The short answer
Choose Practice Pillar if
- you own a therapy group that supervises associates
- you need every cosignature and supervision hour dated
- you owe Good Faith Estimates and want each one dated
- you want licenses, onboarding and inquiries beside the chart
Choose Jane if
- your clinic mixes therapy with other disciplines
- you need electronic claims or card payments working this month
- you pay clinicians a share of what they collect and want that report built in
Practice Pillar fits a US therapy group practice that supervises associates. Jane fits a clinic that mixes therapy with other disciplines, or one that needs insurance claims or card payments working this month, because Practice Pillar has no clearinghouse or card processor connected yet.
The deciding question is what each product was built for. Jane's home page calls it "Practice Management Software for Health & Wellness Clinics". Practice Pillar is built for therapy group practices and nothing else. A therapy group carries rules a physical therapy or massage clinic does not, such as a board's supervision schedule for each associate, psychotherapy notes kept apart from the chart and a Good Faith Estimate for each self-pay client. What matters is whether those rules live in the software or in someone's memory.
Practice Pillar publishes this guide, so treat its side as a vendor's statement and check it in a demo. Every Jane line below is quoted from Jane's own pages, read on October 22, 2026 and linked. None of those pages showed when it was last updated. When the guide says Jane's pages do not mention something, it means the pages under Sources did not mention it that day, not that Jane lacks it.
How do Jane and Practice Pillar compare at a glance?
What does each one charge a group practice?
Jane charges by license, and a license follows bookings. Its pricing page lists plans at USD $59, $79 and $99 a month. It calls a license "just a software term for a practitioner profile that can take bookings", prices practitioners under 24 booked hours a week as part-time, and says "Admin or support staff who don't have appointments booked under their profile are free of charge."
Some of what a US therapy group needs is an add-on. The same page lists an AI Scribe at "$15 /month per opted-in practitioner for unlimited notes", and says Insurance Billing "will increase their fee by $5/full-timer and $2.50/part-timer."
Practice Pillar's pricing page publishes every price for practices of up to 50 clinicians and runs an estimate for your clinician count. Which bill is lower depends on your mix of full-time and part-time clinicians and on what you add. Price both for your own practice. This guide does not total them line by line, because vendors' prices change faster than a guide is checked.
How does each one handle supervision and cosigning?
This is the widest gap for a group with associates. Jane's own article on supervisor sign-off says:
While there isn't a direct feature to co-sign charts, this is where the "Change Chart Author" feature comes into play.
The same article offers a Supervision feature instead, and says "it's still being built and added to."
Practice Pillar dates the work. Its clinical record page says "Each cosignature a supervisor owes has a due date, and supervision hours are counted against your licensing board's schedule." In Texas, the board's rules set an LPC Associate's supervision, and the owner answers when it slips. The supervision guide explains what to track.
With no supervisees, this section matters little. With several, it may decide the choice.
How does each one bill US insurance?
Jane is ahead here today. Its US insurance billing guide says its billing features "are available to US clinics with the Insurance Billing add-on" and that "Jane's built-in clearinghouse partner is Claim.MD." Its remittance guide says that with the connection on "you won't need to leave Jane to download any ERA files."
Practice Pillar has no clearinghouse connected yet and prints claims on the CMS-1500. A practice that sends most claims electronically should weigh that first.
What Practice Pillar adds are the rules around the claim that a therapy practice owes. Its client balances page says:
- "A service code is suggested from the minutes in the signed note, by your practice's own rule. A posted code those minutes do not support is flagged."
- "Each Good Faith Estimate you owe has a due date, and is flagged before it is late."
- "A sliding-scale tier is set from the federal poverty guidelines for the household's size and where it lives. The client's income is never stored."
The Good Faith Estimate guide explains when an estimate is owed.
Who can read psychotherapy notes?
Here the two state the same rule. Jane's article on who can see psychotherapy notes says "Psychotherapy Notes are visible only to the practitioner who wrote them" and "No other staff member, including the Account Owner, can view a practitioner's Psychotherapy Notes."
Practice Pillar's clinical record page says "Psychotherapy notes are a separate record. Only their author reads them, and no export includes them." The one difference on the pages is the export, which Jane's article does not address.
How does each one handle the practice's own operations?
Practice Pillar keeps the practice's operations beside the chart. Its operations and front office pages say:
- "A license counts as current only when the board's status and the expiration date both say so."
- "Each new clinician's onboarding carries their own caseload ramp, from the offer to a full caseload."
- "A scorecard shows each clinician on their own, and leaves a week blank when nobody entered its number."
- "An urgent inquiry stays where it is until someone records what was done about the client's safety."
- "Before a group note is signed, it is checked for every other member's name, so no one's name lands in someone else's chart."
Jane's pricing page lists "Relationship Management" among plan features, with no detail there. The Jane pages read for this guide showed no license tracking and no onboarding checklist. That is a reading of those pages, so ask in a demo.
