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ICANotes vs SAP Healthcare

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Pros
  • Flexible plans for all clinician types
  • Integrated billing and e-prescribing tools
  • Cloud-based with secure remote access
  • Fast, no-typing documentation system
  • Behavioral health–focused EHR platform
Pros
  • Built for large, complex healthcare systems
  • Modular and fully customizable
  • Real-time data and decision support
  • Unified finance and supply chain tools
  • Smooth integration with other systems
Cons
  • No native mobile app available
  • ICANotes+ transition has stability issues
  • Add-ons raise overall monthly cost
  • Basic reporting and analytics features
Cons
  • Not ideal for small or specialty clinics
  • Lacks built-in real-time team messaging
  • Weak patient-facing digital tools
  • Limited support for niche software integration
  • Heavy infrastructure needs for on-prem hosting
Summary

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.

Summary

Founded in 1972 and headquartered in Walldorf, Germany, SAP is a global enterprise software provider offering powerful digital solutions for the healthcare sector. SAP Healthcare is designed to meet the needs of hospitals, health systems, and public health agencies by streamlining clinical, administrative, and financial operations through a flexible, modular platform. Their services include electronic health records, patient administration, revenue cycle management, supply chain logistics, and population health analytics. The platform supports international compliance standards such as HIPAA and GDPR, and offers broad interoperability with third-party systems using HL7 and FHIR. SAP is known for its enterprise-grade infrastructure, real-time analytics, and ability to scale across multi-site and multi-language healthcare environments. While some users note challenges with interface complexity and deployment timelines, many value its deep configurability and strong support resources. With a long-standing presence in regulated industries and a focus on integrated healthcare management, SAP remains a widely adopted solution for large and complex organizations.

Quick Stats
  • Pricing : Starts at $35 monthly, add-ons extra
  • Free Trial : 30 days
  • AI Features : AI readability enhancer for clinical notes
  • Specialty Support : Behavioral health focus
  • HIPAA Compliance : Certified
  • Practice Size Fit : Small to mid-sized practices
  • Payment Methods : Undisclosed
  • BBB Rating : B
  • Customer Satisfaction : Good
Quick Stats
  • Pricing : Custom quote
  • Free Trial : 90-day trial available (SAP BTP, not specific to Healthcare IS-H)
  • AI Features : Available
  • Specialty Support : Unspecialized
  • HIPAA Compliance : Certified
  • Practice Size Fit : Mid-Large (10+) / Enterprise
  • Payment Methods : Credit cards, ACH/bank transfer
  • BBB Rating : N/R (Not Rated)
  • Customer Satisfaction : Fair
Selling Points
  • AI tool that improves note readability
  • Auto-coding to boost billing accuracy
  • Separate psychotherapy note protection
  • Full-service billing option available
Selling Points
  • Native SAP ERP financial integration
  • Public health and outbreak tracking
  • Advanced patient flow management
  • Global compliance built in
  • Custom consent and privacy settings
Core EHR & Admin Features
  • Automated Billing & Claims
  • Built-In Telehealth
  • Customizable Templates Management
  • e-Prescribing
  • Lab/Imaging Integration
  • Multi-Location Support
  • Online Scheduling
  • Patient Payment Processing
  • Revenue Cycle Analytics
  • Self-Service Patient Portal
  • Software- or AI-Assisted Charting
  • Undisclosed
    Voice-to-Text Dictation
Core EHR & Admin Features
  • Automated Billing & Claims
  • Built-In Telehealth
  • Customizable Templates Management
  • e-Prescribing
  • Lab/Imaging Integration
  • Multi-Location Support
  • Online Scheduling
  • Patient Payment Processing
  • Revenue Cycle Analytics
  • Self-Service Patient Portal
  • Software- or AI-Assisted Charting
  • Voice-to-Text Dictation
Integrations
  • API Access
  • Undisclosed
    Major EHR/PM Systems (e.g., Epic, Cerner)
  • Payment Processors
  • Undisclosed
    Zapier/Workflow Automation
Integrations
  • API Access
  • Major EHR/PM Systems (e.g., Epic, Cerner)
  • Payment Processors
  • Zapier/Workflow Automation
Customer Support & Resources
  • Email
  • Undisclosed
    FAQs
  • Guided Training / Onboarding
  • Help Center / Knowledge Base
  • Live Chat
  • Phone
  • Ticketing
  • Video Demos / Webinars
Customer Support & Resources
  • Email
  • FAQs
  • Guided Training / Onboarding
  • Help Center / Knowledge Base
  • Live Chat
  • Phone
  • Ticketing
  • Video Demos / Webinars
Billing & Contract Policies
  • Cancellation Penalties
  • Data Export / Portability Fees Disclosed
  • Grace Period for Cancellation
  • Month-to-Month Plan Available
  • Transparent Pricing
  • Uptime SLA Published
Billing & Contract Policies
  • Cancellation Penalties
  • Data Export / Portability Fees Disclosed
  • Grace Period for Cancellation
  • Month-to-Month Plan Available
  • Transparent Pricing
  • Uptime SLA Published

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