Built for clinicians who became business owners by accident.
At 40 sessions/week, the average counseling practice leaves $6,385/month uncollected — in no-shows, under-billed insurance, and documentation overhead. That stops when the engine runs.
Instantly connect your therapy practice with the tools you already use
No more copy-pasting, missed intakes, or unbilled sessions. Scheduling, documentation, and billing sync automatically — so you stay focused on your clients.
What your practice loses every month without automation
Not projections. The arithmetic of a 40-session practice at industry benchmarks.
Insurance billing gap
$1,600/moAt 40 sessions/week with 70% insurance billing, a 4–5 point gap below the 95% MGMA collection benchmark costs $1,600/month in under-collected revenue.
No-show revenue lost
$1,285/mo15% no-show rate × 40 sessions × $150 = $900/week. Automated recall sequences recover 1 in 3. That's $1,285/month sitting on the table.
Documentation overhead
$1,500/moAt 40 sessions/month, a therapist spending 30–50 min per SOAP note loses 20–33 hours of billable time. At $75/hr that's $1,500–$2,475/month in documentation labor.
Compliance exposure
$2,000/mo riskA single HIPAA violation from a missing training record runs $10,000–$50,000. A lapsed therapist credential can trigger $5,000–$20,000 in regulatory fines and interrupt billing.
$6,385/month minimum
left on the table before Fanout value, risk exposure, and vendor coordination costs.
$12,780 / month. Three ways.
Revenue recovered + Labor freed + Risk eliminated. All attributed, all sourced.
Total monthly benefit
$12,780/mo
NuStack fee: $3,900/mo · You keep: $8,880/mo
Enter your numbers. See your return.
Adjust to match your practice. All outputs update live.
Your practice numbers
Adjust the inputs — results update live.
Based on MGMA, DialogHealth, BrightLocal 2025 benchmarks. Your results will vary.
Here's the receipt.
Every module. What it automates. What it's worth. Where the number comes from.
What's running for you
Eight automation categories. All connected. All managed.
SimplePractice is a great EHR. This is an engine.
Keragon gives you the pieces. NuStack already put them together.
Total value delivered by the Practice Engine at baseline benchmarks.
Without adding staff. Without switching EHRs. Without building a single workflow yourself.
Common questions
See also: All Engines · vs. SimplePractice · vs. Tebra · ROI Calculator
The cost of doing it yourself
What a counseling practice pays to stitch this together alone
Most practices are paying $1,400+/mo across 7 vendors — and still missing automations.
| Tool | What it does | DIY cost |
|---|---|---|
| SimplePractice / TherapyNotes | EHR + scheduling | $99–149/mo |
| Hushmail / TigerConnect | HIPAA-compliant messaging | $29–79/mo |
| Zoom for Healthcare | Telehealth visits | $149–200/mo |
| Birdeye / Podium | Review requests + reputation | $299–499/mo |
| Mailchimp / ActiveCampaign | Email marketing + drip | $75–150/mo |
| DocuSign / Adobe Sign | Intake + consent forms | $25–45/mo |
| Stripe / Square | Payment processing setup | $50–100/mo |
| IT + integration labor | Making these work together | $400–600/mo |
| Total DIY cost | $1,126–1,822/mo | |
NuStack replaces all of it. One flat fee. No integrations to manage. See your custom proposal →
See your Practice Engine running.
Book a Live Reveal. We demo the engine running against your practice type, show you the real numbers, and hand you a custom proposal before you leave.
Book a Live RevealNo commitment. A real proposal for your real practice.
Want the full overview? See everything the Behavioral Health Automation Engine does →