Every clinician a group practice adds raises its EHR bill. On TherapyNotes and My Best Practice, how much it rises depends on three things: the price per clinician, what telehealth costs on top, and how many insurance claims the practice files each month.
We compared both at 5, 10, and 15 clinicians, then looked at what each subscription includes, how each handles outcome measures and staff permissions, what an independent reviewer found, and what it takes to move from one to the other.
How do My Best Practice and TherapyNotes compare for a group practice?
TherapyNotes bills a group $89 a month for one clinician and $60 a month for each additional clinician, with Basic Telehealth, a client portal, unlimited storage, a mobile app, and 24/7 phone and email support included. The first clinician on My Best Practice costs $39 a month and every clinician after that $19, with telehealth as a $20 a month add-on per professional. Both let a practice add billers, schedulers, and bookkeepers without a seat fee.
TherapyNotes prices a solo user at $69 a month, and its Enterprise plan for 20 or more users carries the same $89 and $60 prices plus a designated account manager. My Best Practice sells the same core EHR at every practice size, so a group of twenty buys the plan a group of two buys.
Monthly subscription at each company’s list price, before claim fees and other add-ons; the 15-clinician practice is the one described in How a 15-clinician practice would run on My Best Practice.
A group that wants Premium Telehealth on TherapyNotes adds $15 a month per clinician, $150 for ten.
What each subscription includes and what costs extra
Add-ons and plan terms for a group practice on each EHR, from the two pricing pages and the companies’ feature pages.
A TherapyNotes clinician pays $40 a month for TherapyFuel, which can listen to a session or take a typed summary and draft the SOAP sections of a note. A My Best Practice clinician pays $60 a month, or $2 per note, and needs the $20 telehealth add-on for either, so unlimited AI notes come to $80 per professional a month.
How much do insurance claims cost on each?
TherapyNotes charges 25 cents for each electronic claim, 9 cents for each ERA (the electronic payment report an insurer sends back), and 14 cents for each eligibility request. A biller on TherapyNotes can submit primary and secondary claims through the clearinghouse included in the account, have claims checked for errors before they go out, track their status, post ERAs, add telehealth and supervision modifiers, and generate superbills, CMS-1500 forms, and aging reports. On My Best Practice, the Free billing plan covers 20 claims a month and then charges 35 cents for each additional claim, ERA, or eligibility check; the Unlimited plan is $99 a month for the whole practice; the Enterprise plan is $199 a month and adds a clearinghouse login and premium support.
When each claim comes back with an ERA, TherapyNotes’ fees come to 34 cents a claim, so above 291 claims a month My Best Practice’s $99 Unlimited plan costs less. At 1,000 claims a month, TherapyNotes’ fees are $340 and the Unlimited plan is $99.
Which EHR has outcome measures built in?
Both do, with the subscription. On TherapyNotes, a clinician can send a client the PHQ-9, the GAD-7, or another instrument from a published list of more than 40, the client completes it on the portal in English or Spanish, and the clinician can open the scored result at once. A clinician can also leave a measure open on the portal so a client can complete it at any time.
On My Best Practice, the library includes the PHQ-9, GAD-7, OCI-R, AAQ-II, and DERS, and a practice can build as many measures of its own as it wants at no charge. A clinician can set any cadence for a measure, the client receives a text or email reminder, and the clinician can read each score charted over time on the Metrics tab.
What a supervisor, a scheduler, and an owner can do on each
On TherapyNotes, an owner can assign role-based permissions to clinicians, billers, schedulers, and supervisors, and a supervisor can co-sign notes and review an intern’s work, as ChoosingTherapy’s review describes it. A scheduler on TherapyNotes can filter the calendar by clinician, by client, or by practice location, set one-time or recurring appointments, and work from a To-Do list that collects the notes, treatment plans, and claims that are due. An owner can run clinician productivity reports.
On My Best Practice, an owner can give each staff member a different access level, arrange staff in groups, and run more than one location and all of its clinicians from a single account, and a supervisor can read a clinician’s notes and sign them. A scheduler can keep every clinician’s appointments on one calendar, view several therapists at once, and sync it with Google Calendar. An owner can run reports on scheduling, billing, payments, and revenue, and at the end of the month can open the payroll report and read the amount due to each clinician.
