AdvancedMD vs Heard
Heard scores 7.5/10 vs 6.5/10. Best for: Solo therapists in private practice who want someone else to handle bookkeeping and taxes.
Heard scores higher overall at 7.5/10 vs 6.5/10. Buy Heard if you hate bookkeeping and want someone else to handle your practice finances and taxes. Skip if you can handle QuickBooks yourself or if you thought this was practice management software — it's not.
AdvancedMD 
Heard Rank
#35 of 41
Rank
#13 of 41
Features
18/18
Features
1/18
Starting at
$130/mo
Starting at
$169/mo
User reviews
3.6/5 (525)
User reviews
—
What they cost
| AdvancedMD | Heard | |
|---|---|---|
| Starting at | $130 /mo | $169 /mo |
| Free trial | 30 days | No |
| Number of plans | 3 | 3 |
What the pricing really means
At first glance, AdvancedMD looks cheaper at $130/month vs $169/month. But sticker price is only part of the story. Look at what is included on the base plan, how many users you get, and whether you need add-ons to get the features you actually need. The $99/month plan that requires $200 in add-ons is actually more expensive than the $250/month plan that includes everything.
Where AdvancedMD wins
- NOW plan at $130/mo specifically targets small mental health practices, capped at 3 providers
- 300+ customizable documentation templates
- Clearinghouse connects to 1,800+ insurance carriers
- Actual 30-day free trial available on the mental health plan
Where Heard wins
- Done-for-you monthly bookkeeping saves therapists the most hated admin task
- Tax prep and filing included — personal on Essential, business on Premium
- S corp election guidance that reportedly saves $5,000+/year in taxes
- Built specifically for therapy private practice finances, not generic accounting
Where AdvancedMD falls short
- Full EHR+PM bundle at $729/provider/mo is prohibitively expensive for small practices
- 3.6 ratings on both G2 and Capterra are the lowest in this category
- Automated reminders cost extra on top of already high monthly prices
- API access is an add-on, not included in standard plans
Where Heard falls short
- NOT practice management software — handles finances only, not clinical work
- $169/mo is a lot when QuickBooks Self-Employed is $15/mo
- No G2 or Capterra reviews for independent comparison
- Premium at $255/mo needed if you're an S corp
Who is each product built for?
AdvancedMD
Target: 1-200+ providers
Buy AdvancedMD if you're a mid-size multi-specialty practice that needs enterprise customization, or try the NOW plan at $130/mo if you're a small mental health practice. Skip if price matters — outside the NOW plan, this is built for practices with bigger budgets.
Heard
Target: 1-5 providers
Buy Heard if you hate bookkeeping and want someone else to handle your practice finances and taxes. Skip if you can handle QuickBooks yourself or if you thought this was practice management software — it's not.
Feature comparison
| Feature | AdvancedMD | Heard |
|---|---|---|
| Compliance & Security | ||
| HIPAA compliant | ||
| Telehealth / video sessions | ||
| Secure messaging | ||
| Scheduling & Clients | ||
| Online scheduling | ||
| Client portal | ||
| Intake forms / assessments | ||
| Automated reminders | ||
| Clinical | ||
| Progress notes / documentation | ||
| Treatment plans | ||
| E-prescribing | ||
| Outcome measures / assessments | ||
| Billing & Payments | ||
| Insurance billing / claims | ||
| Payment processing | ||
| Superbill generation | ||
| Automated billing | ||
| Platform | ||
| Group practice support | ||
| Mobile app | ||
| Integrations / API | ||
Common questions
Heard scores 7.5/10 vs AdvancedMD's 6.5/10 in our ranking. Heard is the better pick for 1-5 providers. AdvancedMD is better if you need mid-size multi-specialty practices that need heavy customization, or small mental health practices willing to try the now plan.
AdvancedMD starts at $130/month. Heard starts at $169/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
AdvancedMD: Yes, 30-day free trial. Heard: No free trial. Always test with your actual workflow before committing to an annual plan.
AdvancedMD covers 18 of 18 features we track. Heard covers 1 of 18. AdvancedMD has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, AdvancedMD has a mobile app. Heard does not.
Yes. The main effort is migrating your data (customer lists, job history, invoices). Plan for 1-2 weeks of overlap where you run both. Most healthcare practice management tools can import CSV data. Ask both vendors about migration support before you sign.
The bottom line
Pick AdvancedMD if...
Mid-size multi-specialty practices that need heavy customization, or small mental health practices willing to try the NOW plan
Pick Heard if...
Solo therapists in private practice who want someone else to handle bookkeeping and taxes