6 Best Group Therapy EHR Software in 2026 | Cost-Efficient

Quick Answer

The best group therapy EHR software depends on your priority. DrChrono and athenahealth suit practices that want scheduling, documentation, and billing in one cloud platform. HENO fits multi discipline therapy clinics, and Therap suits human services agencies. Before you sign, confirm each one handles attendance linked billing and codes like 90853, 90849, and H0005. If no platform fits your group workflow, or monthly fees keep adding up, DevSouq is the cost efficient route: book a free scope review and approve your exact system before paying anything.

Key Takeaways

• The best group therapy EHR depends on your priority: cost, billing, ease of use, specialty fit, or control over the workflow.
• Most vendor homepages do not describe group specific features, so ask for a live demo of group notes and group billing.
• DrChrono and athenahealth offer all in one platforms with scheduling, documentation, billing, telehealth, and patient portals.
• Therap suits human services and behavioral health agencies, with published pricing that starts at a low monthly rate.
• Knack is a no code builder with a mental health EHR template, but you assemble and maintain the system yourself.
• DevSouq Technologies is the cost efficient long term option: a custom build with no recurring subscription fees, planned for free before you commit.
• Every group therapy EHR should support recurring scheduling, attendance linked billing, and codes like 90853, 90849, and H0005.

Quick Comparison

Platform	Best For	Key Strength
DevSouq Technologies	Practices that want software shaped around their exact workflow	Cost efficient: a free planning phase, then one build with no subscription
DrChrono	Independent practices wanting one cloud EHR	Scheduling, billing with its own clearinghouse, telehealth, and AI notes
athenahealth	Practices wanting an AI powered EHR with strong billing support	EHR, practice management, and patient engagement together
HENO	Therapy clinics mixing PT, OT, speech, and counseling	Built by a therapist, with custom templates and a public pricing page
Therap	Human services and behavioral health agencies	Published pricing, documentation, billing, and incident reporting
Knack	Teams that want to build their own app without code	Free trial and a mental health EHR template

1. DevSouq Technologies: Cost Efficient Custom Built Group Therapy EHR

Overview

DevSouq Technologies is the cost efficient choice for group practices that are tired of paying monthly for software they have to adapt to. Off the shelf EHRs make you fit their workflow and charge you indefinitely. A custom build works the other way. You invest once in a system shaped around your group enrollment rules, attendance logic, billing quirks, and note templates, and then you own it, with no subscription and no recurring license fee.

This suits practices whose workflows standard platforms struggle with, such as unusual group billing, integration with an existing system, or a client experience you want full control over.

Before you build, you can book a free consultation. DevSouq researches your practice and maps your complete workflow, and you review it. If it is an exact match, you move forward. If not, you walk away with no cost and no commitment.

Pros

• No recurring monthly fee, so you own the system outright
• Free discovery process mapped to your exact workflow
• Built around your group structure, not a generic template
• Full ownership of the system and your data
• Scales as you add features or users, without per seat penalties

Cons

• Takes more upfront time than signing up the same day
• Fewer third party reviews than long established platforms
• Needs clear scoping, which the free discovery call handles

Best For

Practices whose group workflow does not match any packaged platform and that want a one time investment instead of ongoing fees.

2. DrChrono

Overview

DrChrono, by EverHealth, is an AI powered cloud EHR that brings scheduling, documentation, and billing into one system. It lists counseling and therapy and psychiatry among the specialties it serves, and it offers telehealth, a patient portal, and a mobile first design. It states that Black Book ranks it as the top mobile EHR.

Pros

• Scheduling with automated reminders, insurance eligibility checks, and an AI no show predictor
• Billing with claims management, denial workflows, and its own clearinghouse
• Integrated video visits with no extra logins
• Patient portal with intake forms, e-signatures, and online payments
• AI scribe for clinical documentation
• Dedicated pages for counseling, therapy, and psychiatry

Cons

• Its homepage does not describe group sessions, group notes, or group billing
• Pricing sits on a separate page and may vary by plan
• Many features are described in general medical terms rather than behavioral health terms

Best For

Independent practices that want a mobile friendly, all in one EHR and are willing to confirm group workflows in a demo.

3. athenahealth

Overview

athenahealth offers athenaOne, an AI powered platform combining EHR, practice management, medical billing, and patient engagement for ambulatory practices. It says more than 170,000 clinicians use its network and that practices rated it Best in KLAS for independent practice suites for three years in a row.

Pros

• EHR, billing, and patient engagement on one platform
• Specialty specific workflows and tailorable documentation
• Embedded ambient AI documentation
• Training and ongoing customer support

Cons

• Its homepage shows no behavioral health or group therapy features
• Quote and demo based, with no published pricing
• Collections claims are one expert’s experience and not a guarantee, as the company notes itself

Best For

Larger or growing practices that want an established, billing focused platform and can confirm group support during a demo.

