NB

Nathan Boyd, MBA

CEO, PIMSY EHR

Contributing Editor at EHR Source

LinkedIn Profile

About

Nathan Boyd is CEO of PIMSY EHR and a 15-year veteran of behavioral health technology. He has spent his career building and scaling operations for organizations that serve mental health and substance use disorder providers across the country.

Before leading PIMSY, Nathan served as VP of Operations at Therapy Brands (now Ensora Health), where he oversaw billing, credentialing, and software development operations. He has also held leadership positions at Truepill as Director of Strategy and Operations and at Better Health as Head of Operations.

Nathan started his career as an in-home counselor, giving him firsthand understanding of the clinical workflows that EHR systems are designed to support. He holds an MBA from Northwest Missouri State University.

At EHR Source, Nathan writes about EHR operations, vendor evaluation, revenue cycle management, and practical technology strategy for behavioral health organizations.

Credentials

  • MBA, Northwest Missouri State University

Expertise

EHR Operations Behavioral Health Technology Revenue Cycle Management Vendor Evaluation Healthcare IT Strategy

Articles by Nathan Boyd

selection 14 min read

Why Ease Is a Strong Choice for Behavioral Health Organizations (2026)

A deep 2026 buyer guide for behavioral health executives evaluating Ease across admissions, care delivery, compliance, and revenue performance.
selection 13 min read

Why Residential Treatment Centers Should Evaluate Ease First (2026)

A deep residential-treatment buyer guide for 2026 focused on bed utilization, medication reliability, compliance controls, and cash-flow predictability.
implementation 22 min read

The Complete EHR Implementation Checklist: An 8-Phase Guide for 2026

An 8-phase EHR implementation checklist: planning, data migration, training, go-live, and optimization steps to avoid costly mistakes.
selection 18 min read

The EHR Selection Process: A 5-Step Vendor Evaluation Framework

5-step EHR vendor evaluation framework: requirements, shortlisting, demos, due diligence, and contract negotiation with a free scorecard.
strategy 11 min read

TEFCA Readiness Playbook: What to Validate Before You Commit to an EHR

How provider organizations should validate TEFCA and interoperability readiness claims from EHR vendors in real operational workflows.
selection 11 min read

FHIR API Procurement Checklist for Multi-Site Provider Groups

A contract and technical due-diligence checklist to validate FHIR API readiness when selecting an EHR for multi-site provider organizations.
implementation 14 min read

EHR Downtime and Ransomware Response Runbook for Clinics and BH Centers

EHR downtime and ransomware response runbook: protect patient safety, maintain operations, and meet compliance obligations during outages.
implementation 13 min read

Ambient AI Clinical Documentation: Implementation Playbook for Provider Groups

Deploy ambient AI documentation at scale: pilot design, quality controls, risk management, and governance for multi-site organizations.
selection 11 min read

Best EHR for Orthopedic Practices (2026 Buyer Guide)

Orthopedic EHR buyer guide: evaluate surgical coordination, implant tracking, imaging workflows, and procedure-heavy billing performance.
selection 11 min read

Best EHR for OB-GYN Practices (2026 Buyer Guide)

OB-GYN EHR buyer guide: prenatal flow sheets, L&D documentation, procedure coding, and care coordination across trimesters.
selection 12 min read

Best EHR for FQHC and Community Health Centers (2026 Buyer Guide)

FQHC EHR buyer guide: UDS reporting automation, sliding-fee workflows, integrated behavioral health, and grant-compliant operations.
selection 10 min read

Best EHR for Ophthalmology Practices (2026 Buyer Guide)

Ophthalmology EHR buyer guide: OCT/imaging integration, surgical scheduling, high-volume throughput, and eye-care-specific coding.
selection 10 min read

Best EHR for Gastroenterology Practices (2026 Buyer Guide)

A practical gastroenterology EHR buyer guide for procedure scheduling, documentation quality, pathology follow-up, and revenue-cycle consistency.
selection 10 min read

Best EHR for Rheumatology Practices (2026 Buyer Guide)

Rheumatology EHR buyer guide: biologic infusion workflows, disease activity scoring, longitudinal outcomes tracking, and prior auth automation.
selection 10 min read

Best EHR for Pulmonology Practices (2026 Buyer Guide)

Pulmonology EHR buyer guide: PFT integration, COPD/asthma care plans, sleep study coordination, and respiratory-specific documentation.
selection 10 min read

Best EHR for Urology Practices (2026 Buyer Guide)

How urology groups should evaluate EHR systems for procedure workflows, chronic care follow-up, documentation quality, and payer performance.
selection 10 min read

Best EHR for Physical Medicine and Rehab Practices (2026 Buyer Guide)