What ChoosingTherapy found when it compared the two
Matthew Church gave TherapyNotes 4 out of 5 and listed four pros: a one-month free trial, a product that is quick to learn and set up, good clinical documentation, and a listing in the TherapyNotes directory. He gave My Best Practice the same score and listed three: session notes designed for fast completion, its assessment and outcome-tracking tools, and the degree to which a practice can customize documentation and workflows. In the line that compares the two directly, he wrote that My Best Practice “offers more flexibility in documentation and session structure, with fewer constraints on how clinicians work day to day”.
He reviewed My Best Practice in January and TherapyNotes in October, and he scored documentation, scheduling, billing tools, and support, not what a practice of a given size pays. The list prices come from each company’s pricing page, not from the review.
How a group moves from TherapyNotes to My Best Practice
The Standard Migration comes with the subscription: a planning checklist, guidance on what to export from the old system, help organizing client and practice data, and help getting the team ready for launch. The White Glove Migration for a group practice is a one-time $499. The package starts with a one-hour consultation between the practice’s admin team and a designated My Best Practice account manager, then helps configure the account and a client migration template. Up to 10 custom intake forms are recreated in My Best Practice, client demographics and documents are imported automatically, and as many as 150 active client profiles get emergency contacts and diagnosis codes added when the import did not carry them. The staff gets a one-hour onboarding session that the practice keeps as a recording, two 30-minute check-in calls in the first 90 days, and ticket support for the whole team.
Each month, a group of ten clinicians pays TherapyNotes $629 for the Group plan with Basic Telehealth included, and pays My Best Practice $410 for the core EHR with telehealth for every clinician, or $509 with the Unlimited billing plan that a group filing more than 291 claims a month lands on. When the eleventh clinician joins, the TherapyNotes bill rises by $60, and the My Best Practice bill rises by $19, or by $39 if she holds telehealth sessions too.
Open a 14-day free trial and add your own clinicians to it.
References
- Church, M. (2026, January 21). My Best Practice review 2026: Pros & cons, cost, & who it’s right for. ChoosingTherapy. https://www.choosingtherapy.com/my-best-practice-review/
- Church, M. (2026, October 16). TherapyNotes review 2026: Pros & cons, cost, & who it’s right for. ChoosingTherapy. https://www.choosingtherapy.com/therapynotes-review/
- Fuller, J. R. (2026, September 29). Measurement-based care in mental health: An implementation guide for your EHR. My Best Practice. https://www.mbpractice.com/blog/measurement-based-care-implementation-guide-ehr/
- My Best Practice. (n.d.). AI Notes. https://www.mbpractice.com/ai-notes
- My Best Practice. (n.d.). Features. https://www.mbpractice.com/features
- My Best Practice. (n.d.). My Best Practice [Home page]. https://www.mbpractice.com/
- My Best Practice. (n.d.). White Glove Migration. https://www.mbpractice.com/migration
- My Best Practice. (n.d.). Pricing and insurance. https://www.mbpractice.com/pricing-and-insurance/
- My Best Practice. (2026, October 21). How a 15-clinician practice would run on My Best Practice: Locations, access levels, payroll, and what it costs. https://www.mbpractice.com/blog/15-clinician-group-practice-my-best-practice-cost/
- TherapyNotes. (n.d.). Medical billing software for behavioral health. https://www.therapynotes.com/features/billing/
- TherapyNotes. (n.d.). Integrated outcome measures. https://www.therapynotes.com/features/outcome-measures/
- TherapyNotes. (n.d.). TherapyNotes pricing. https://www.therapynotes.com/pricing/
- TherapyNotes. (n.d.). Scheduling software and to-do list. https://www.therapynotes.com/features/scheduling/
- TherapyNotes. (n.d.). Secure and HIPAA-compliant telehealth. https://www.therapynotes.com/features/telehealth/
- TherapyNotes. (n.d.). TherapyFuel. https://www.therapynotes.com/features/therapyfuel/