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Healthcare · head to head

Practice Fusion vs TherapyNotes

Practice Fusion logo

Practice Fusion

Healthcare

Free cloud-based EHR for medical practices

From
Free
Rated
-
Full reviewWebsite
TherapyNotes logo

TherapyNotes

Healthcare

EHR and practice management for therapists

From
$39/month
Rated
-
Full reviewWebsite

The short version

  • Only Practice Fusion has a free tier, so it costs nothing to try first.
  • Each has a real cost: Practice Fusion cloud-based architecture requires constant internet connectivity; TherapyNotes no API access, preventing integration with external systems
  • They diverge on capability: Practice Fusion covers e-Prescribing, TherapyNotes covers Billing.

Where they differ

Only the attributes on which Practice Fusion and TherapyNotes actually diverge.

Attributes where Practice Fusion and TherapyNotes differ
AttributePractice FusionTherapyNotes
Starting priceFree$39/month
Free tierYesNo
PlatformsWeb, iOS, AndroidWeb
Founded20052010

Identical on both: pricing model (subscription), user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Practice Fusion

  • e-Prescribing
  • Lab Orders
  • Labs
  • Pharmacies
  • Imaging Centers
  • ONC Certified

Only in TherapyNotes

  • Billing
  • Telehealth
  • Outcome Tracking
  • Clearinghouses
  • Insurance
  • SOC2
  • Mobile support

Both cover

  • Electronic Health Records
  • Patient Portal
  • Scheduling
  • HIPAA
  • Cloud deployment
  • Web support

What people use each for

The jobs each tool is most often brought in to do.

Practice Fusion

  • Small to medium medical practicesnot TherapyNotes
  • Primary care clinicsnot TherapyNotes
  • Independent clinicians needing electronic chartingnot TherapyNotes
  • Practice management and billing workflowsnot TherapyNotes

TherapyNotes

  • Patient Carenot Practice Fusion
  • Medical Recordsnot Practice Fusion
  • Practice Managementnot Practice Fusion
  • Telehealthnot Practice Fusion

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Practice Fusion

  • Cloud-based architecture requires constant internet connectivity
  • Requires annual commitment for pricing

TherapyNotes

  • No API access, preventing integration with external systems
  • Outdated interface compared to AI-driven competitors
  • No native mobile app for iOS or Android
  • No bulk actions to update multiple sessions at once

Pricing, plan by plan

Practice Fusion

Free
  • Standard$199/month
    • Provider license with e-prescribing and chart signing
    • 3 signing staff licenses included
    • Unlimited non-signing staff licenses

TherapyNotes

$39/month
  • Solo$39/month
    • Full EHR
    • Scheduling
    • Patient portal

Which should you pick?

Choose Practice Fusion if

  • You need e-prescribing.
  • You want to start without paying.
  • You work on Web, iOS, Android.
  • You also want lab orders.
Practice Fusion review

Choose TherapyNotes if

  • You need billing.
  • You also want telehealth.
TherapyNotes review

Questions people ask

Is Practice Fusion or TherapyNotes better?
Neither clearly leads. Practice Fusion starts at Free and TherapyNotes at $39/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Practice Fusion or TherapyNotes?
Practice Fusion has a free tier; the other does not. Paid plans start at Free for Practice Fusion and $39/month for TherapyNotes.
Does Practice Fusion or TherapyNotes run on more platforms?
Practice Fusion runs on Web, iOS, Android. TherapyNotes runs on Web.
Can I use Practice Fusion for free?
Yes. Practice Fusion has a free tier, so you can try it without paying. TherapyNotes starts at $39/month.
What is Practice Fusion best used for?
Practice Fusion is most often used for small to medium medical practices, primary care clinics, independent clinicians needing electronic charting, practice management and billing workflows. Of those, small to medium medical practices and primary care clinics are not what TherapyNotes is typically brought in for.
What can Practice Fusion do that TherapyNotes cannot?
Practice Fusion covers e-Prescribing, Lab Orders, Labs, Pharmacies. TherapyNotes covers Billing, Telehealth, Outcome Tracking, Clearinghouses. Both handle Electronic Health Records, Patient Portal, Scheduling, HIPAA.

Answered from the vendors’ own pages

Practice Fusion: How much does Practice Fusion cost?

Practice Fusion starts at $199 per month per provider with an annual commitment required. The pricing includes 3 signing staff licenses and unlimited non-signing staff licenses.

Source
TherapyNotes: Does TherapyNotes integrate with other applications?

TherapyNotes has zero API availability and cannot connect to external systems including marketing platforms, CRMs, or data dashboards. Unlike competitors, it lacks integration capabilities.

Source
Practice Fusion: Does Practice Fusion offer a free trial?

Yes, Practice Fusion offers a complimentary 2-week trial with no commitment, no upfront costs, and no credit card required.

Source
TherapyNotes: What are TherapyNotes pricing plans?

TherapyNotes charges $69/month for a solo practitioner plan and $79/month for the first clinician in a group with $50/month per additional clinician. A 30-day free trial is included with every plan.

Source
TherapyNotes: Does TherapyNotes include telehealth?

Yes. TherapyNotes includes Basic Telehealth at no extra cost on every plan, with standard-definition video for up to 2 participants. Premium Telehealth with full HD, screen sharing, and closed captions costs $15 per clinician per month.

Source
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