Heard vs NextGen Office
Heard scores 7.5/10 vs 6.8/10. 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 6.8/10. 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.
Heard 
NextGen Office Rank
#13 of 41
Rank
#31 of 41
Features
1/18
Features
17/18
Starting at
$169/mo
Starting at
$300/mo
User reviews
—
User reviews
3.7/5 (1440)
What they cost
| Heard | NextGen Office | |
|---|---|---|
| Starting at | $169 /mo | $300 /mo |
| Free trial | No | No |
| Number of plans | 3 | 2 |
What the pricing really means
At first glance, Heard looks cheaper at $169/month vs $300/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 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 NextGen Office wins
- Handles virtually any medical specialty with customizable templates
- AI Ambient Assist for hands-free documentation
- 1,279 Capterra reviews provides large peer base for troubleshooting
- Mobile e-prescribing including EPCS
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
Where NextGen Office falls short
- Implementation costs starting at $10,000 are prohibitive for solo practices
- 3.7 G2 rating despite large install base suggests mixed satisfaction
- Not built for behavioral health specifically — general healthcare EHR
- Estimated $300-500/provider/mo with no transparent pricing
Who is each product built for?
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.
NextGen Office
Target: 5-200 providers
Buy NextGen if you're a multi-specialty medical practice with 5+ providers who needs a configurable EHR that scales. Skip if you're a therapist or solo practitioner — this is medical-practice enterprise software with medical-practice enterprise pricing.
Feature comparison
| Feature | Heard | NextGen Office |
|---|---|---|
| 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 NextGen Office's 6.8/10 in our ranking. Heard is the better pick for 1-5 providers. NextGen Office is better if you need multi-specialty medical practices with 5+ providers who need a configurable ehr that scales.
Heard starts at $169/month. NextGen Office starts at $300/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
Heard: No free trial. NextGen Office: No free trial. Always test with your actual workflow before committing to an annual plan.
Heard covers 1 of 18 features we track. NextGen Office covers 17 of 18. NextGen Office has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
No, Heard does not have a mobile app. NextGen Office does have one.
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 Heard if...
Solo therapists in private practice who want someone else to handle bookkeeping and taxes
Pick NextGen Office if...
Multi-specialty medical practices with 5+ providers who need a configurable EHR that scales