SimplePractice runs day-to-day therapy and wellness practice operations: clinical documentation and note templates, client scheduling, telehealth, insurance billing and claims tools, payments, a client portal, and group-practice reporting. Its own payroll guidance for hourly clinicians points practices to a timecard software, the calendar, or the Appointment Status Report so owners can estimate hours from billing codes used — appointment- and session-oriented inputs, not a dedicated employee time-clock or punch history for payroll attendance. Keito is the layer practices add for the hours: AI-drafted time entries a staff member confirms, reviewed and approved by someone else, with any change reasoned and recorded, before the hours become a paycheck.
Illustrative review queue
Illustrative pay period
Hours reviewed
Entries confirmed
48
Clinicians reviewed
9
Shifts covered
112
Hours tied to each shift
Staff member, role, and shift on every entry
Reviewed before payroll runs
A separate reviewer confirms hours before the batch closes
Evidence behind payroll
Reviewed hours back the payroll run
SimplePractice clinics schedule clients, document sessions, run telehealth, and bill through the EHR and related billing tools. SimplePractice’s own materials describe calculating hourly clinician pay from a separate timecard tool, the calendar, or the Appointment Status Report that filters billing codes by clinician and date — useful for estimating session-linked hours, not as a substitute for an independently reviewed time-and-attendance record before payroll. Keito answers the payroll question that leaves open: did each staff member confirm their hours, and did a separate reviewer approve them, before those hours became a paycheck.
Set up clinicians, front-office staff, and reviewers in Keito in days — SimplePractice keeps running documentation, scheduling, telehealth, billing, and payments exactly as it does today.
Keito drafts a time entry from the shift a staff member worked, so they confirm hours instead of reconstructing attendance from appointment calendars or Appointment Status Report exports at payroll time.
A separate reviewer approves payroll status before the period closes, then hands the approved hours to payroll as evidence.
Appointment reports are not payroll attendance
SimplePractice is published as EHR and practice management software for therapists and health and wellness professionals: clinical documentation with note templates, client scheduling, telehealth, insurance billing and claims tools, payments, a client portal, and group-practice insights. Public Solo and Group plans are presented on SimplePractice’s pricing pages (including named Solo Starter and Group plans with published per-practitioner monthly rates in USD on the pricing page, with larger groups eligible for custom pricing). SimplePractice’s own group-practice payroll guidance for the hourly model states that practices need a system for tracking hours — including time in client sessions and writing notes — and that owners can calculate pay using a timecard software, the calendar, or the Appointment Status Report to estimate hours from billing codes. Other published payroll paths lean on Income Allocation and Payments Received by Clinician reports that close pay periods around allocated payments, not a documented employee punch clock with In/Out history for payroll attendance. Keito’s argument is not that practices need a new EHR, scheduler, or billing platform — SimplePractice already publishes that stack, and Keito makes no claim to clinical notes, client scheduling, telehealth, claims, or payments. It is that the hours behind a paycheck deserve AI-drafted entries a staff member confirms and a separate reviewer approves, rather than reconstructing attendance from calendars or estimating hours from appointment billing codes. The boundary is deliberate: Keito has no EHR, scheduling, or billing tools, and it claims no native SimplePractice integration, automatic import, or synchronisation. SimplePractice keeps running the practice; Keito is where staff hours get an independent review before payroll.
Choose SimplePractice when the practice needs documentation, scheduling, telehealth, insurance billing, payments, and a client portal purpose-built for therapy and wellness
Choose Keito when the problem is independently reviewed payroll hours that SimplePractice’s appointment and income-allocation reports are not designed to replace
Prove it in one pay period: Keito runs alongside SimplePractice, reviewing hours without touching charts, schedules, or claims
Workflow fit
Keito keeps SimplePractice alternative connected to client, project, billable status, approval, and invoice context before the work reaches finance.
Choose SimplePractice when the practice needs documentation, scheduling, telehealth, insurance billing, payments, and a client portal purpose-built for therapy and wellness
Choose Keito when the problem is independently reviewed payroll hours that SimplePractice’s appointment and income-allocation reports are not designed to replace
Prove it in one pay period: Keito runs alongside SimplePractice, reviewing hours without touching charts, schedules, or claims
Keito drafts a time entry from the shift a staff member worked; they confirm and correct it instead of reconstructing attendance from appointment calendars or Appointment Status Report exports at payday.
