SimplePractice Alternative for SLP, PT, and OT

Fusion vs SimplePractice

Fusion was purpose-built for speech-language pathologists, occupational therapists, and physical therapists from day one. SimplePractice serves a broader range of specialties — making Fusion the stronger fit for rehab-specific workflows.

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Fusion vs SimplePractice: Side-by-side

Fusion (Rehab‑Built EHR)

SimplePractice

Rehab practice fit

Outpatient rehab practices (SLP, PT, OT) across pediatric and adult care that bill insurance

Solo and small mental and behavioral health practices

SLP/PT/OT documentation

Discipline-specific templates, structured eval formats, and goal frameworks aligned to rehab documentation standards

General clinical templates; not designed around rehab evaluation or progress note structure

Integrated authorization tracking

Authorization limits tied to visits, scheduling, and billing

Authorization tracking typically managed manually; not tied to visits or scheduling

Rehab-specific AI Notes

Ensai Session Assistant — rehab-specific draft notes with clinician review before sign-off

General AI scribe, not rehab‑specific

Supported

Limited

Plus Add-on

Not Available

Pricing update

SimplePractice charges for every claim starting October 1. See what a rehab practice pays.

On October 1, SimplePractice stopped including free claims on Essentials and Plus. Each submitted claim now starts at 39¢, so your cost rises with every visit you bill. Rehab clients are often seen more than once a week, so per-claim fees can add up fast.

Fusion Premier includes unlimited claims, eligibility checks, faxing, text reminders, and telehealth at one published price. Find the row that looks like your practice.

Your practice	Claims a week	Claims a month	SimplePractice	Fusion Premier	Monthly difference	Year one with 3 months free
3 cliniciansabout 40 claims per clinician a week	120	480	$429.60(Plus)	$427(Premier)	$3/mo less$31/yr less on Fusion	$1,312 savedyear one
5 cliniciansabout 40 claims per clinician a week	200	800	$692(Plus)	$625(Premier)	$67/mo less$804/yr less on Fusion	$2,679 savedyear one
10 cliniciansabout 40 claims per clinician a week	400	1,600	$1,312(Plus)	$1,120(Premier)	$192/mo less$2,304/yr less on Fusion	$5,664 savedyear one
15 cliniciansabout 40 claims per clinician a week	600	2,400	$1,936(Plus)	$1,615(Premier)	$321/mo less$3,852/yr less on Fusion	$8,697 savedyear one

Solo clinician? Fusion plans start at $25 a month for cash-pay clinicians, and Essentials covers solo clinicians who bill insurance for $99 a month. Compare plans for your practice

How we calculated this: SimplePractice figures use its published monthly list prices, excluding promotions, plus Insurance Essentials claim fees effective October 1, 2026: Plus at $99/month plus $74 per additional clinician for 2–5 clinicians, or $72 for 6–15. Claim fees apply progressively each month: $0.39 for the first 250 claims, $0.37 for claims 251–600, $0.35 for claims 601–1,000, and $0.33 above 1,000. SimplePractice offers custom pricing for practices with six or more clinicians, so rows of 6+ assume $72 per additional clinician, and actual quotes may differ. Fusion figures are Fusion Premier full list prices: $229 a month for the first user plus $99 for each additional user, with unlimited claims. Current promotions at ensorahealth.com/pricing may lower your Fusion price. Year-one figures include 3 months free on the Fusion Premier subscription for practices switching from SimplePractice, subject to eligibility and terms. Examples assume about 40 claims per clinician a week and four weeks a month. Both totals exclude front-desk and practice manager seats, Insurance Navigator, manual insurance status checks, payment processing, taxes, AMA CPT licensing fees, and optional add-ons. Your claim volume and plan mix may vary.

Built for rehab, not retrofitted

Fusion includes rehab-specific evaluation templates you can customize, plus built-in authorization tracking and documentation designed specifically for SLP, PT, and OT workflows — not retrofitted from a mental health platform.

Rehab-specific documentation & AI notes

Fusion includes SLP, PT, and OT evaluation templates, discipline-appropriate goal banks, and structured documentation formats that reflect how rehab therapists actually work. The Ensai Session Assistant drafts structured notes from sessions — with every note under clinician review before sign-off.

Insurance billing with authorization tracking

Many practices track authorizations manually, in spreadsheets or sticky notes. Fusion ties authorization limits directly to scheduling and billing so you can see remaining visits at a glance and never accidentally bill beyond authorization.

