NoBackOffice. Cut your practice expense,
guaranteed

Psychiatry-specific platform for charting, reception, telehealth, and the full revenue cycle, including Medicare, Medicaid, and TMS. 25% lower costs in 90 days or a full refund.

Book a demo

25%

Minimum cut to your revenue cycle costs

50%

More appointments booked via AI follow-up proposals

95%+

Clean-claim rate

90%

Reduction in admin time

$0

Migration, with no closed days

Smiling psychiatric provider in scrubs

See what you are overpaying

Billing, reception, and the tools between them. Set what you pay today.

9.0%of every dollar collected
2%12%
40 hrs/weekphones, booking, and inbox
060 hrs

$50,000 a year, at $25/hour

/ mo

Charting, ambient scribe, and the extra logins around them.

You spend yearly
$146,000
$90,000 billing · $50,000 reception · $6,000 tools
With NoBackOffice
$72,500
Reception, EHR, and scribe included
You keep each year
$73,500
$22,500 billing · $45,000 reception · $6,000 tools

Estimate only: reception time is valued at $25/hour, and EHR and tool figures as typical replacements.

Walk through your numbers →

One vendor instead of three

Charting, front desk, and the revenue cycle in one psychiatry-specific system. Including Medicare, Medicaid, and TMS.

Capability Your EHR Your billing service NoBackOffice
Charting and clinical records✓–✓
Psychiatry note types and scored measuresvaries–✓
Ambient AI scribe, note finished in the visitadd-on–✓
Add-on psychotherapy billingvaries✓✓
Scheduling and patient self-booking✓–✓
AI receptionist for inbound emails and reception––✓
AI administrative assistant for the practice––✓
Telehealth inside the visitadd-on–✓
E-prescribing, including controlled substances✓–✓
Medicare and Medicaid billingclearinghouse onlysome✓
TMS auth, series, and 90867-90869 claims–some✓
Claim submission and insurance billingclearinghouse only✓✓
Denial work and appeals–✓✓
Payer credentialing–some✓
One login, one vendor––✓
Everything above included, no add-onsadd-ons% of revenue✓
Migration handled for you––✓
Written savings guarantee––✓

Capabilities vary by vendor and plan. Comparison reflects the configurations we most often see when psychiatry practices switch.

See this replace your vendors →

Six tools. Twenty hours a week. None of it was psychiatry.

Before

  • Five to six systems that did not talk to each other
  • Roughly 20 hours a week on admin and coordination
  • A billing company that missed details and moved slowly
  • Denials found late, appealed later
  • Notes finished at night, after the last patient

After NoBackOffice

  • One platform, one login
  • 15-20 hours a week back
  • 95%+ clean-claim rate
  • Denials surfaced and worked without being chased
  • Notes finished inside the visit

“I stopped spending my evenings wrangling software. I leave on time and the billing just runs.”

Je Ko, MD PhD · Owner of Westwood Minds
Ask how evenings came back →

Engine that runs your practice

See patients. We've got the rest. You own 100% of your practice. No 1099 or W2 contracts, and nothing here is an add-on.

Built for psychiatry. Note types, measures, meds, and billing rules already match how psychiatrists and PMHNPs work.

