--- title: "TherapyNotes™ 4.51: Psychiatry Treatment Plan No Longer Required, Boosted Billing Performance, and More" description: TherapyNotes™ 4.51 improves the workflow for psychiatry notes, introduces significant billing performance improvements, and much more. image: https://blog.therapynotes.com/hubfs/images/blog/whats-new/190904-release-451-920x500.png?noresize --- [![TherapyNotes Practice Management and EHR](https://blog.therapynotes.com/hubfs/images/primary/NavLogo@2x.png?noresize)](https://www.therapynotes.com/) - [Try Free](https://www.therapynotes.com/about/signup/) [Log In](https://www.therapynotes.com/app/login/) - - [![Call Us: (215) 658-4550](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuCall@2x.png?noresize&width=25&height=25&name=MobileMenuCall@2x.png)Call Us: (215) 658-4550](tel:+12156584550) - [![](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuTrial@2x.png?noresize&width=25&height=25&name=MobileMenuTrial@2x.png)Start Your Free Trial](https://www.therapynotes.com/about/signup/) - [![](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuDemo@2x.png?noresize&width=25&height=25&name=MobileMenuDemo@2x.png)Schedule a Demo](https://blog.therapynotes.com/schedule) --- - ![](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuExplore@2x.png?noresize&width=25&height=25&name=MobileMenuExplore@2x.png)Explore - [Pricing](https://www.therapynotes.com/pricing/) - [Blog](https://blog.therapynotes.com/) - [Help Center](https://support.therapynotes.com) - [For Education](https://www.therapynotes.com/education/) - [Find a Therapist](https://www.therapysearch.com) --- - ![](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuFeatures@2x.png?noresize&width=25&height=25&name=MobileMenuFeatures@2x.png)Features Practice Management - [Billing](https://www.therapynotes.com/features/billing/) - [Scheduling](https://www.therapynotes.com/features/scheduling/) - [Messaging](https://www.therapynotes.com/features/securemessaging/) - [Payments](https://www.therapynotes.com/features/payment-processing/) Clinical Documentation - [Notes](https://www.therapynotes.com/features/notes/) - [TherapyFuel®](https://www.therapynotes.com/features/therapyfuel/) - [Outcome Measures](https://www.therapynotes.com/features/outcome-measures/) - [ePrescribe](https://www.therapynotes.com/features/eprescribe/) Client Engagement - [TherapyPortal™](https://www.therapynotes.com/features/client-portal/) - [Telehealth](https://www.therapynotes.com/features/telehealth/) - [TherapySearch™](https://www.therapysearch.com/clinicians) Additional Resources - [Mobile App](https://www.therapynotes.com/features/therapynotes-mobile/) - [Support](https://www.therapynotes.com/features/support/) - [Security](https://www.therapynotes.com/features/security/) --- - ![](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuAbout@2x.png?noresize&width=25&height=25&name=MobileMenuAbout@2x.png)About - [Company](https://www.therapynotes.com/company/) - [Careers](https://www.therapynotes.com/careers/) - [Reviews](https://www.therapynotes.com/reviews/) - [Contact](https://www.therapynotes.com/contact/) - [Store](http://therapynotesshop.com/) - [Status](https://blog.therapynotes.com/status) [![TherapyNotes Practice Management and EHR](https://blog.therapynotes.com/hubfs/images/primary/NavPartialLogo@2x.png?noresize)](https://www.therapynotes.com/) - - [![](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuTrial@2x.png?noresize&width=25&height=25&name=MobileMenuTrial@2x.png)Start Your Free Trial](https://www.therapynotes.com/about/signup/) - [![](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuDemo@2x.png?noresize&width=25&height=25&name=MobileMenuDemo@2x.png)Schedule a Demo](https://blog.therapynotes.com/schedule) --- - ![](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuExplore@2x.png?noresize&width=25&height=25&name=MobileMenuExplore@2x.png)Explore - [Pricing](https://www.therapynotes.com/pricing/) - [Blog](https://blog.therapynotes.com/) - [Help Center](https://support.therapynotes.com) - [For Education](https://www.therapynotes.com/education/) - [Find a Therapist](https://www.therapysearch.com) --- - ![](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuFeatures@2x.png?noresize&width=25&height=25&name=MobileMenuFeatures@2x.png)Features Practice Management - [Billing](https://www.therapynotes.com/features/billing/) - [Scheduling](https://www.therapynotes.com/features/scheduling/) - [Messaging](https://www.therapynotes.com/features/securemessaging/) - [Payments](https://www.therapynotes.com/features/payment-processing/) Clinical Documentation - [Notes](https://www.therapynotes.com/features/notes/) - [TherapyFuel®](https://www.therapynotes.com/features/therapyfuel/) - [Outcome Measures](https://www.therapynotes.com/features/outcome-measures/) - [ePrescribe](https://www.therapynotes.com/features/eprescribe/) Client Engagement - [TherapyPortal™](https://www.therapynotes.com/features/client-portal/) - [Telehealth](https://www.therapynotes.com/features/telehealth/) - [TherapySearch™](https://www.therapysearch.com/clinicians) Additional Resources - [Mobile App](https://www.therapynotes.com/features/therapynotes-mobile/) - [Support](https://www.therapynotes.com/features/support/) - [Security](https://www.therapynotes.com/features/security/) --- - ![](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuAbout@2x.png?noresize&width=25&height=25&name=MobileMenuAbout@2x.png)About - [Company](https://www.therapynotes.com/company/) - [Careers](https://www.therapynotes.com/careers/) - [Reviews](https://www.therapynotes.com/reviews/) - [Contact](https://www.therapynotes.com/contact/) - [Store](http://therapynotesshop.com/) - [Status](https://blog.therapynotes.com/status) [![TherapyNotes Practice Management and EHR](https://blog.therapynotes.com/hubfs/images/primary/NavLogo@2x.png?noresize)](https://www.therapynotes.com/) - - [![](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuTrial@2x.png?noresize&width=25&height=25&name=MobileMenuTrial@2x.png)Start Your Free Trial](https://www.therapynotes.com/about/signup/) - [![](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuDemo@2x.png?noresize&width=25&height=25&name=MobileMenuDemo@2x.png)Schedule a Demo](https://blog.therapynotes.com/schedule) --- - ![](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuExplore@2x.png?noresize&width=25&height=25&name=MobileMenuExplore@2x.png)Explore - [Pricing](https://www.therapynotes.com/pricing/) - [Blog](https://blog.therapynotes.com/) - [Help Center](https://support.therapynotes.com) - [For Education](https://www.therapynotes.com/education/) - [Find a Therapist](https://www.therapysearch.com) --- - ![](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuFeatures@2x.png?noresize&width=25&height=25&name=MobileMenuFeatures@2x.png)Features Practice Management - [Billing](https://www.therapynotes.com/features/billing/) - [Scheduling](https://www.therapynotes.com/features/scheduling/) - [Messaging](https://www.therapynotes.com/features/securemessaging/) - [Payments](https://www.therapynotes.com/features/payment-processing/) Clinical Documentation - [Notes](https://www.therapynotes.com/features/notes/) - [TherapyFuel®](https://www.therapynotes.com/features/therapyfuel/) - [Outcome Measures](https://www.therapynotes.com/features/outcome-measures/) - [ePrescribe](https://www.therapynotes.com/features/eprescribe/) Client Engagement - [TherapyPortal™](https://www.therapynotes.com/features/client-portal/) - [Telehealth](https://www.therapynotes.com/features/telehealth/) - [TherapySearch™](https://www.therapysearch.com/clinicians) Additional Resources - [Mobile App](https://www.therapynotes.com/features/therapynotes-mobile/) - [Support](https://www.therapynotes.com/features/support/) - [Security](https://www.therapynotes.com/features/security/) --- - ![](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuAbout@2x.png?noresize&width=25&height=25&name=MobileMenuAbout@2x.png)About - [Company](https://www.therapynotes.com/company/) - [Careers](https://www.therapynotes.com/careers/) - [Reviews](https://www.therapynotes.com/reviews/) - [Contact](https://www.therapynotes.com/contact/) - [Store](http://therapynotesshop.com/) - [Status](https://blog.therapynotes.com/status) [![TherapyNotes Practice Management and EHR](https://blog.therapynotes.com/hubfs/images/primary/NavPartialLogo@2x.png?noresize)](https://www.therapynotes.com/) - [Features](https://www.therapynotes.com/features/) Practice Management - [Billing](https://www.therapynotes.com/features/billing/) - [Scheduling](https://www.therapynotes.com/features/scheduling/) - [Messaging](https://www.therapynotes.com/features/securemessaging/) - [Payments](https://www.therapynotes.com/features/payment-processing/) Clinical Documentation - [Notes](https://www.therapynotes.com/features/notes/) - [TherapyFuel®](https://www.therapynotes.com/features/therapyfuel/) - [Outcome Measures](https://www.therapynotes.com/features/outcome-measures/) - [ePrescribe](https://www.therapynotes.com/features/eprescribe/) Client Engagement - [TherapyPortal™](https://www.therapynotes.com/features/client-portal/) - [Telehealth](https://www.therapynotes.com/features/telehealth/) - [TherapySearch™](https://www.therapysearch.com/clinicians) Additional Resources - [Mobile App](https://www.therapynotes.com/features/therapynotes-mobile/) - [Support](https://www.therapynotes.com/features/support/) - [Security](https://www.therapynotes.com/features/security/) - [Pricing](https://www.therapynotes.com/pricing/) - [Blog](https://blog.therapynotes.com/) - [About](https://www.therapynotes.com/company/) - [Contact](https://www.therapynotes.com/contact/) - [![TherapyNotes](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuCall@2x.png?noresize&width=24&height=24&name=MobileMenuCall@2x.png)(215) 658-4550](tel:+12156584550) - [Try Free](https://www.therapynotes.com/about/signup/) [Log In](https://www.therapynotes.com/app/login/) [![TherapyNotes Practice Management and EHR](https://blog.therapynotes.com/hubfs/images/primary/NavLogo@2x.png?noresize)](https://www.therapynotes.com/) - [Features](https://www.therapynotes.com/features/) Practice Management - [Billing](https://www.therapynotes.com/features/billing/) - [Scheduling](https://www.therapynotes.com/features/scheduling/) - [Messaging](https://www.therapynotes.com/features/securemessaging/) - [Payments](https://www.therapynotes.com/features/payment-processing/) Clinical Documentation - [Notes](https://www.therapynotes.com/features/notes/) - [TherapyFuel®](https://www.therapynotes.com/features/therapyfuel/) - [Outcome Measures](https://www.therapynotes.com/features/outcome-measures/) - [ePrescribe](https://www.therapynotes.com/features/eprescribe/) Client Engagement - [TherapyPortal™](https://www.therapynotes.com/features/client-portal/) - [Telehealth](https://www.therapynotes.com/features/telehealth/) - [TherapySearch™](https://www.therapysearch.com/clinicians) Additional Resources - [Mobile App](https://www.therapynotes.com/features/therapynotes-mobile/) - [Support](https://www.therapynotes.com/features/support/) - [Security](https://www.therapynotes.com/features/security/) - [Pricing](https://www.therapynotes.com/pricing/) - [Blog](https://blog.therapynotes.com/) - [About](https://www.therapynotes.com/company/) - [Contact](https://www.therapynotes.com/contact/) - [![TherapyNotes](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/MobileMenuCall@2x.png?noresize&width=24&height=24&name=MobileMenuCall@2x.png)(215) 658-4550](tel:+12156584550) - [Try Free](https://www.therapynotes.com/about/signup/) [Log In](https://www.therapynotes.com/app/login/) Blog Post Topic Filter Topic Topic Select a topic to show [All Topics](https://blog.therapynotes.com) - [Software Updates (290)](https://blog.therapynotes.com/topic/software-updates) - [Business Ownership (79)](https://blog.therapynotes.com/topic/business-ownership) - [Group Practice (52)](https://blog.therapynotes.com/topic/group-practice) - [Company News (47)](https://blog.therapynotes.com/topic/company-news) - [Marketing (35)](https://blog.therapynotes.com/topic/marketing) - [Medical Billing (17)](https://blog.therapynotes.com/topic/medical-billing) - [Technology (10)](https://blog.therapynotes.com/topic/technology) - [Documentation (7)](https://blog.therapynotes.com/topic/documentation) - [Accounting (6)](https://blog.therapynotes.com/topic/accounting) - [Networking (6)](https://blog.therapynotes.com/topic/networking) - [Niche (6)](https://blog.therapynotes.com/topic/niche) - [TherapySearch (4)](https://blog.therapynotes.com/topic/therapysearch) Reading TherapyNotes™ 4.51: Psychiatry Treatment Plan No Longer Required, Boosted Billing Performance, and MoreFind More Posts # TherapyNotes™ 4.51: Psychiatry Treatment Plan No Longer Required, Boosted Billing Performance, and More ##### By TherapyNotes®, LLC on September 5, 2019 ![190904-release-451-100x100](https://blog.therapynotes.com/hubfs/images/blog/whats-new/190904-release-451-920x500.png?noresize?noresize) ### **Psychiatry Treatment Plan No Longer Required** Medication management users in TherapyNotes™, such as psychiatrists and nurse practitioners, are no longer suggested or required to write treatment plans. Our Psychiatry Treatment Plan template is still available for medication management users to use if desired, but we will likely phase it out in the future. This change was made to better suit the standard psychiatry workflow, and we have plenty more coming for our prescribers. ### **Billing Performance Improvements** We've implemented several changes in this release to significantly improve the performance of viewing and searching for billing data. These improvements solve timeout issues that larger practices may have encountered with particular pages (such as the Mark External Items page), search filters (such as searching for patients with open balances), and billing functions (such as editing insurance or patient payments). ### **Early Two-Factor Authentication Prompt** Now, if you have two-factor authentication enabled for your account, we'll alert you when you log in to your account starting five days before your 2FA token expires so that you can renew your token when it's most convenient for you. Renewing your token early may help you avoid extra stress if you find yourself needing urgent access to your account after your 2FA token has expired. ### **Other Improvements** This release also includes numerous improvements that help make TherapyNotes™ even easier to use. Here are key changes you may notice: - We've redesigned the Notes tab when you open a date of service. Rather than a plain list of links, this tab now looks more like your To-Do list and clearly shows you the name and status of any completed notes related to the appointment. - When creating a Psychotherapy Progress Note, if the most recent treatment plan for the patient requires a supervisor's signature but has not yet been signed by a supervisor, we now show an alert that the progress note should not be completed until the treatment plan has been signed by a supervisor. - On our new Patient Information Form, we've added placeholder text to the Preferred Name field to make it more clear to your patients that the field is optional. - When creating a patient contact with an international address, you can now enter non-US states in the City/State field. There's a lot of work we've done behind-the-scenes for other initiatives, too. Stay tuned to learn more about these initiatives as they're released! \* The content of this post is intended to serve as general advice and information. It is not to be taken as legal advice and may not account for all rules and regulations in every jurisdiction. For legal advice, please contact an attorney. Share: Previous Post: [When Your Practice Plateaus](https://blog.therapynotes.com/when-your-practice-plateaus) Next Post: [Don’t Stop Optimizing Your Website Just Because Your Practice Is Full](https://blog.therapynotes.com/dont-stop-optimizing-your-website-just-because-your-practice-is-full) ##### Get more content like this, delivered right to your inbox. Subscribe to our newsletter. ## More Content You'll Enjoy ![](https://blog.therapynotes.com/hubfs/Whats%20New%20Images/blog%20images/whats-new/220907-outcomemeasures-1593x1327.png) ##### [What’s New: Secondary Billing Improvements & Enhanced Client Feedback Form](https://blog.therapynotes.com/whats-new-secondary-billing-improvements-enhanced-client-feedback-form) This release introduces easier secondary insurance updates and enhances the Client... ![](https://blog.therapynotes.com/hubfs/Whats%20New%20Images/external/whats-new/2026%20Features/07ReFuel500x277.png) ##### [What’s New: TherapyFuel® ReFuel & ePrescribe Updates](https://blog.therapynotes.com/whats-new-therapyfuel-refuel-eprescribe-updates) This release brings greater flexibility and clinical context to documentation in... ![](https://blog.therapynotes.com/hubfs/Whats%20New%20Images/blog%20images/whats-new/Reusable/200415-whatsnew-456-600x500.png) ##### [Maintenance Release 2026.07](https://blog.therapynotes.com/maintenance-release-2026.07) As with all maintenance releases, TherapyNotes® 2026.07 includes