Top 5 TherapyNotes Alternatives for Group Practices
Clinical Tech Analyst
Independent Contributor
TherapyNotes has long been the "safe" choice for group practices due to its incredible phone support and robust billing. However, in 2026, the UI is starting to feel dated, and the client portal lacks the modern aesthetic that many private-pay clients expect.
1. Jane App: The Customization King
Jane App has taken the US market by storm. While it started in Canada, its 2026 features are fully optimized for US insurance (CMS-1500). The biggest advantage is the charting library, where therapists share templates. It feels more collaborative than TherapyNotes.
2. TheraNest: The Reporting Powerhouse
For larger groups (10+ clinicians), TheraNest's reporting engine is superior. You can track clinician productivity, referral sources, and aging accounts receivable with much higher granularity than TherapyNotes allows without exporting to Excel.
The "Hidden" Alternative: Modular Systems
Some groups are moving away from all-in-one EHRs. By using a secure HIPAA-compliant storage system combined with a dedicated billing service like Trizetto, some practices are finding they save 40% on overhead while getting better data control.
Our testing showed that switching from TherapyNotes to a modular system takes about 45 days of transition time, but the long-term flexibility is often worth the initial headache for high-revenue practices.