related information into one place | Offers a comprehensive suite of features |
Cons | Cons |
Does not support calendar-based collaboration | Deleting appointments can be difficult |
Occasional on-screen data misalignment | Scheduled maintenance may disrupt workflows |
TherapyNotes Vs Practice Fusion: Side-By-Side Feature Comparison

Appointment Scheduling
TherapyNotes provides an integrated scheduling system tailored for behavioral health professionals. It supports one-time and recurring appointments, clinician schedule management, and direct access to related notes and billing through the calendar. Appointment types can include sessions, intakes, vacations, and practice-wide events. The calendar offers customizable views by clinician, client, or location and syncs with mobile devices for on-the-go access. Automated appointment reminders via text, phone, or email help reduce no-shows, while the built-in To-Do List ensures timely completion of documentation, treatment plans, and claims.
Practice Fusion integrates online appointment booking directly into its EHR through the Patient Fusion portal, enabling practices to attract new patients and manage appointment requests efficiently. The platform supports customizable Online Check-In, allowing patients to complete intake forms in advance. These forms automatically populate the encounter note and update demographic and insurance details within the EHR, eliminating manual data entry. This streamlined process improves accuracy, reduces administrative workload, and enhances convenience for both patients and staff.
Winner: TherapyNotes takes the lead by offering a more comprehensive scheduling system tailored to behavioral health.
Billing And Payments
TherapyNotes streamlines the billing process with integrated tools for insurance claims, payment posting, and client tracking. The platform supports electronic claim submission, real-time eligibility checks, and automated claim scrubbing to reduce rejections. Insurance payments are easily posted with electronic remittance advice (ERA) integration, and a paper claim mailing service is available for non-electronic claims. Billing reports, superbills, and client statements are generated with a few clicks, while aging reports help track outstanding payments. TherapyNotes also offers medical billing services, enabling practices to outsource the entire billing process
Practice Fusion offers integrated billing services designed to simplify financial management for independent practices. The platform includes payer enrollment, claims scrubbing, same-day claim submission, and tools for managing insurance and patient payments. With over 30 years of experience, Practice Fusion’s billing experts ensure clean claim submissions, reducing the costs of denials. Additionally, patient communication is streamlined with electronic and paper statements, as well as a patient call center. The platform provides financial transparency through detailed reporting, helping practices optimize collections while minimizing billing-related stress and overhead costs.
Winner: TherapyNotes wins because of built-in billing tools like ERA posting, claim scrubbing, eligibility checks, and optional full-service billing.
Patient Portal
TherapyNotes is a fully integrated patient portal software. It offers ‘TherapyPortal’, which is designed to streamline client interactions. Clients can complete paperwork electronically, manage appointments, and make secure payments, all synced with their EHR. The portal is customizable to fit practice branding, including logos and color schemes. Key features include paperless intakes, pre-made forms for demographic and insurance information, document sharing, and electronic signatures. Clients can also self-schedule appointments, while practices retain control to confirm, deny, or reschedule. ‘TherapyPortal’ simplifies client communication and enhances efficiency, empowering both clients and providers.
Practice Fusion’s patient portal offers secure, real-time access to patients’ personal health records (PHR), including diagnoses, medications, immunizations, and procedure histories. Patients can manage their care by scheduling appointments, requesting prescription refills, and emailing their providers directly. The portal also features healthcare cost tracking with visual graphs, providing patients with clarity on insurance details and health spending. Accessible anytime, from anywhere, the portal enhances patient engagement and provides peace of mind, reducing paperwork and phone calls.
Winner: It’s a tie since both TherapyNotes and Practice Fusion offer efficient patient portal solutions that enhance communication and understanding between clinicians and patients.
Telehealth Capabilities
TherapyNotes offers secure, HIPAA-compliant telehealth with free access to unlimited one-on-one video sessions for subscribers. Integrated seamlessly with TherapyNotes and TherapyPortal, telehealth sessions feel like in-person appointments with reliable video calls. Clinicians can use a guest link for client access, and clients wait in a virtual waiting room before sessions begin. Features include screen sharing, customizable backgrounds, and multi-client sessions for up to 16 participants. Premium options offer HD video and noise cancellation for a better experience.