numerous system-wide... ![Phone Icon](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/FooterPhoneIcon@2x.png?noresize&height=20&name=FooterPhoneIcon@2x.png) We're here for you every day of the week. [(215) 658-4550](tel:+12156584550) What our customers are saying:“I just switched to TN five months ago. Customer service at TN is unmatched and my transition to them was easy. The cost is also awesome! Plus they are taking notes and making new improvements daily. Personally, I love it here!”By Deirdre on April 2, 2024 Explore [Pricing](https://www.therapynotes.com/pricing/) [Blog](https://blog.therapynotes.com/) [Help Center](https://support.therapynotes.com) [For Education](https://www.therapynotes.com/education/) Practice Management [Billing](https://www.therapynotes.com/features/billing/) [Scheduling](https://www.therapynotes.com/features/scheduling/) [Messaging](https://www.therapynotes.com/features/securemessaging/) [Payments](https://www.therapynotes.com/features/credit-card-processing/) Clinical Documentation [Notes](https://www.therapynotes.com/features/notes/) [TherapyFuel®](https://www.therapynotes.com/features/therapyfuel/) [Outcome Measures](https://www.therapynotes.com/features/outcome-measures/) [ePrescribe](https://www.therapynotes.com/features/eprescribe/) Client Engagement [TherapyPortal™](https://www.therapynotes.com/features/client-portal/) [Telehealth](https://www.therapynotes.com/features/telehealth/) [TherapySearch™](https://www.therapysearch.com/clinicians) Additional Resources [Mobile App](https://www.therapynotes.com/features/therapynotes-mobile/) [Support](https://www.therapynotes.com/features/support/) [Security](https://www.therapynotes.com/features/security/) About [Company](https://www.therapynotes.com/company/) [Careers](https://www.therapynotes.com/careers/) [Reviews](https://www.therapynotes.com/reviews/) [Contact](https://www.therapynotes.com/contact/) [Store](https://therapynotesshop.com/) [Status](https://blog.therapynotes.com/status) Highest Rated EHR 4.9 out of 5 stars | [2,755 Reviews](https://www.therapynotes.com/reviews/) America’s Best Online Platforms Newsweek and Statista 2025–2026 [![TherapyNotes logo](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/FooterLogo@2x.png?noresize&width=38&height=44&name=FooterLogo@2x.png)](https://www.therapynotes.com/) © TherapyNotes, LLC. All Rights Reserved. [![California Consumer Privacy Act (CCPA) Opt-Out Icon](https://blog.therapynotes.com/hubfs/images/primary/CCPAprivacyoptions.svg) Your Privacy Choices](https://blog.therapynotes.com/data-subject-request) [Privacy Policy](https://www.therapynotes.com/legal/privacypolicy/) [Terms of Service](https://www.therapynotes.com/legal/usertermsofservice/) [Data Processing Addendum](https://www.therapynotes.com/legal/eucustomerdpa/) Cookie Settings ![Phone Icon](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/FooterPhoneIcon@2x.png?noresize&width=18&height=18&name=FooterPhoneIcon@2x.png) We're here for you every day of the week. [(215) 658-4550](tel:+12156584550) What our customers are saying: “I just switched to TN five months ago. Customer service at TN is unmatched and my transition to them was easy. The cost is also awesome! Plus they are taking notes and making new improvements daily. Personally, I love it here!” By Deirdre on April 2, 2024 ![Trustpilot](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/FooterTrustpilotLogo@2x-1.png?noresize&width=96&height=24&name=FooterTrustpilotLogo@2x-1.png) Highest Rated EHR 4.9 out of 5 | [2,755 Reviews](https://www.therapynotes.com/reviews/) America’s Best Online Platforms Newsweek and Statista 2025–2026 [![TherapyNotes logo](https://blog.therapynotes.com/hs-fs/hubfs/images/primary/FooterLogo@2x.png?noresize&width=38&height=44&name=FooterLogo@2x.png)](https://www.therapynotes.com/) © TherapyNotes, LLC. All Rights Reserved. [![California Consumer Privacy Act (CCPA) Opt-Out Icon](https://blog.therapynotes.com/hubfs/images/primary/CCPAprivacyoptions.svg) Your Privacy Choices](https://blog.therapynotes.com/data-subject-request) [Privacy Policy](https://www.therapynotes.com/legal/privacypolicy/) [Terms of Service](https://www.therapynotes.com/legal/usertermsofservice/) [Data Processing Addendum](https://www.therapynotes.com/legal/eucustomerdpa/) Cookie Settings