Jane has a report for paying clinicians. Its billing reports guide says "The Compensation Report can be useful for calculating your clinic's payroll" and that it lists "what was collected or invoiced by each practitioner during a specific time period." This guide did not compare it with anything in Practice Pillar.
What happens to the records when a practice leaves?
Jane makes no promise to keep them. Its security FAQ says "The Account Owner / Subscriber of a Jane account retains ownership of all patient data." It also says "Jane does not make a commitment to store data long-term" once a subscription ends, and it recommends "Exporting Your Charts and other data" before you cancel.
Federal law sets one floor for every vendor that holds a practice's client records. Under 45 CFR §164.504(e)(2)(ii)(J), the business associate contract the vendor signs must provide that "At termination of the contract, if feasible, return or destroy all protected health information" it holds. The rule sets no window for the practice to export first, so ask each vendor how long that window is before you sign.
Practice Pillar's pricing page says "Export every record at any time, and for 90 days after you cancel." Its access page adds "Your practice exports its whole record itself, at any time, without asking anyone."
Where is Jane the better choice today?
Jane is ahead wherever money moves, and for a clinic with more than therapy in it. It sends US claims through Claim.MD and posts the remittances, and it processes cards through Jane Payments. Practice Pillar connects neither yet. It sells an AI Scribe, which this guide did not compare. And it serves "Health & Wellness Clinics" broadly, so a clinic with other kinds of practitioners beside its therapists may keep everyone in one system. Confirm your disciplines in a demo.
Neither prescribes today. Jane's October 13, 2026 post says "ePrescribe in Jane is coming to US clinics this winter as an add-on to any plan." Practice Pillar opens prescribing from the chart in a certified partner's screen, and that partner is not chosen yet.
If most of your sessions are billed to insurance and the claims have to go electronically this month, that settles it. Choose Jane, and look at Practice Pillar again at your next software review.
What does moving from Jane, or from SimplePractice, involve?
Jane is on the list of systems Practice Pillar's import reads. Practice Pillar's switching pages say "You import clients, appointments with their outcomes and balances yourself, and check every row before anything is saved." Export from Jane as its security FAQ recommends, then run the files through the import's preview before you pick a date.
Some owners weigh Jane and Practice Pillar as places to go from SimplePractice. Jane's SimplePractice import guide says "historical billing information can't be imported" and that "All treatments will be imported with a default 30 minute duration" because no accurate duration comes across. The SimplePractice comparison covers that move from Practice Pillar's side.
What to do this week
- Count your clinicians and the booked hours each works a week. Jane prices on the 24-hour line, so you need that count.
- Count the claims you send a month and how many go electronically. If it is most of them and the date is this month, that decides it for now.
- List each supervisee, their supervisor and when the next cosignature and supervision hours are due. Ask each vendor to show you those dates on screen.
- Export your current system's data and count the rows in each file, whichever product you choose.
- Set Jane's estimate beside one from Practice Pillar's pricing page for your clinician count, with every add-on you would buy.
Where Practice Pillar fits
Practice Pillar, software for therapy group practices, keeps intake, the chart, client balances and the practice's operations in one system. Its product overview lists what each area does.
Sources
- Jane home page, Jane Software Inc. Checked October 22, 2026.
- Jane pricing, Jane. Plans, the license and the 24-hour line, free admin staff, the AI Scribe, Insurance Billing and Relationship Management. Checked October 22, 2026.
- Supervisor sign-off, Jane guide. Checked October 22, 2026.
- Chapter 6, US insurance billing, Jane guide. Checked October 22, 2026.
- Posting insurer payments with electronic remittances, Jane guide. Checked October 22, 2026.
- Can other staff members see a practitioner's psychotherapy notes?, Jane guide. Checked October 22, 2026.
- Billing reports, Jane guide. Checked October 22, 2026.
- Security FAQ, Jane guide. Checked October 22, 2026.
- Jane Payments, Jane. Checked October 22, 2026.
- ePrescribe in Jane is coming soon, Jane blog. Published October 13, 2026. Checked October 22, 2026.
- Importing from SimplePractice, Jane guide. Checked October 22, 2026.
- 45 CFR §164.504, Code of Federal Regulations, paragraph (e)(2)(ii)(J). Checked October 23, 2026.
- Practice Pillar's product, pricing and switching pages. Checked October 22, 2026.
- Not checked: Jane's terms of use, its business associate agreement and any page behind a sign-in.
Changes to this guide
- Published, signed by Practice Pillar Editorial Staff. Added the federal rule on a vendor's records when its contract ends, checked against 45 CFR §164.504(e)(2)(ii)(J) on October 23, 2026.
- First draft. Every Jane quotation was read on October 22, 2026 on the Jane page or guide article linked beside it. None of those pages showed an update date. Practice Pillar's side is quoted from its own product, pricing and switching pages on the same day.