KeyNotes EHR
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Overview
KeyNotes EHR brings clinical notes, scheduling, billing, and Medicaid reporting into one cloud-based system for behavioral health agencies. Its built-in BHO reporting removes the need for external compliance tools. However, support responsiveness may vary. Overall, KeyNotes EHR is a solid option for agencies managing clinical and administrative workflows.
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Starting Price
$99
per user per month
KeyNotes EHR Specifications
- Billing And Invoicing
- Claims Management
- Appointment Management/Scheduling
- Telemedicine
What Is KeyNotes EHR?
KeyNotes EHR is an electronic health records (EHR) system for behavioral health agencies. The platform manages clinical documentation, treatment planning, scheduling, billing, and behavioral health reporting. It provides Progress Notes and Treatment Plans for recording clinical information. From there, KeyCal Scheduling manages appointments and automatically generates related tasks.
The system also processes electronic billing and supports accounting workflows. Secure Messaging and an internal blog provide communication tools within the platform. Its reporting component covers Washington State and King County BHO requirements, including Medicaid reporting.
What Is KeyNotes EHR Best For?
KeyNotes stands out with built-in 'BHO Reporting' covering both WA State and King County Medicaid requirements. Rather than treating compliance reporting as a separate workflow, the platform generates required submissions natively, keeping Medicaid reporting within the same operational environment as scheduling, notes, and billing.
How Much Does KeyNotes EHR Cost?
KeyNotes EHR pricing starts at $99/user/month for its Single User plan. The software also offers:
- Agency Plan: $99/user/month for organizations with 2–20 users
- Enterprise Plan: Custom pricing
The software also has the following additional costs:
- Initial Setup And Onboarding: $1,495 (one-time) per agency, including standard onboarding and 60 days of initial support
- Additional Phone And Screen-Share Support: $129/hour, billed by the minute after the included two monthly support hours are exhausted
Disclaimer: The pricing is subject to change.
KeyNotes EHR Integrations
The software integrates with the following third-party applications, including:
- Zoom
- Doxy
- Google Calander
- Outlook Calander
How Does KeyNotes EHR Work?
Here's how you can get started with the software by following the steps below:
- Log into KeyNotes using the credentials provisioned during agency setup
- Configure the agency profile with the information gathered during onboarding
- Add staff members as users, assigning access based on their role within the agency
- Set up funding sources and payers relevant to the agency’s billing operations
- Enter ICD billing codes and activity codes to activate the billing module
- Build out the KeyCal scheduler by inputting clinical workflows and appointment types
- Access BHO reporting settings to configure WA State and King County Medicaid submissions
Who Is KeyNotes EHR For?
KeyNotes software is suitable for the following behavioral health agency types:
- Behavioral health agencies
- Outpatient counseling centers
- Substance abuse treatment facilities
- Community mental health organizations
KeyNotes EHR Use Cases
Based on our analysis of KeyNotes EHR's capabilities, we have identified key scenarios where the platform is commonly used:
1. Behavioral Health Agencies Managing Clinical Session Records
Behavioral health agencies handling frequent individual and group sessions need clinicians to document client interactions while keeping clinical records current. Delayed or incomplete notes can leave client files missing important session information. KeyNotes EHR's Progress Notes module allows clinicians to record session details through structured data-entry workflows. This keeps session documentation within the agency's clinical record system.
2. Agencies Preparing Individualized Treatment Plans
Mental health and substance abuse treatment providers need to create treatment plans that reflect individual client requirements. Managing these plans through separate documents can fragment clinical records and create additional administrative work. KeyNotes EHR's Treatment Plans feature provides a guided workflow for creating and completing customized plans directly within the platform. Staff can maintain treatment documentation alongside other clinical records.
3. Agencies Coordinating Appointments And Clinical Follow-Ups
Behavioral health agencies scheduling recurring client appointments must also track the tasks associated with those scheduled activities. When follow-up actions depend on manual reminders, staff may overlook pending work. KeyNotes EHR's KeyCal Scheduling automatically generates tasks based on appointments and clinical workflows. Agencies can manage their calendars and associated activities within the same system.
4. Behavioral Health Providers Processing Insurance Claims
Agencies handling insurance claims alongside clinical services must manage billing submissions and related accounting activities. Paper-based claim processing can extend remittance turnaround compared with electronic submissions. KeyNotes EHR's Electronic Billing module processes billing electronically and supports accounting functions within the platform.