A PM&R-focused EHR selection guide for longitudinal functional documentation, multidisciplinary coordination, and operational/billing consistency.
selection 10 min read

Best EHR for ENT Practices (2026 Buyer Guide)

How ENT groups should evaluate EHR systems for procedure workflow support, imaging/audio diagnostics coordination, and high-throughput documentation.
selection 10 min read

Best EHR for Sleep Medicine Practices (2026 Buyer Guide)

A practical buyer guide for sleep medicine groups evaluating diagnostic-study workflows, follow-up documentation, and operational/billing performance.
selection 10 min read

Best EHR for Anesthesiology Groups (2026 Buyer Guide)

Anesthesiology EHR buyer guide: perioperative charting, OR scheduling integration, time-based billing, and handoff documentation.
selection 13 min read

Best EHR for Internal Medicine Groups (2026 Buyer Guide)

Internal medicine EHR buyer guide: multi-condition management, medication reconciliation, referral tracking, and complex visit coding.
selection 13 min read

Best EHR for General Surgery Groups (2026 Buyer Guide)

General surgery EHR buyer guide: perioperative workflow coordination, operative note quality, and surgical billing performance.
selection 14 min read

Best EHR for Cardiothoracic Surgery Programs (2026 Buyer Guide)

Cardiothoracic surgery EHR buyer guide: STS registry integration, perioperative coordination, and complex surgical reimbursement.
selection 15 min read

Best EHR for Oncology Infusion Centers (2026 Buyer Guide)

Oncology infusion center EHR guide: regimen safety checks, pharmacy coordination, hazardous-drug controls, and drug-buy billing.
selection 15 min read

Best EHR for Fertility and Reproductive Endocrinology Groups (2026 Buyer Guide)

Fertility/REI EHR buyer guide: IVF cycle tracking, embryology lab integration, consent management, and self-pay billing workflows.
selection 14 min read

Best EHR for Hospitalist Groups (2026 Buyer Guide)

Hospitalist EHR buyer guide: admission/discharge workflows, shift handoff tools, care-team rounding, and inpatient billing accuracy.
selection 14 min read

Best EHR for Dialysis and Kidney Care Organizations (2026 Buyer Guide)

Dialysis and kidney care EHR buyer guide: treatment session tracking, Kt/V reporting, vascular access logs, and bundled payment billing.
selection 15 min read

Best EHR for Ambulatory Surgery Centers (2026 Buyer Guide)

ASC EHR buyer guide: perioperative throughput, block-time scheduling, anesthesia charting, and same-day surgery billing workflows.
selection 11 min read

Behavioral Health EHR by State (2026): High-Intent Buyer Guides

Behavioral health EHR guides by state: vendor evaluations for mental health and MAT operators in California, Texas, and Florida.
selection 13 min read

Best EHR for Mental Health Practices in Texas (2026 Buyer Guide)

Texas mental health EHR buyer guide: intake throughput, multi-site consistency, Medicaid billing, and denial-resistant workflows.
selection 13 min read

Best EHR for MAT Programs in California (2026 Buyer Guide)

California MAT program EHR guide: medication workflow reliability, census operations, DHCS compliance, and SUD documentation quality.
selection 12 min read

Best Sunwave Alternatives (2026): What to Switch To and Why

A high-intent alternatives guide for operators evaluating Sunwave replacements based on implementation risk, product velocity, and financial outcomes.
selection 12 min read

Best Kipu Alternatives (2026): Buyer Guide for SUD Operators

Top Kipu alternatives for SUD organizations: lower implementation risk and stronger long-term product execution than Kipu.
selection 12 min read

SimplePractice Alternatives for Psychiatry Groups (2026)

Outgrown SimplePractice? Top alternatives for psychiatry groups needing stronger e-prescribing, reporting, and multi-site control.
implementation 14 min read

Healthcare Cybersecurity Without a CISO: A Small Practice Defense Playbook (2026)

Small practice cybersecurity checklist: top attack vectors, essential security tools, vendor vetting, incident response, and cyber insurance.
rcm 15 min read

Clean Claims Submission: How to Hit 98% First-Pass Rate (2026)

Build a clean claims workflow: eligibility verification, claim scrubbing, clearinghouse configuration, and pre-submission quality controls.
rcm 18 min read

RCM Metrics and KPI Dashboard: What to Track and Where You Should Be (2026)

The 15 RCM KPIs that matter: benchmarks, calculation methods, dashboard design, and how top-performing organizations use data to drive revenue.
rcm 14 min read

Payment Posting and Reconciliation: How to Close the Revenue Cycle Loop (2026)

Automate payment posting: ERA/EOB processing, contractual adjustment validation, payment variance detection, and reconciliation workflows.
selection 14 min read

