ICANotes vs Osmind
Updated October 21, 2026
Psychiatry practices that offer newer depression treatments, such as Spravato nasal spray, ketamine, or magnetic stimulation (TMS), carry heavier paperwork than a talk therapy office, from treatment monitoring to drug purchasing and insurance approvals. ICANotes and Osmind both sell records software to psychiatrists, and the gap many practices miss is how far each one reaches past the chart: ICANotes is a structured EHR priced by clinical role, while Osmind adds treatment workflows, billing, and prior authorization services built for those newer options. Where your practice sits on that line decides the better fit, so we compared the two.
Our analysts compared ICANotes and Osmind on price, focus, note writing, billing help, rating scales, and practice results, using the HIR review of each company and each vendor's own pricing page checked this month. In the following sections, we compare them in one table, describe the practice each one suits, and list Osmind's partnerships this year.
ICANotes vs Osmind at a glance, October 2026
| What buyers weigh | ICANotes | Osmind |
|---|---|---|
| Published price | $55 per month for full-time notes only, $75 for a non-prescribing clinician, and $213 for a prescriber, with a one-time $99 activation fee for prescribers. Telehealth is $20 per user per month, and the AI scribe is $49 per user per month. | $249 per month per clinician for Osmind One, the EHR alone. The full-service plans take a share of collections, and payer credentialing costs $200 per payer per clinician. |
| Pricing model | Monthly plans priced by clinical role, with billing services quoted on top. | A monthly EHR fee per clinician, or full-service plans paid as a share of collections. |
| What drives cost | Your role, full-time or part-time use, telehealth, the AI scribe, and extra staff users. | The plan you choose, clinician count, collections, and add-ons such as prior authorization and credentialing. |
| Main focus | A behavioral health EHR for psychiatrists, psychiatric nurse practitioners, and therapists. | A psychiatry EHR built around Spravato, TMS, and ketamine care, next to regular medication management. |
| How notes are written | Clinicians pick symptoms, findings, and interventions from menus, and the system writes the note. An AI scribe is an add-on. | Charting templates and step-by-step workflows for each interventional treatment. |
| Billing help | Billing tools inside the EHR, with full billing services quoted separately. | Three service levels, from the EHR alone to a full billing service paid as a share of collections, plus a prior authorization service. Clear edge |
| Rating scales | More than 100 rating scales, plus treatment plans and group therapy notes. Clear edge | Measurement-based care tools inside the chart. |
| Practice results | Scores 7.6 for note time saved and clean claims. | Scores 7.9 for practice and treatment results. Higher score |
| Product depth | Scores 7.5 as a behavioral health EHR. | Scores 8.1 for depth in interventional psychiatry. Higher score |
| Moving onto the system | Scores 7.3 for the switch from an old system. | Scores 7.3 for getting a practice live. |
| Time to full value | About 2 to 5 months | Not published |
| What you need first | An export of records from your current system and a lead for the switch. | Not published |
| Deal-breaker | Your program offers residential care. | Not published |
| Pricing clarity score | 8.3 | 8.4 |
| HIR overall score | 7.6, Recommend. | 7.9, Recommend. Higher score |
| Best for | Psychiatrists and therapists who want structured notes at a posted price. | Psychiatry practices offering ketamine, Spravato, or TMS. |
| Not a fit for | Residential treatment centers that need beds and admissions tools. | Addiction treatment centers that need residential and detox workflows. |
Which fits which buyer
Start with the treatments your practice offers.
Choose ICANotes if
- Your practice is mostly medication management and therapy.
- You want notes built from menus that hold up in payer audits.
- You want a posted price for each clinical role, including non-prescribers.
Choose Osmind if
- You offer Spravato, TMS, or ketamine.
- You want billing and prior authorization handled by your EHR vendor.
- You want group purchasing for newer psychiatric drugs through your EHR vendor.
Verdict
Osmind scores higher and fits psychiatry practices built around interventional treatments that want billing help from the same company. ICANotes fits psychiatrists and therapists who want structured, audit-ready notes at a clear price for each role.
Neither is built for residential addiction care, so programs with beds and detox should look at Kipu Health or BestNotes.
Where the two tools are headed in 2027 and beyond
Osmind: Osmind partnered with CareNet GPO on April 9, 2026, to give independent psychiatry practices group buying power for newer treatments. It began work with Compass Pathways on April 21, 2026, to prepare clinics for psychedelic treatment if the FDA approves it, and with Tasman Therapeutics on August 12, 2026, on R-107, a drug candidate for depressive disorders.
Ask Osmind which of those programs your practice can join on its current plan.
Methodology
Each row comes from the HIR reviews of ICANotes and Osmind, scored under the HIR method, and from each vendor's public pricing where it exists. Any published price for ICANotes or Osmind was checked on that vendor's own site on October 21, 2026.
A green check marks a clear edge for ICANotes or Osmind only where their review scores differ by at least 0.3 points or the two reviews show a plain difference. Rows with nothing published for either ICANotes or Osmind are left out, and time to full value for each adds up the rollout stages in its review.
Sources
- HIR review of ICANotes and HIR review of Osmind
- ICANotes pricing, checked October 21, 2026
- Osmind pricing, checked October 21, 2026
- Osmind and CareNet GPO partner, April 9, 2026
- Compass Pathways collaborates with Osmind, April 21, 2026
- Osmind news, partnership with Tasman Therapeutics, August 12, 2026