4. HENO

Overview

HENO is all in one software for PT, OT, and speech clinics that also lists mental health counselors among the specialties it supports. It covers documentation, scheduling, billing with a clearinghouse, a patient portal, marketing automation, and AI notes. It was built by a physical therapist and clinic owner, and it uses a custom template builder.

Pros

• Template builder lets you create your own group note formats
• Billing includes insurance verification, e-claims, and an optional outsourced billing service
• Free telehealth integration through Doxy.me
• Public pricing page, with per provider or transaction based options and no setup fees
• HIPAA compliant, hosted in Oracle data centers

Cons

• Group therapy features are not described on its homepage
• Does not offer lab integrations or e-prescribing, which matters for psychiatry
• Built primarily for rehabilitation therapy, so behavioral health depth should be verified

Best For

Multi discipline therapy clinics that want flexible templates and an all in one system at a transparent price.

5. Therap

Overview

Therap is a documentation and EHR platform built for human services providers, including intellectual and developmental disability, home and community based, and long term services agencies. It also has pages for behavioral health, mental health, and substance abuse. It reports more than 15,000 provider agencies and over 70 integrated tools, including billing, incident reporting, case management, and a mobile app.

Pros

• Published pricing that starts at $130 per month for agencies supporting a small number of individuals
• Online training and support included in every subscription
• SOC 2 Type II assessment and ISO 27001 certified data centers
• Mobile app for real time documentation
• Billing tools designed to prevent recoupments

Cons

• Built for human services agencies, so it may be more than a small group therapy practice needs
• Group therapy features are not described on its homepage
• Cost scales per individual supported, which adds up with larger caseloads

Ratings and Reviews

Therap states 4.6 out of 5 on G2 across more than 200 reviews and 4.7 out of 5 on Capterra across more than 100 reviews.

Best For

Agencies running behavioral health, mental health, or substance abuse programs that need documentation, compliance, and billing in one place.

6. Knack

Overview

Knack is a no code platform for building custom business apps and online databases. It offers a Mental Health EHR template described as a complete EHR for solo mental health practitioners, along with patient portal and telehealth templates. It states support for HIPAA, GDPR, and SOC 2 Type II, plus 500 or more integrations and no per seat pricing.

Pros

• Free trial and a template marketplace to start quickly
• AI assisted app building without writing code
• Flexible database, workflows, and reporting you can reshape
• No per seat pricing

Cons

• The EHR template targets solo practitioners, not group programs
• You build, configure, and maintain the system yourself, or hire an expert builder
• Clinical features such as group notes and group billing must be set up, not provided

Best For

Practices with technical comfort that want to assemble a lightweight system from templates.

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

If you are still deciding between practice management and clinical documentation tools, read our breakdown of mental health practice management versus EHR first.

Group Therapy EHR Checklist

Before you commit to a platform, confirm it covers these essentials:

• Attendance tracking at the individual level. It records who actually attended each session, not just whether the group met.
• Group notes that populate individual charts. One note is written and reflected in every attending client’s record.
• Attendance linked billing. It excludes no shows from claims automatically 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. It tracks members joining, missing sessions, or exiting mid cycle without breaking the group’s history.
• Waitlist management. It 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.

Check that any vendor you shortlist is listed on the ONC Certified Health IT Product List, which lists tested and certified health IT modules. Ask each one for a signed Business Associate Agreement as well.

If none of the established platforms match your billing rules, client experience, or internal systems closely enough, a custom patient management system removes the need to bend your practice around someone else’s software. A free consultation with DevSouq is the fastest way to see what that looks like for you.

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 your priorities. Cloud platforms such as DrChrono and athenahealth cover scheduling, notes, and billing together, Therap suits human services agencies, and a custom build fits practices whose workflow matches no existing platform.

Do these platforms support group specific CPT codes?

Public pages rarely list group codes such as 90853, 90849, and H0005. Ask each vendor to demonstrate a group claim with attendance based billing before you sign a contract.

Is a custom built EHR more expensive than an off the shelf platform?

It costs more upfront but has no ongoing license fees, so total cost over several years can end up lower, especially for growing practices.

Can I run telehealth group sessions through these platforms?

Several include telehealth, such as DrChrono and HENO, which uses a free Doxy.me integration. Confirm that multi participant group video records attendance for each person.

Is group therapy EHR software HIPAA compliant?

It depends on the vendor and the agreement you sign. Ask for a signed Business Associate Agreement and confirm encryption and access controls before storing real client records.