Last Updated

Key Takeaways

Generated from the text of customer reviews

PIMSY is a behavioral health practice management software used by mental health, therapy, psychiatry, and residential care organizations. Users appreciate its automated billing and integration between billing and clinical documentation. One noted downside is the difficulty of configuring user permissions and security settings across different employee roles. PIMSY recently added ‘Ambient Scribe’ to its feature list, which records sessions and generates draft clinical notes for providers to review and approve.

Our Verdict

PIMSY suits behavioral health organizations of different sizes that need Electronic Health Record (EHR), practice management, and billing capabilities in one system. Its three-tier pricing structure supports growing practices, while users generally describe its pricing as reasonable compared with competitors offering similar features and customization. We recommend it for behavioral health practices that want flexible EHR and billing workflows with room to scale.

PIMSY Specifications

  • Appointment Management/Scheduling
  • e-Prescriptions
  • Lab Integrations
  • Patient Portal

PIMSY Features

PAISLY AI Assistant

PIMSY’s PAISLY AI Assistant generates clinical narratives from information clinicians already enter into assessment, progress, and therapy notes. Providers can choose standard formats such as SOAP, BIRP, DAP, DAIR, PIE, and biopsychosocial notes, or create their own templates. PAISLY only uses supplied chart information and lets clinicians review and adjust the generated narrative before saving it.

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Notes And Documentation

The software provides customizable clinical note templates that can be configured for different programs, specialties, and documentation requirements. Its ‘Note Builder’ supports structured fields alongside free-text documentation, while clinical notes can connect with treatment plans and other information in the client record. PIMSY also comes with preloaded assessment and note templates that organizations can modify during implementation.

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Treatment Planning

PIMSY’s Treatment Plan Builder lets providers create individualized plans with goals, objectives, interventions, and measurable outcomes. Its Wiley Practice Planner integration adds evidence-based treatment options and can populate treatment-plan content based on the client’s diagnosis. Providers can also build plans around Strengths, Needs, Abilities, and Preferences and track progress over time.

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E-prescribe

The platform integrates e-prescribing through DrFirst and H2H Solutions, with prescribing handled directly within the patient record. The workflow includes PDMP checks, medication history, interaction checking, and EPCS for controlled substances. PIMSY also supports MAT medications, including Suboxone and methadone, while prescription history remains visible to the care team in the client chart.

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eMAR

PIMSY’s eMAR brings medication orders, barcode verification, inventory counts, and dose documentation into the same patient chart. Staff can verify medications against orders before administration and document doses at the time they are given. The system also supports real-time dose alerts and inventory pill counts, making it particularly relevant to residential, SUD, eating disorder, and other medication-administering programs.

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Telehealth

PIMSY’s telehealth keeps video sessions and clinical documentation within the same EHR workflow. Providers can conduct individual or group sessions without switching to a separate application, with features including group video support and waiting rooms. After a session ends, PIMSY opens the related note, reducing the need to transfer session details from a separate video platform into the client record.

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Group Notes

PIMSY’s Group Notes allow multiple facilitators to document the same group session while tracking attendance by client. The shared session documentation can then produce individualized progress notes for participating clients, which providers can review and sign. PIMSY also supports recurring group appointments, group note templates, and telehealth group sessions with breakout rooms

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Pros And Cons of PIMSY

Pros

  • Reduces double entry between billing and clinical notes

  • Lets clinicians complete notes and tasks from the scheduling system

  • Offers extensive patient portal features, including reminders and alerts

  • Supports custom note templates, surveys, and client documents

  • Lets clinicians start video sessions from the calendar without a separate app

Cons

  • Patient-specific appointment history is not readily accessible from the calendar

  • User permissions can be difficult to configure for different employee roles

  • Patient portal navigation and signature capture can be challenging

PIMSY Pricing

Prime

Professional

Platinum

  • EHR & Practice Management

  • Client Portal

  • Embeddable Intake Assistant

  • Telehealth

  • Secure Messaging

  • PAISLY AI Note Generator

  • Wiley Treatment Planner

  • Credit Card Processing

  • Everything in Prime, plus:

