athenahealth
TherapyNotes
| Feature | athenahealth | TherapyNotes |
|---|---|---|
| Pricing | Contact sales | From $49/mo |
| Free Plan | ✗ No | ✗ No |
| Rating | 4.1 / 5 | 4.6 / 5 |
| Best For | medical-practices, small-clinics, physician-groups, ambulatory-care | therapists, psychologists, counselors, behavioral-health-practices |
| Founded | 1997 | 2010 |
| Ehr | ✓ | ✗ |
| Medical Billing | ✓ | ✗ |
| Patient Engagement | ✓ | ✗ |
| Telehealth | ✓ | ✓ |
| Reporting | ✓ | ✗ |
| Interoperability | ✓ | ✗ |
| Progress Notes | ✗ | ✓ |
| Scheduling | ✗ | ✓ |
| Insurance Billing | ✗ | ✓ |
| Patient Portal | ✗ | ✓ |
| Credit Card Processing | ✗ | ✓ |
✓ athenahealth Pros
- Cloud-based
- Good revenue cycle
- Automatic updates
- Network intelligence
✗ athenahealth Cons
- Percentage-based pricing
- Interface learning curve
- Customization limits
✓ TherapyNotes Pros
- Purpose-built for therapists
- Excellent documentation templates
- Reliable customer support
- Insurance billing included
✗ TherapyNotes Cons
- Limited customization options
- No telehealth on basic plan
- Interface could be modernized
The Verdict
athenahealth is built for medical practices and small clinics, with a focus on ehr and medical-billing. TherapyNotes targets therapists and psychologists and leads with progress-notes and scheduling.
athenahealth uses custom enterprise pricing, while TherapyNotes starts at $49/mo — a tangible advantage for teams with a fixed budget.
Neither tool offers a free plan, so factor the subscription cost into your decision from the start.
TherapyNotes edges out on user ratings (4.6 vs 4.1). While both are well-regarded, that gap reflects real differences in user satisfaction worth considering.
Bottom line: TherapyNotes has a slight overall edge — but if cloud-based matters most to you, athenahealth may still be the right call.