ICANotes vs Tebra

Founded in 1999 and based in Annapolis, Maryland, ICANotes is an electronic health record system designed exclusively for behavioral health clinicians. They serve psychiatrists, therapists, counselors, and other mental health professionals seeking streamlined, compliant documentation with minimal typing. Their platform includes point-and-click note templates, customizable treatment plans, and integrated tools for assessments, group therapy, and medication management. ICANotes also supports patient tracking, real-time charting, secure messaging, eligibility verification, and telehealth, all accessible online. Their modernized interface, ICANotes+, introduces faster navigation and an updated layout, although it has received mixed feedback during early adoption. Many users appreciate their documentation speed, compliance readiness, and wide array of mental health–specific templates. Others have noted issues with billing processes, mobile limitations, and system reliability during the platform transition. ICANotes offers flexible pricing for full-time and part-time providers, with optional features like telehealth and revenue cycle management. They are fully HIPAA-compliant and ONC-certified, making them a specialized choice for behavioral health professionals. Read our full review to see if their tools and workflows align with your practice’s needs.

Tebra, formed from the 2021 merger of Kareo and PatientPop, offers an all-in-one, cloud-based EHR and practice management platform tailored for independent healthcare providers. Their suite includes AI-assisted charting, telehealth, automated billing, and patient engagement tools like online scheduling and reputation management. Notable features such as “Same-as-Last-Time” (SALT) documentation and robotic process automation aim to streamline workflows and reduce administrative burdens. The platform is ONC-certified and HIPAA-compliant, emphasizing security and compliance. Tebra’s flexible pricing model, with no long-term contracts, appeals to small practices seeking scalability. However, their user reviews are mixed, with many commending their intuitive interface and efficiency, while others report challenges with customer support and occasional system downtimes. Despite some criticisms, Tebra maintains a strong presence in the market, serving over 150,000 providers and managing 190 million patient records. For independent practices aiming to modernize operations without sacrificing affordability, Tebra presents a compelling option. However, potential users should weigh their strengths against reported service inconsistencies. A thorough evaluation, including a demo and consultation, is recommended to determine their fit for specific practice needs.