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.
Start freeSLPDesk
School-Based SLPFree plan · Pro $24/mo ($19/mo billed annually)
Purpose-built for school district SLP teams. AI session notes, 763 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
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.
Side by side
| Capability | SLPDesk | TheraNest |
|---|---|---|
| At a glance | ||
| Trial data recorded during activities | ✓ Every mark is a trial on the student's goal | ✗ |
| IEP goal tracking | ✓ | ◐ |
| Caseload & scheduling | ✓ | ◐ |
| AI documentation (session notes) | ✓ SOAP notes drafted from session data | ✗ |
| Student device / link play | ✓ Login-free play links that record | ✗ |
| Price | Free plan · Pro $24/mo ($19/mo billed annually) | — |
| Documentation | ||
| AI-generated session notes | ✓ Streams as it drafts | ✗ |
| Streaming note generation | ✓ | ✗ |
| AI parent progress summaries | ✓ | ✗ |
| Medicaid billing export (ICD-10/CPT) | ✓ | ◐ General billing, not school Medicaid |
| SOAP / narrative note templates | ✓ | ✓ |
| Activity Delivery | ||
| Built-in therapy materials library | ✓ 763 curated SLP activities | ✗ No activity library |
| Real-time collaborative delivery | ✓ WebSocket, 4 delivery modes | ✗ |
| Student-only distraction-free view | ✓ | ✗ |
| Custom activity builder | ✓ | ✗ |
| IEP & Goals | ||
| 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 | ||
| District admin dashboard | ✓ Service minutes, productivity, compliance | ✗ |
| SLPA delegation + audit trail | ✓ | ✗ |
| School Medicaid billing tools | ✓ | ✗ |
| Caseload management | ✓ | ◐ Client lists, not school caseloads |
| Platform | ||
| 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 | ||
| Parent portal | ✓ Progress + session summaries | ◐ Client portal for invoices only |
| Home practice assignments | ✓ | ✗ |
Comparison based on publicly available information as of April 2026. "—" means we could not verify it either way. Features change — email hello@slpdesk.com if something is wrong. See every comparison.
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 763 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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