  • Scheduling, reminders, and superhuman memory of patients
  • Telehealth built into the appointment, with electronic prescriptions for controlled substances supported
  • Notes and documentation, with customizable AI scribe included
  • Invoices, payments, and insurance billing including Medicare, Medicaid, and TMS
Credentialing We get you paneled with payers so you can see patients and bill, without spending your evenings in CAQH and payer portals.
  • NPI and taxonomy setup
  • CAQH ProView maintained for you
  • Licenses and IDs kept current
  • Payer applications and panel follow-up
  • Re-attestation on schedule
Your day at a glance Open the day and see who you are seeing, which notes are still unsigned, and which claims need you, all on one screen.
  • Morning briefing for today's patients and open work
  • Tap Unsigned or Claims to filter your list instantly
  • Attention flags clear when you finish the work
  • Patient chart that stays readable on a laptop or tablet
AI assistant Ask for a chart fact, a template, or help with inbox work without leaving the visit. You decide what it can send on its own.
  • Ask by voice or text, then read the answer later
  • Drop in files when you need context
  • Build note templates and questionnaires by asking
  • Set what needs your approval before it goes out
  • Same "needs attention" rules as your real inbox
Google Calendar sync Keep your personal Google Calendar and clinic schedule aligned so you do not double-book lunch, school pickup, or a side clinic.
  • Outside events block new patient bookings
  • Personal calendar shows busy only, never patient names
  • Changes show up in about 30 seconds
  • Drag or delete busy time from either side
  • Built to avoid ghost double-bookings
Scheduling and patient messaging Patients book, reschedule, and text you in one place, with AI that can answer routine scheduling questions when you are in session.
  • Self-booking with reminders by SMS and email
  • Screen medication-only requests before they take a slot
  • Mute the reception agent for one patient when needed
  • Works with shared lines and iMessage quirks
  • Move a visit without rebuilding the appointment
Forms and questionnaires Send PHQ-9s, GAD-7s, and the measures you actually use, scored and ready before the visit starts.
  • Real scoring with severity bands you can trust
  • Branching questions so patients only see what applies
  • Incomplete forms finish cleanly as not scored
  • Adjust rubrics yourself or ask the assistant
Clinical notes and documentation Finish notes the way you practice: your templates, your phrasing, less after-hours charting.
  • Default note type and templates per visit type
  • Teach the scribe how you write each section
  • Dot phrases keep the formatting you expect
  • Vitals from the visit land in the note
  • Imported records show up in chart history
Medications Know what the patient is actually on today, without hunting duplicates or outdated entries mid-visit.
  • Active vs discontinued status you can trust
  • Duplicate meds merged so the list stays clean
  • One consistent list across Rx and Active Meds
  • Ask the assistant what is on the med list
Billing, claims, and payments Signed notes become claims, including Medicare, Medicaid, and TMS series work, and you can see what still needs your eye without a separate billing portal.
  • Claims submitted and followed up, commercial included
  • Medicare and Medicaid claims, including duals
  • TMS series billing and prior auth (90867, 90868, 90869)
  • Denials worked and appealed
  • Eligibility, invoices, and patient payments
Desktop app and telehealth Run video visits from the desktop app with recording that captures both sides of the conversation for your note.
  • Separate audio tracks for you and the patient
  • Alert when the patient side stays silent
  • Sign into Google Meet without leaving the app
  • Zoom, panels, and updates that stay out of your way
Care across locations If you see patients with a collaborating practice or second location, open their chart with the full picture, not a thin stub.
  • Demographics as complete as your own patients
  • Address, contacts, insurance, and assigned clinician
  • Open the chart without getting bounced home
Everyday polish Smaller fixes that show up when you are between patients: faster search, clearer counts, preferences that stick.
  • Faster patient search and clearer message controls
  • Recording and notes counts you can trust
  • Sidebar and assistant preferences remembered
  • Cleaner notifications on phone and desktop
  1. Inquiry Patient sends an inquiry
  2. Booked Booked on your availability
  3. Visit You see the patient
  4. Payment Payment is processed
  5. Follow-up Follow-up booked; other requests handled
Walk through the full engine →

Always on standby for support

Refunds, visit prep, chart questions, billing follow-ups, anything your practice needs. Text us and we handle it.

Can you send a refund to John Doe?

Is this regarding his August 1st 10am visit?

Yes.

Ok. Refund sent.

How should I prep for my next visit?

Jane Smith will be coming in for a psychotherapy follow-up. She expressed concern over her anxiety.

What medication is she on?

She's on sertraline 50 mg daily.

See what you can text us →

We deal with insurance

Commercial carriers, Medicare, Medicaid, TRICARE, and regional plans. NoBackOffice handles the full payer mix your psychiatry practice already sees. Search to confirm yours.

Ask about your payer mix →

Your patient data is protected

We act as your HIPAA Business Associate and execute a Business Associate Agreement before PHI is processed.

HIPAA safeguards and security controls

Administrative, technical, and physical safeguards Designed around HIPAA expectations for confidentiality, integrity, and availability of PHI.
Encryption in transit and at rest Modern TLS for connections; PHI stored with encryption and controlled network boundaries.
Network segmentation Sensitive workloads are isolated to reduce exposure and simplify access policies.
Access controls and audit logging Least-privilege permissions with activity logging for accountability and compliance.
BAAs with PHI subprocessors Third parties that handle PHI are contractually bound under Business Associate Agreements.
Security reviews and penetration testing Regular assessments emulate real-world threats; findings drive remediation.
Talk through HIPAA and the BAA →

Thousands of visits facilitated via NoBackOffice and counting

See how those visits get run →

Switching takes three steps

You stay open the entire time.

Consultation: learning how your psychiatry practice runs

We meet you

Forty-five minutes with a clinician. We look at what you pay for billing today and what your software stack costs, then walk through your revenue cycle live on the call.

Migrating patients, schedule, and open claims

We move you

We migrate your patients, schedule, documents, and open claims while you keep seeing patients on your current system. You cut over when the data is verified, not before.

Team running day-to-day psychiatry practice operations

We run it

Claims go out and denials get worked. Calls get answered and appointments get booked. Notes finish inside the visit. You practice.

Start with a 45-minute consult →

Frequently asked questions

Built for psychiatry. How we replace your EHR and billing stack, bill Medicare, Medicaid, and TMS, and keep you seeing patients while we migrate you.

We keep it personal

Our core philosophy is to stay close to every customer. You get direct access for any question or request, with a 24-hour turnaround. Tom's experience working in Dr. Ko's practice and Greg's experience building enterprise AI came together to form NoBackOffice, so psychiatrists can grow a practice without drowning in the back office.

Tom and Greg, founders of NoBackOffice
Previously at Harvard Medical School
Previously at Mass General Hospital
Previously at Veeva Systems
APA 2026 Attended the American Psychiatric Conference in San Francisco, CA
APNA Conference Attending the American Psychiatric Nurses Association Conference in Phoenix, AZ

Find out what you are overpaying. It takes 45 minutes.

We walk through your revenue cycle live and show you the number before you commit to anything.

Book a Demo

You will be on with a practicing clinician, not a sales rep.

Calm private practice therapy office with armchairs, natural light, and bookshelves
Compliance Guaranteed