SimplePractice Problems in 2026: Pricing, Outages, and Feature Gaps That Drive Practices to Switch

An evidence-based analysis of SimplePractice issues reported by users in 2025-2026 — pricing increases, telehealth reliability, missing group therapy features, and UB-04 billing gaps.
selection 13 min read

TherapyNotes Problems in 2026: Zero API, Stagnant Development, and Scale Ceilings That Limit Growing Practices

An evidence-based analysis of TherapyNotes limitations — zero API, no mobile app, no bulk actions, stagnant development, and the scaling wall that forces growing practices to switch.
selection 12 min read

Kipu Health Problems in 2026: Workflow Gaps, Escalating Costs, and Integration Limitations for Behavioral Health Centers

An evidence-based analysis of Kipu Health EHR issues — disconnected workflows, complex treatment plans, escalating costs, and the integration gaps that frustrate behavioral health centers.
selection 12 min read

Valant Problems in 2026: BBB F Rating, System Downtime, and PE Acquisition Risks for Behavioral Health Practices

An evidence-based analysis of Valant EHR issues — BBB F rating, system freezes, PE acquisition concerns, and the reliability gaps that behavioral health practices should evaluate.
selection 12 min read

Qualifacts Credible Problems in 2026: Chronic Latency, Unresolved Tickets, and Post-Upgrade Instability

An evidence-based analysis of Qualifacts Credible EHR issues — chronic latency, unresolved support tickets, post-upgrade bugs, and the performance gaps beneath its KLAS ranking.
selection 13 min read

Netsmart Problems in 2026: System Crashes, Data Loss, and the Hidden Cost of Market Leadership

An evidence-based analysis of Netsmart EHR issues — constant crashes, data loss, patient safety concerns, and the gap between market leadership and user satisfaction.
selection 13 min read

athenahealth Problems in 2026: Billing Failures, False Promises, and Implementation Nightmares Users Report

An evidence-based analysis of athenahealth issues — billing failures causing weeks of delayed claims, false promises during sales, and implementation experiences users describe as career-damaging.
selection 13 min read

DrChrono Problems in 2026: Stealth Price Hikes, Auto-Renewal Traps, and Data Hostage Tactics That Practices Should Know

An evidence-based analysis of DrChrono issues — stealth price increases, auto-renewal traps, data access revocation, and the contract practices users wish they had known about.
selection 12 min read

NextGen EHR Problems in 2026: Slow Performance, Closed API, and Support Decline That Frustrate Users

An evidence-based analysis of NextGen EHR issues — slow desktop performance, closed API restrictions, unresolved known issues, and support quality decline as prices increase.
selection 12 min read

AdvancedMD Problems in 2026: Glitchy Performance, Hidden Costs, and Mac Compatibility Issues

An evidence-based analysis of AdvancedMD issues — glitchy performance, hidden costs, misrepresented Mac compatibility, and the implementation problems users report.
regulatory 16 min read

CMS Prior Auth Reform 2026: New Decision Timelines and What They Mean for Behavioral Health

CMS-0057-F requires payers to issue prior authorization decisions within 72 hours (urgent) and 7 days (standard) starting January 2026, with public denial rate reporting. Here is how behavioral health practices should respond.
regulatory 15 min read

Medicare Telehealth Extended Through 2027: Behavioral Health Billing Updates

Congress extended Medicare telehealth flexibilities through March 2027, making audio-only permanent for behavioral health. Here are the billing codes, place-of-service rules, and originating site changes your practice needs.
regulatory 17 min read

CCBHC Certification and PPS Rate Guide: What Behavioral Health Organizations Need to Know (2026)

Certified Community Behavioral Health Clinics receive 20-40% higher Medicaid rates through prospective payment. Here is how certification works, what the PPS rate covers, and whether your organization should pursue CCBHC status.
regulatory 16 min read

OIG Telehealth Audit Priorities for Behavioral Health: What to Expect in 2026

The HHS Office of Inspector General is intensifying telehealth audits for behavioral health. Here are the specific risk areas, documentation requirements, and compliance strategies to protect your practice.
regulatory 16 min read

Split/Shared Visit Billing for Behavioral Health Practices: 2026 Rules and Revenue Impact

CMS split/shared visit rules affect how psychiatrists, NPs, and PAs bill E/M services in behavioral health. Here are the current rules, documentation requirements, and revenue optimization strategies.
regulatory 17 min read

SDOH Z-Code Screening and Billing for Behavioral Health: 2026 Implementation Guide

CMS is expanding social determinants of health screening requirements and reimbursement. Here is how behavioral health practices can implement SDOH screening, code with ICD-10 Z-codes, and capture new revenue.