SimplePractice’s appointment and income reports surface session and payment activity; Keito’s reviewer settles payroll status for every entry before the period closes.
Reviewers approve staff hours and hand the evidence to payroll for labor-cost review, through exports the team designs and tests itself.
The difference is not just recording time. It is whether the record can support billing, project decisions, and client conversations.
Product shape
A standalone workspace for reviewed, payroll-ready hours and labor-cost evidence.
SimplePractice publishes therapy and wellness EHR and practice management software — documentation, scheduling, telehealth, insurance billing, payments, client portal, and group-practice reporting.
How time is captured
AI drafts a shift-specific entry from the time worked; the staff member confirms it, and a separate reviewer approves before it becomes a paycheck.
SimplePractice schedules clients and clinicians and publishes payroll guidance that estimates hourly clinician hours from a separate timecard tool, the calendar, or the Appointment Status Report; reviewed product materials do not describe a dedicated employee time clock for payroll punches.
Correction and review
Every reviewed hour carries a reviewer, an approval state, and a reasoned record of any change, tracked from the first draft.
SimplePractice’s Appointment Status, Income Allocation, and Payments Received by Clinician reports help practices calculate clinician pay from sessions and payments; they are not documented as a second-approver payroll attendance workflow.
Review before payroll
A reviewer distinct from the staff member settles payroll status per entry before the period closes.
SimplePractice keeps the clinical and billing source of truth; payroll-grade attendance review is outside the documented appointment- and income-report path.
Pricing and adoption
Published flat team pricing and a setup measured in days, run alongside SimplePractice.
SimplePractice presents Solo and Group plans online with published per-month and per-practitioner prices, with documentation, scheduling, telehealth, and billing included in the platform.
Data movement
Team-designed, tested exports and API handoffs moved in deliberate stages.
SimplePractice’s own reporting and billing workflows belong to its platform; connecting reviewed-hours data to outside payroll tools is not an assumed automatic sync with Keito.
It is software a therapy or wellness practice adopts instead of, or alongside, SimplePractice, which runs documentation, scheduling, telehealth, insurance billing, and payments for clinicians and group practices. Because SimplePractice already covers that much of running a practice, an alternative rarely replaces all of it at once. Keito is the alternative for independently reviewed staff hours: AI-drafted entries a staff member confirms, approved by a separate reviewer before those hours become a paycheck.
SimplePractice schedules clients and clinicians and publishes payroll guidance that helps group owners estimate clinician hours from a separate timecard software, the calendar, or the Appointment Status Report filtered by clinician and date. Reviewed SimplePractice product and help materials describe those as appointment-, billing-code-, and payment-oriented tools, not a dedicated employee time-clock or punch history used as the payroll attendance source of truth.
The gap is payroll attendance review, not clinical documentation. SimplePractice already owns notes, scheduling, telehealth, insurance billing, and payments. Keito adds the hours layer: it drafts a time entry from the shift worked, the staff member confirms it, and a separate reviewer settles payroll status before the hours become evidence. SimplePractice still owns the chart and the claim; Keito owns the independently reviewed hours record.
Choose SimplePractice when the practice needs therapy-specific documentation, client scheduling, telehealth, insurance billing and claims tools, payments, and a client portal on one platform. Keito does not reproduce any of it: no clinical notes, no client scheduling, no telehealth, no claims, no payments. It is the wrong choice if the immediate need is an EHR or practice management suite rather than an independently reviewed record of staff hours.
Each reviewed record keeps the staff member, role, shift, duration, description, payroll status, reviewer, approval state, and pay period, tied to the specific shift worked rather than a session count or billing-code estimate. That package backs the payroll run and gives a practice manager a reviewed answer when a staff member’s hours are questioned.
No. Keito claims no native SimplePractice integration, automatic import, or two-way synchronisation — SimplePractice’s own documentation, scheduling, telehealth, billing, and reporting workflows belong to its platform, not Keito’s. Capture in Keito is its own workflow: AI-drafted, typed, timed, and manually entered records that pass review before becoming payroll evidence. A practice can keep SimplePractice for the EHR and run Keito alongside it as the independent review layer for staff hours, with any transfer between them designed and tested by the team.
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Start with Solo, add people on Pro when you need reviewers or collaborators, and see how Keito turns tracked effort into clearer reports.