Designed to grow with your practice

Fusion supports multi-therapist scheduling, multi-location management, role-based permissions, and operational reporting — all natively. As your team, locations, and payer complexity increase, Fusion scales without requiring a platform switch.

See how Fusion compares

Comparing Fusion vs SimplePractice? A short demo using your clinic’s real rehab workflows is the fastest way to see which platform fits your team.

Request a demo

Why therapists & practice owners love Fusion

Maddie Bolks, Operations Manager | Children’s Therapy Center Inc.

“Fusion has transformed the way we manage our practice — it’s incredibly user-friendly, offers all the tools we need for our practice, and helps us provide better outcomes for our patients every day.”

Tim Smith, VP of Operations | Children’s Therapy Center of the Quad Cities

“Fusion product is more than a software solution or vendor, they are a partner/team member.”

Regan Graham, CAP, Senior RCM Manager | Central PA Therapy Connections

“Ensora has improved the efficiency of our staff by the ease in which claims are submitted, payments are processed, and rejections are corrected.”

Regan Graham, CAP, Senior RCM Manager | Central PA Therapy Connections

“Customer service is quick and concise, very helpful when you just need an answer to move forward with workflows.”

Jacob Bal, MA CCC-SLP, Director of Operations | Pediatric Movement Center

“The software has made it easier for us to maintain high-quality notes without investing too much time. The pre-built templates for evaluations, progress notes, and reassessments are especially helpful.”

Full Circle Therapy

“We love Fusion and are thankful for the support the company has provided us in our first year. We look forward to a continued partnership in the years to come!”

FAQs

Is Fusion or SimplePractice a better EHR for outpatient SLP, PT, and OT practices?

Practice management software for rehab therapy needs to support discipline-specific documentation, insurance billing with authorization tracking, and scheduling for high-frequency visits. Fusion by Ensora Health is purpose-built for speech-language pathology, occupational therapy, and physical therapy practices with these requirements. SimplePractice was designed primarily for mental health clinicians and offers more general-purpose templates. For insurance-based outpatient rehab, Fusion is the more specialized fit.

Does SimplePractice support insurance billing and authorization tracking for rehab therapy?

Insurance billing in rehab therapy involves payer-specific rules, authorization tracking, and compliance with time-based requirements like the 8-minute rule for CPT codes. SimplePractice offers basic insurance billing and claim submission but does not include native authorization tracking, 8-minute rule support, or rehab-specific billing rules. Practices with complex payer mixes or multiple disciplines often find that a rehab-focused platform like Fusion provides more complete billing support.

What is the difference between Fusion and SimplePractice for therapy billing and authorizations?

Authorization tracking in therapy EHR software connects visit limits, payer requirements, and scheduling data so practices can monitor remaining authorized sessions without manual spreadsheets. Fusion includes authorization tracking tied to scheduling and documentation, integrated clearinghouse connections, and payer-level billing rules inside one platform. SimplePractice offers basic claim submission and a third-party clearinghouse integration but lacks native authorization tracking.

Does Fusion offer AI-assisted documentation for speech therapy, occupational therapy, and physical therapy?

AI-assisted documentation in therapy software generates structured draft notes from session data, reducing the time clinicians spend on paperwork while maintaining compliance. Fusion’s Ensai Session Assistant helps SLPs, PTs, and OTs generate rehab-specific draft notes using the note formats and terminology that outpatient therapy requires. Every note is reviewed and signed by the treating clinician. SimplePractice offers an AI-powered Note Taker as a paid add-on that is not rehab-specific.

Should a growing rehab therapy practice choose Fusion or SimplePractice?

Choosing the right EHR depends on practice type, billing complexity, and growth plans. Fusion fits outpatient rehab practices with SLP, PT, or OT teams that bill insurance, need authorization tracking, and manage multiple therapists or locations. SimplePractice fits solo mental health clinicians with straightforward billing and simpler scheduling. If your practice is outgrowing a generalist platform — running into auth tracking gaps, workaround-heavy documentation, or billing in spreadsheets — Fusion is designed for what comes next.

How do rehab therapy practices switch from SimplePractice to Fusion?

Switching EHR platforms in a therapy practice typically involves data migration, workflow reconfiguration, and staff retraining — which is why guided onboarding from a team that understands rehab matters. Fusion’s onboarding team walks practices through setup, data migration, and configuration with rehab-domain expertise. Most practices are fully operational faster than expected, with billing continuity maintained throughout the transition.