ICANotes vs Nextech

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.

Nextech is a Tampa-based healthcare IT provider founded in 1997, delivering a cloud-based EHR and practice management platform purpose-built for specialty practices like dermatology, ophthalmology, orthopedics, plastic surgery, and med spas. Their integrated system combines clinical documentation, billing, patient engagement, and revenue cycle tools into one seamless experience, helping practices reduce operational friction and streamline workflows. Recognized as a top single-solution choice for niche specialties, they support thousands of clinicians with mobile access, drag-and-drop scheduling, and specialty-specific templates designed in collaboration with providers. What sets them apart are features like one-page ophthalmology charting, embedded TouchMD for patient engagement, and built-in analytics dashboards that give near real-time insights into performance. On the flip side, pricing details are not published, and interested practices must speak with sales to get quotes. Customer feedback cites a solid feature set and strong customization, but notes spotty support responsiveness and a learning curve for advanced users. Overall, Nextech may be a fit for practices seeking a specialty-centric, all-in-one platform, but those requiring flexible contracts or transparent pricing will want to evaluate carefully before committing.