u/nat_hawthorne

My wife (PMHNP-C) opened her own practice a couple of years ago. She'd used iCANotes at a previous job and stuck with it when she went solo. We also have a therapist and an office manager who handles scheduling and copays. I run the IT, banking/finances, and insurance-portal side and have little to do with the clinical work — so I'm hoping some actual PMHNPs can weigh in. Our biller has suggested that we switch to PracticeQ. And I can see how it would definitely help with front office stuff, but does it make sense from the clinical side of things.

A few specifics:

• Notes/AI: PracticeQ has a built-in AI scribe (Heidi). My wife uses JotPsych now and spent real time training it on psych nuance. How does Heidi's note quality compare, and is the in-EHR integration worth it? Can you keep an outside scribe instead?
• E-prescribing: how smooth is the controlled-substance (EPCS) workflow for stimulants/benzos day to day?
• Patient billing: how well does it handle saved credit cards, auto-charging copays, and invoicing patients who fall behind? (Our biggest iCANotes gripe.)
• Anything you wish you'd known before switching?

Honest takes welcome, good or bad. Thanks!