Comparison

SLPDesk vs. TheraNest

TheraNest is designed for private practice clinicians managing insurance billing. SLPDesk is built for school-based SLPs — IEP goals, Medicaid billing, real-time activity delivery, and AI documentation included from day one.

Try SLPDesk free
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SLPDeskSchool-Based SLP

Purpose-built for school district SLP teams. AI session notes, 200+ therapy activities, IEP goal tracking, Medicaid billing, SLPA delegation with audit trail, district admin dashboard, and parent portal — starting free.

✓ Free tier — no credit card required
T
TheraNest

Practice management platform built for private practice and group practices. Strong insurance billing and scheduling features. Not designed for school-based work — no IEP tools, no therapy activity library, no school Medicaid billing, no SLPA delegation.

21-day trial, then paid plans. No school/district pricing.

Full feature comparison

Documentation
Feature
SLPDesk
TheraNest
AI-generated session notes
Streams live in < 10 seconds
Streaming note generation
AI parent progress summaries
Medicaid billing export (ICD-10/CPT)
General billing, not school Medicaid
SOAP / narrative note templates
Activity Delivery
Feature
SLPDesk
TheraNest
Built-in therapy materials library
300+ curated SLP activities
No activity library
Real-time collaborative delivery
WebSocket, 4 delivery modes
Student-only distraction-free view
Custom activity builder
IEP & Goals
Feature
SLPDesk
TheraNest
IEP goal bank (SLP-specific)
Treatment plans, not IEP goals
Goal progress tracking with charts
Basic progress notes
Goals auto-pulled into notes
Data points / trial recording
School-Specific
Feature
SLPDesk
TheraNest
District admin dashboard
Service minutes, productivity, compliance
SLPA delegation + audit trail
School Medicaid billing tools
Caseload management
Client lists, not school caseloads
Platform
Feature
SLPDesk
TheraNest
Free tier available
No credit card required
21-day trial only
School / district pricing
Per-clinician private practice pricing
FERPA / HIPAA compliance
Teletherapy integration
Zoom, Meet, Teams built-in
Limited teletherapy features
Parent Engagement
Feature
SLPDesk
TheraNest
Parent portal
Progress + session summaries
Client portal for invoices only
Home practice assignments

Comparison based on publicly available information as of April 2026. Email us if anything is inaccurate.

Why school SLPs switch from TheraNest

No IEP support

TheraNest's treatment plans don't map to IEP goals. SLPDesk has a built-in SLP goal bank, trial recording, and progress charts aligned to IEP reporting cycles.

No activity library

TheraNest has no therapy materials. SLPDesk includes 300+ curated activities with real-time collaborative delivery, flashcards, drill modes, and a custom builder.

No school Medicaid billing

School-based Medicaid is a separate workflow from private-pay billing. SLPDesk exports sessions with ICD-10 + CPT codes in the format school districts need.

Built for school hallways, not private offices.

SLPDesk is the only platform built end-to-end for school-based speech-language pathologists — from IEP goals to Medicaid billing to AI notes.

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