Quick Answer:
The best group therapy EHR software depends on your priority. DevSouq Technologies offers the most cost-effective option long-term with a custom-built system and no recurring subscription fees. TherapyNotes leads for insurance billing and claims management, while SimplePractice is the easiest all-in-one platform to learn. ICANotes delivers the deepest behavioral health documentation, TheraNest is the most budget-friendly monthly subscription, and Valant works best for psychiatry-focused group programs.
Key Takeaways
- The best group therapy EHR depends on your priority: cost, billing, ease of use, documentation, budget, or psychiatry focus.
- DevSouq is the most cost-effective long-term option, a custom build with no recurring subscription fees.
- TherapyNotes leads on group billing, with an integrated clearinghouse and structured note templates.
- SimplePractice offers the easiest all-in-one interface for scheduling, telehealth, and billing.
- ICANotes provides the deepest behavioral health specific clinical documentation.
- TheraNest is the most budget-friendly subscription option for outpatient and nonprofit practices.
- Every group therapy EHR should support recurring scheduling, attendance-linked billing, and codes like 90853, 90849, and H0005.
Quick Comparison
| Platform | Best For | G2 Rating | Capterra Rating |
|---|---|---|---|
| DevSouq Technologies | Practices that want software shaped around their exact workflow | 4.8 (131 reviews) | 4.6 (3145 reviews) |
| TherapyNotes | Small to mid size group practices wanting strong billing | 4.4 (97 reviews) | 4.7 (959 reviews) |
| SimplePractice | Solo and growing practices wanting an all in one interface | 4.1 (129 reviews) | 4.6 (2,800+ reviews) |
| ICANotes | Behavioral health practices wanting deep clinical documentation | 3.6 (12 reviews) | 4.1 (130 reviews) |
| TheraNest (Ensora) | Outpatient practices and nonprofits on a tighter budget | 4.2 to 4.3 (119 to 165 reviews) | 4.4 (996 reviews) |
| Valant | Psychiatry focused practices needing outcome measures | 3.0 (15 reviews) | 4.1 |
Ratings pulled from G2 and Capterra product pages; review counts change over time, so check each platform’s live profile before deciding.
1- DevSouq Technologies – Custom-Built for Your Practice, Cost-Efficient for the Long Run
Overview
Off-the-shelf EHRs make you adapt to their workflow and pay monthly for it, indefinitely. A custom build, like the ones DevSouq creates for behavioral health and group practices, works the other way. You invest once to build a system around your group enrollment rules, attendance logic, billing quirks, and note templates. Then you own it. No subscription, no recurring cost.
This fits practices with workflows off-the-shelf platforms can’t handle unusual group billing, integration with an existing system, or a client experience you want full control over.
Before you build, book a free consultation. DevSouq researches your practice and maps your complete workflow. You review it. If it’s an exact match, you move forward. No cost, no commitment, just clarity on what a custom build looks like for you.
Pros
- No recurring monthly fee own it outright
- Free discovery process, mapped to your exact workflow
- Built around your group structure, not a generic template
- Pay only for what you use
- Full ownership of the system and your data
- Scales with you add features or users with no per-seat penalties
Cons
- More upfront time than signing up same-day
- Fewer third-party reviews, being newer to market
- Needs clear scoping which the free discovery call handles
Client Reviews
DevSouq holds a 4.8 rating on G2 across 131 reviews. One client, Locus, said what made the difference wasn’t just the development work itself, but how consistently the team kept them in the loop.
2. TherapyNotes – Best for Group Practices Prioritizing Billing
Overview
TherapyNotes pairs a behavioral health focused EHR with group scheduling, group note templates, and an integrated clearinghouse for insurance claims. Its calendar connects directly to notes and billing, and group sessions generate individual progress note links for each participant.
Pros
- Clearinghouse and electronic claims included, not an add on
- Automatic to do list tracking outstanding notes and billing actions
- Structured note templates including SOAP, DAP, and BIRP formats
Cons
- Per clinician pricing adds up for larger group teams
- Scheduling and client booking experience is functional but plain
- Some reviewers note occasional workflow friction after platform updates
Client Reviews
TherapyNotes holds a 4.4 rating on G2 across 97 reviews and 4.7 on Capterra across 959 reviews. One G2 reviewer highlighted the platform as “easy to use, powerful, and meets the needs of my practice.” Reviewers consistently cite strong reporting and responsive customer support as standout strengths.
3. SimplePractice – Best for an All in One Interface
Overview
SimplePractice is a widely used practice management platform covering scheduling, telehealth, billing, and a client portal. Group appointment support has expanded in recent updates, and the platform is generally praised for its clean, approachable interface.
Pros
- Polished, intuitive interface that is easy for new staff to learn
- Telehealth, billing, and documentation live in one connected system
- Large user community and extensive onboarding resources
Cons
- Several features sit behind higher pricing tiers
- Cost concerns come up often in reviews, especially for growing group practices
- Not purpose built for behavioral health specifically, so some group features are less deep than dedicated platforms
Client Reviews
SimplePractice holds a 4.1 rating on G2 across 129 reviews and 4.6 on Capterra across more than 2,800 reviews. Reviewers frequently praise the platform’s ease of setup and its combined telehealth and documentation workflow. Recent reviews also mention frustration with pricing changes as a recurring theme.
4. ICANotes – Best for Behavioral Health Specific Documentation
Overview
ICANotes serves behavioral health practices exclusively and offers group scheduling, group note templates that populate into individual client records, and integrated billing for group CPT codes.
