An Oasys Blog
Insights and updates from the intersection of mental health and technology.
A group therapy practice owner should watch four numbers every week: utilization (booked hours against available hours), no-show and cancellation rate, caseload per clinician…
The practice does not break from headcount. It breaks from the workflows that were fine at 5 clinicians and were never redesigned for 15 or 25.
Credentialing, payer enrollment, and clearinghouse enrollment are three separate steps that happen in sequence, not one process with three names.
Reviews split cleanly on one line: how much of your practice happens on video. Above seventy percent virtual, the session tooling earns its place.
Active-client pricing makes TheraNest cheaper for variable caseloads. Reviews are solid on function, softer on polish, and mixed on migration.
Reviewers consistently praise price, simplicity and support. The one consistent criticism is reporting, and whether that matters depends on your size.
Praise concentrates on scheduling and running a mixed clinic from one system. Criticism concentrates on mental health depth and treatment plans.
TheraPlatform was built around teletherapy rather than retrofitted for it. Whether that is worth it comes down to one number: your virtual share.
TheraNest prices on active clients rather than seats, which suits fluctuating caseloads. Plus a migration warning worth reading before you commit.
Sessions Health is the better value for small practices, with free admin seats and no feature gating. The trade-off is reporting depth.
Jane wins on scheduling and multi-disciplinary clinics. SimplePractice wins on therapy-specific depth. The treatment-plan gap decides most of it.
TherapyNotes is genuinely well built. Here is where it stops fitting a growing group practice, and what the per-transaction fees really add up to.
A straight comparison for practices with five or more clinicians, covering supervision, permissions, payroll and what switching actually involves.
SimplePractice is excellent for solo therapists and strains for group practices. What practices praise, what they criticise, and where the line falls.
Two good products that break in the same place. An honest comparison of pricing, supervision and billing, with our own stake clearly labelled.
Why group practices outgrow SimplePractice, what the realistic alternatives are, and how to move eight years of records without breaking the practice.
The subscription is the smallest part of the bill. What group practices actually pay once per-claim fees, text charges and workarounds are counted.
Group practices break in predictable places as they grow. A ranked guide organised around what fails at five, fifteen and thirty clinicians.
There is no best mental health EHR, only a best one for your size. A guide organised by practice size, with five tests demos are not designed for.
The requirements that actually matter, grouped by what breaks at five, fifteen and thirty clinicians, plus a ten-item checklist to run live in a demo.
The four parts of a usable plan, worked examples for anxiety, depression, trauma and substance use, and the goal formula that makes progress notes write themselves.
CPT 90853, 90847 and 90846 explained, plus the five-minute test that shows whether your EHR can actually bill a group session without manual work.
Data, Assessment, Plan. A worked example, how DAP compares with SOAP and BIRP, and the mistakes that make notes fail during a payer audit.
The four sections, a worked example with a real assessment, and why notes take so long. Hint: it is almost never the template that slows you down.
AI therapy notes can be HIPAA compliant, but safety depends on the tool, not the category. Here are three facts to verify with any vendor.
EHR migrations fail before the data moves. Here's what actually breaks — consent gates, lost calendars, flattened notes — and how to clear it.
Therapy networks take 20–30% of billing revenue, per session, indefinitely. Here's how to decide when to rent a network and when to own your brand.
Solo-built EHRs break at predictable thresholds. Here's what fails at 5, 15, and 30 clinicians — and the architecture gaps behind it.
Manual therapy notes cost clinicians 6–8 unbillable hours every week. Here's what documentation burden actually costs your practice.
