Q: What about e-prescribing functionality?

ICANotes includes integrated e-prescribing with Prescription Monitoring Program (PMP) integration for controlled substances across various states. Users report the e-prescribing functionality works reliably. Tebra includes e-prescribing features, but recent user reports (last 90 days) indicate ongoing malfunctions and system instability causing workflow interruptions. Multiple users report the e-prescribing module "malfunctions regularly, forcing full system restarts" and "delays and errors in prescription processing remain unresolved." If e-prescribing is critical to your practice, thoroughly test this functionality during trial periods with Tebra.

Question 1

Is ICANotes or Tebra better for mental health practices?

Accepted Answer

Both platforms support mental health practices, but they are designed with different priorities. ICANotes is purpose-built for behavioral health and offers deeper, more structured clinical documentation across therapy, psychiatry, group services, and case management. Tebra focuses more broadly on practice management and patient experience, which may appeal to smaller outpatient therapy practices with simpler workflows.

Question 2

Which EHR has better clinical documentation for behavioral health?

Accepted Answer

ICANotes generally offers more robust clinical documentation for behavioral health. Its menu-driven templates are designed to support medical necessity, payer requirements, and audit defense across multiple service types. Tebra provides solid documentation tools for standard outpatient therapy but offers less published depth for specialized services like case management, PRP, or multi-role behavioral health teams.

Question 3

How do ICANotes and Tebra compare for billing and insurance claims?

Accepted Answer

ICANotes integrates billing closely with clinical documentation, which can help reduce denials and support audits for behavioral health claims. Tebra emphasizes billing automation and payments, but recent user feedback highlights mixed experiences with claims reliability and pricing transparency. Practices should carefully review billing workflows and fee structures for either system during demos.

Question 4

Which EHR scales better for growing mental health practices?

Accepted Answer

ICANotes is generally better suited for practices planning to grow in size or complexity, such as adding psychiatrists, case managers, group programs, or multiple service lines. Tebra may scale well for adding therapists but offers less documented support for large, multi-role behavioral health organizations.

Question 5

Can either system handle group therapy documentation?

Accepted Answer

Yes, ICANotes specifically includes templates and workflows designed for group therapy sessions, which is one of its behavioral health specializations.

Tebra's capabilities for group therapy documentation are less clearly documented publicly. If group therapy is a significant part of your practice, ask Tebra specifically about this functionality during demos and request to see examples.

Question 6

What about e-prescribing functionality?

Accepted Answer

ICANotes includes integrated e-prescribing with Prescription Monitoring Program (PMP) integration for controlled substances across various states. Users report the e-prescribing functionality works reliably.

Tebra includes e-prescribing features, but recent user reports (last 90 days) indicate ongoing malfunctions and system instability causing workflow interruptions. Multiple users report the e-prescribing module "malfunctions regularly, forcing full system restarts" and "delays and errors in prescription processing remain unresolved."

If e-prescribing is critical to your practice, thoroughly test this functionality during trial periods with Tebra.