Practice Fusion’s cloud-based EHR offers comprehensive telehealth solutions, including secure messaging and integrated video visits. With Patient Fusion, patients can book virtual appointments, complete digital intakes, and securely communicate with their care team. The Premium Updox integration enhances engagement with features like text messaging, electronic faxing, and appointment reminders. For telehealth appointments, providers can schedule video visits, check video/audio levels before sessions, and document encounters in real time. Telemedicine encounters are supported with charting templates and seamless integration with lab and imaging orders.
Winner: Practice Fusion takes the lead with a more versatile telehealth suite, offering real-time charting, lab integration, and enhanced communication tools.
E-Prescriptions
TherapyNotes streamlines the medication prescribing process, eliminating handwritten scripts for a faster and safer workflow. It integrates directly with your patient’s chart, allowing you to electronically manage prescriptions, refills, and medication history. With features like drug interaction alerts, formulary checks, and medication management tools, you can reduce errors and ensure patient safety. You can also electronically prescribe controlled substances through secure two-factor authentication with no additional fees.
Practice Fusion offers advanced e-prescribing features, including electronic prescribing of controlled substances (EPCS), prior authorization management, and allergy alerts. With seamless integration into your patient’s chart, you can send prescriptions instantly to any e-prescribing-enabled pharmacy, improving prescription accuracy through automatic drug interaction checks. The platform helps reduce out-of-pocket costs with ‘eCoupons’ and enhances workflow efficiency, saving up to 20 hours/week on prior authorizations and medication reconciliations.
Winner: Practice Fusion stands out with its advanced e-prescribing capabilities, including time-saving tools like eCoupons.
Pricing Comparison
The Solo plan by TherapyNotes is priced at $59/month for the first clinician, while the Group plan costs $69/month for the first clinician and an additional $40/month for each subsequent clinician. For large practices with 30 or more users, the Enterprise plan is also priced at $69 for the first clinician and $40 for each additional clinician, with the added benefit of a designated account manager and unlimited non-clinical staff accounts. All plans include a 30-day free trial, and an optional Premium Telehealth add-on is available for $15/month/clinician.
Practice Fusion offers a straightforward pricing model that starts at $199/month/provider with a required annual commitment. This price includes three signing staff licenses and unlimited non-signing staff users. Practice Fusion also provides a free trial to help practices explore the platform before making a long-term commitment.
Note: Pricing is subject to change.
What Users Have To Say
While TherapyNotes is commended for the fact that it incorporates user feedback and undergoes regular updates. However, some users have expressed concerns with recent changes made post-update that otherwise made the platform efficient. Despite this, the platform is renowned for its robust tools, which include its advanced billing capabilities.
For example, user Faith Jaeger praised TherapyNotes for its outstanding support, noting the team’s 24/7 availability, minimal wait times, and consistently knowledgeable, respectful assistance. She emphasized that even when a solution isn’t immediately available, the staff actively seek answers. Having used five other EHR systems for psychotherapy, Faith noted that none compares to TherapyNotes. She also highlighted the platform’s commitment to improvement, stating that the team actively listens to user feedback and continuously works to enhance the system.
Practice Fusion is praised for the fact that it allows clinicians to view a patient’s appointment history. However, some have reported concerns with the platform not having enough templates. Regardless, the software is commended for its ease and accessibility, which helps when it comes to training new people.
For instance, Kelli Ross, M.D., shared her positive experience with Practice Fusion, highlighting its AWS cloud-based system, which allows her to access it seamlessly both at work and at home on her computer and iPad. She noted that Practice Fusion has significantly saved her time, with e-prescribing, lab ordering, and result systems being easy to use. The templates available also help speed up her charting process. However, she pointed out that the messaging system lacks templates.
Weighing Your Options: TherapyNotes Vs Practice Fusion?
In the end, the choice between TherapyNotes and Practice Fusion comes down to the specific needs of your practice.
TherapyNotes is an excellent option for behavioral health professionals seeking specialized features for mental health care, while Practice Fusion offers a versatile solution for small to mid-sized medical practices. Both platforms offer free trials, so take advantage of these opportunities to test the systems and determine which one aligns with your goals.
Ultimately, the best choice will depend on your practice’s size, specialty, and specific workflow requirements. By selecting the right EHR, you can streamline your processes, enhance patient care, and keep your practice running smoothly.