5. Washington Behavioral Health Agencies Handling Medicaid Reporting
Behavioral health agencies operating under Washington State and King County Medicaid reporting requirements need to account for region-specific reporting obligations. Using reporting tools that do not accommodate these requirements can create additional administrative work. KeyNotes EHR includes built-in BHO Reporting for Washington State and King County, allowing agencies to access these reporting capabilities within their EHR environment.
Is KeyNotes EHR Right For You?
Are you looking for a behavioral health EHR that combines clinical documentation, scheduling, billing, and Washington State BHO reporting? KeyNotes EHR addresses disconnected clinical and administrative workflows through one platform.
KeyNotes EHR supports HIPAA-related requirements through encryption at rest and in transit, secure hosting, access controls, and a Business Associate Agreement (BAA). Its infrastructure is designed to protect Protected Health Information (PHI) across all platform activity.
Still not sure if the software is right for you? Contact our customer support team at (661) 384-7070, who will help you make the best decision regarding KeyNotes EHR features and more.
KeyNotes EHR Features
Progress Notes
KeyNotes’ progress notes module allows clinicians to document client sessions through streamlined data entry workflows. Designed to reduce documentation burden, the system captures session details without slowing down clinical staff. Accurate records are maintained across the agency, keeping every client file current and accessible within the same platform.
Treatment Plans
Customized treatment plans are built through a guided, step-by-step workflow within the platform. Each plan is tailored to the individual client, structured to meet clinical requirements without unnecessary complexity. Staff complete plans directly inside KeyNotes, eliminating the need to manage clinical documentation across separate tools or external files.
KeyCal Scheduling
KeyCal is a native scheduling tool within KeyNotes that auto-generates tasks based on appointments and clinical workflows. Each scheduled event triggers follow-up activities automatically, reducing the risk of missed actions. Agencies manage their full appointment calendar within the same environment used for notes, billing, and reporting.
Electronic Billing
Claims processing and accounting functions operate through KeyNotes’ built-in electronic billing module. The system handles insurance claims and revenue cycle operations, processing submissions electronically rather than through paper-based methods. Financial workflows run inside KeyNotes alongside clinical documentation, keeping billing and care records connected.
Secure Messaging
Internal staff communication is handled through KeyNotes’ secure messaging module, which applies bank-grade encryption across all messages. Built with HIPAA compliance as a design requirement, the tool allows agency staff to communicate within the platform without relying on external email or unencrypted channels. All messaging activity stays within KeyNotes
Pros And Cons of KeyNotes EHR
Pros
Clinicians maintain current and accessible client records
Staff complete customized treatment plans efficiently
Agencies automate appointment-related follow-up tasks
Cons
Documentation gaps may hinder user workflows
Customer support time may vary at times
KeyNotes EHR Pricing
Single User | Agency | Enterprise |
|---|---|---|
$99 per user per month | $99 per user per month | Custom Pricing |
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Disclaimer: The pricing details were last updated on Oct 12, 2026 from the vendor's website. Please contact us for a tailored pricing list.
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Frequently Asked Questions
Does KeyNotes EHR support multiple locations and agencies?
The Enterprise plan supports multi-site and multi-agency configuration for organizations with more than 20 users. It also offers volume license discounts, custom support tiers, and a dedicated success contact for customers.
Can KeyNotes EHR document group therapy sessions?
The Agency plan includes group sessions and group documentation as part of its listed capabilities. The Enterprise plan includes everything in Agency, while the Single User package does not list these functions.
Does KeyNotes EHR support multiple staff accounts with different permissions?
Yes, the Agency plan includes multi-user permissions and roles for organizations with 2–20 users. The Enterprise plan includes everything in Agency, while the Single User listing does not specify multi-user controls.
What reporting and data export options are available in KeyNotes EHR?
The base subscription includes a standard report library. The Agency plan adds an admin reporting suite, while Enterprise includes advanced reporting and data export. Specific report types are not listed.
Which third-party integrations can agencies add to KeyNotes EHR?
Custom integrations with laboratories, pharmacies, and billing clearinghouses are quoted separately. The pricing page identifies these integration types but does not specify supported vendors, connection methods, or delivery timelines for implementation.
How does KeyNotes EHR charge for additional customer support?
The Single User and Agency plans include two hours of monthly support and 60 days of onboarding support. Additional phone and screen-share assistance costs $129 per hour, billed by the minute without minimums or retainers.