  • Advanced Practice Management

  • Customizable Progress Notes

  • Medication Management

  • Integrated Labs

  • Integrated Faxing

  • Client Waitlists

  • HR Module

  • Payroll

  • Everything in Professional, plus:

  • Multi-location & Multi-org Tools

  • Cross-time Zone Scheduling

  • Clinician Dashboard

  • Specialized Note Templates

  • Residential Module

  • eMAR

  • Outcomes Measurement

  • ONC-certified EHR

  • CURES Compliance

Disclaimer: The pricing details were last updated on Sep 02, 2026 from the vendor's website. Please contact us for a tailored pricing list.

PIMSY Reviews

Total 87 reviews

4.3

All reviews are from verified customers

Rating Distribution

5

Stars

61%

4

Stars

24%

3

Stars

6%

2

Stars

7%

1

Stars

2%

Share your experience

O

Odukunle

Hospital & Healthcare, 101-500 employees

Less than a year

5.0
September 2025

“Ideal for mental and behavioral health organizations”

Pros

From my experience, PIMSY feels like a system built specifically for mental and behavioral health organizations of different sizes. Even smaller practices can really benefit from it. I also feel confident using it because the data protection measures are strong, which is important in this field.

Cons

What throws me off is how the calendar behaves. I wish I could easily view a client's past appointments along with the upcoming ones right from the dropdown instead of clicking around to find that information.

Rating Distribution

Ease of use

9

Value for money

8

Customer Support

9

Functionality

8

A

Allie

Health, Wellness and Fitness, 11-50 employees

More than a year

5.0
May 2025

“fits our requirements”

Pros

For our agency, which sees thousands of sessions a year, PIMSY has fit our needs well. As we've grown, their team has guided us in adjusting features to support our changing workflows. There are still many features we haven't even used yet so it feels like there is room to expand over time.

Cons

My main issue isn't with the software but with not having enough time to really dig into everything it can do. There's so much available that I haven't fully used yet.

Rating Distribution

Ease of use

10

Value for money

10

Customer Support

10

Functionality

10

D

Delsy

Individual & Family Services, 1-10 employees

More than a year

5.0
May 2025

“Helps me get organized”

Pros

PIMSY keeps me organized and helps me stay on schedule when handling clinical records, which takes off a lot of stress during busy days.

Cons

There are times when I try to get my notes or treatment plans done and the system goes down, which slows everything down and throws off my workflow.

Rating Distribution

Ease of use

9

Value for money

9

Customer Support

9

Functionality

8

Frequently Asked Questions

Is there a PIMSY app?

Yes. PIMSY EHR offers its users a mobile app at no additional cost. The app gives providers access to the ‘Provider Portal’ from mobile devices. Clinicians can access their calendars, create and release notes, and work remotely. PIMSY also offers mobile access to the ‘Client Portal’, where clients can manage appointments and access telehealth sessions.

Does PIMSY offer a free trial or free plan?

According to official PIMSY sources, there is no free plan available.

What support and training does PIMSY offer?

All plans include training, support, and access to a knowledge base. Support is available by phone, email, chat, help desk, and an online form.

How much does PIMSY cost?

PIMSY pricing is estimated to start at $99/user/month. The platform offers three pricing plans, named Prime, Professional, and Platinum. Get your custom PIMSY cost quote here.

Does PIMSY support Telehealth?

Yes. PIMSY EHR supports individual and group telehealth sessions. Providers can manage participants through waiting rooms, mute or remove attendees, add participants using secure links, adjust video resolution, and use in-session chat. Telehealth appointments can be managed through PIMSY's scheduling workflow.

What does PIMSY EHR integrate with, and does it have an API?

PIMSY lists integrations with Wiley, DrFirst, SecureVideo, Twilio, Claim.MD, Waystar, TriZetto, H2H Solutions, Dominion Diagnostics, Office Ally, MeldRx, and Fiserv, among others. An API is also available.