Pros
- Built exclusively for behavioral health workflows
- Group notes populate automatically into each attending client’s chart
- Integrated telehealth supports multi participant group sessions
Cons
- Smaller review base than larger competitors makes trend reading harder
- Some reviewers describe the interface as less modern than newer platforms
- Users have reported occasional bugs and slower load times after recent updates
Client Reviews
ICANotes holds a 3.6 rating on G2 across 12 reviews and 4.1 on Capterra across 130 reviews. One longtime user described the transition from a previous EMR as smooth, citing responsive customer support. Other reviewers note that value for money is affected less by the software itself and more by broader industry reimbursement pressures.
5. TheraNest by Ensora – Best for Budget Conscious Practices
Overview
TheraNest, now under Ensora Health, covers scheduling, group and individual notes, supervisor cosigning, and electronic claims at a lower price point than several competitors, making it a common choice for nonprofits and outpatient programs.
Pros
- Accessible pricing relative to comparable platforms
- Supervisor review and cosigning built in for group and training settings
- Strong reporting recognized in recent G2 healthcare software rankings
Cons
- Group billing automation is less robust than dedicated behavioral health billing tools
- Some tasks, like editing existing notes, are described as cumbersome
- Telehealth requires optional integration rather than being fully native
Client Reviews
TheraNest holds between 4.2 and 4.3 on G2 depending on listing, across roughly 119 to 165 reviews, and 4.4 on Capterra across 996 reviews. One reviewer called it the best of three systems they had used, rating it a solid eight out of ten overall. TheraNest was also named to G2’s 2026 list of top healthcare software products.
6. Valant – Best for Psychiatry Focused Group Programs
Overview
Valant is built for behavioral health and includes group counseling support, outcome measurement tools, and clinical templates for approaches like DBT and CBT. It tends to suit practices centered on psychiatric care more than general outpatient group therapy.
Pros
- Deep outcome measurement and reporting tools
- Strong fit for medication management alongside group and individual therapy
- Designed by a psychiatrist with psychiatry specific workflows in mind
Cons
- G2 reviewers report a notably lower satisfaction score than Capterra reviewers, a gap worth investigating before committing
- Setup and onboarding take more planning than lighter tools
- Patient portal login issues come up repeatedly in reviews
Client Reviews
Valant holds a 3.0 rating on G2 across 15 reviews and 4.1 on Capterra. The gap between platforms is unusually wide, suggesting satisfaction may depend heavily on practice type and size. Reviewers who work primarily in psychiatry tend to rate the platform more favorably than general outpatient group practices.
What Makes Group Therapy EHR Requirements Different
| Requirement | Individual Therapy EHR | Group Therapy EHR |
|---|---|---|
| Enrollment | One client per appointment | Rotating roster, members join or exit mid cycle |
| Notes | One note per client, per session | One note flows into every attending client’s chart |
| Billing trigger | Appointment kept or missed | Individual attendance per session |
| Common CPT codes | 90834, 90837 | 90853, 90849, H0005 |
| Telehealth | Single participant video | Multi participant video with per person attendance |
Group Therapy EHR Checklist
Before you commit to a platform, confirm it covers these essentials:
- Attendance tracking at the individual level – records who actually attended each session, not just whether the group met
- Group notes that auto populate to individual charts – one note written, reflected in every attending client’s record
- Attendance linked billing – automatically excludes no shows from claims instead of relying on manual review
- Group specific CPT code support – native handling for 90853, 90849, and H0005, with the right modifiers applied
- Multi participant telehealth – compliant group video with attendance and documentation captured the same way as in person sessions
- Rotating enrollment management – tracks members joining, missing sessions, or exiting mid cycle without breaking the group’s history
- Waitlist management – queues new clients when a group is full instead of losing the referral
- Reporting on attendance and outcomes – data you can pull for utilization reviews, grant reporting, or quality checks
How to Choose
A solo clinician adding one weekly group has very different needs than a multi site organization running dozens of concurrent groups. Match the platform to your actual complexity today, not the complexity you might have in three years, and confirm group specific billing support before you commit to any contract.
If none of the established platforms match your billing rules, client experience, or internal systems closely enough, a custom build removes the need to bend your practice around someone else’s software.
Group Therapy CPT Codes at a Glance
| CPT Code | Service | Billed Per |
|---|---|---|
| 90853 | Group psychotherapy | Per patient, per session |
| 90849 | Multiple family group therapy | Per family unit |
| H0005 | Substance use group counseling | Per patient, per session (often Medicaid) |
| 90849 + HF | Family group with mental health modifier | Per family unit, state dependent |
Frequently Asked Questions
What is the best EHR for group therapy practices?
It depends on priorities. TherapyNotes and ICANotes lead on behavioral health specific billing and documentation, SimplePractice leads on ease of use, and a custom build fits practices whose workflow does not match any existing platform.
Do these platforms support group specific CPT codes?
Yes. TherapyNotes, ICANotes, TheraNest, and Valant all support codes like 90853, 90849, and H0005, though billing automation depth varies by platform.
Is a custom built EHR more expensive than an off the shelf platform?
It depends on scope. A custom build has more upfront cost but no ongoing per clinician licensing fees, so total cost over several years can end up lower for growing practices.
Can I run telehealth group sessions through these platforms?
Most of the platforms above support multi participant group telehealth natively, though TheraNest requires an optional integration rather than a fully built in tool.
