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MegAligna

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Specialties

Behavioral health EHR and practice management in one system

Electronic health records software for behavioral health combines the clinical record — intake, treatment plans, progress notes in SOAP, DAP or BIRP format — with scheduling, charge capture and billing. MegAligna adds behavioral-health note templates to its practice management core, priced per clinician seat, with superbill and CMS-1500 exports for out-of-network and cash-pay work.

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One system for the clinical record and the practice

Behavioral health practices commonly run two products: an EHR for notes and treatment plans, and something else for scheduling and payments. The seam between them is where charges go missing — a signed note with no charge behind it, or a billed session with no note to support it at audit.

MegAligna keeps the note and the charge on the same session record, so month end is a report rather than a reconciliation between two systems.

What this behavioral health software includes

  • Included

    Progress notes that lock when signed

    A draft becomes signed, and signed content is immutable at the database level — a correction is an addendum, not a quiet edit. Co-signature is a first-class state, which is what a supervised caseload needs.

  • Included

    Treatment plans linked to notes

    Goals and objectives live on the plan; a note records which goals the session addressed by picking them from that plan, so documentation traces to the plan a payer authorized.

  • Included

    Recurring session scheduling

    Weekly and biweekly series, expanded in the location's own time zone so daylight saving does not shift a standing appointment, with cancellation reason codes on every cancellation.

  • Included

    Charge capture and biller exports

    CPT capture per session with units, modifiers and diagnosis linkage, exported per session as CSV for whoever bills on your behalf.

  • Roadmap · v1.x

    SOAP, DAP and BIRP template presets

    The note lifecycle is shipped and note fields are configurable, but the three named formats are not yet preset templates you can pick — today a practice builds its own layout.

  • Roadmap · v1.x

    Superbill and CMS-1500 PDFs

    Every field either document needs is captured per session and exports as data today. Rendering them onto the actual forms is gated on AMA CPT licensing — until that completes, billers take the export into their own claim tool.

  • Not included · v2

    In-app claim filing to payers

    Not offered. Claims are not submitted to payers from here, so practices billing insurance directly need either their own biller or a system that files claims, such as SimplePractice or TherapyNotes.

Which behavioral health practices this fits

Cash-pay and out-of-network practices, and insurance practices that bill through their own biller.

A solo therapist filing in-network claims from inside their EHR today is better served staying where they are: switching would mean giving up in-app claim filing and adding a biller to the workflow. The SimplePractice and TherapyNotes comparison pages set out that trade-off in detail.

The documentation surface is covered in clinical notes, with SOAP, DAP and BIRP templates for the three structures most behavioral health practices write in. Agencies running ABA alongside general behavioral health should start at ABA practice management software.

Common questions

Which note format should a practice standardize on?
Whichever your payers and auditors see most often in your specialty. SOAP is the broadest default, DAP is common in counseling, BIRP suits behavior-focused treatment. The format matters less than using one consistently — templates exist so the structure is enforced, not remembered.
Can existing client records be migrated?
Demographics and appointment history import via CSV. Historical notes migrate as attached documents rather than structured data — re-keying years of narrative notes is neither realistic nor necessary for continuity of care.
Is this HIPAA compliant?
We operate as a business associate and sign a business associate agreement with every customer. Access controls, audit logging and encryption are documented on the trust page, where each item maps to a control you can open in the product. No HIPAA certification exists for any software, so none is claimed here.

Try it end to end with test data

14 days, no card required. Use made-up patients while you evaluate — real patient information waits until a business associate agreement is in place.

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