Most home health platforms hand you someone else's scheduling logic, someone else's OASIS workflow, and someone else's pace of catching up to CMS rule changes. We build platforms your clinical and billing teams actually own, tuned to your payer mix, your visit patterns, and the compliance rules that change every year.
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Generic platforms were built to serve thousands of agencies with one shared ruleset. That worked until CMS recalibrated PDGM case-mix weights using CY2024 claims data, rebalanced HHVBP to weight OASIS-based functional outcomes at 40%, and made all-payer OASIS submission a formal Conditions of Participation requirement rather than a Medicare-only rule.
When a rule changes mid-year, agencies on shared platforms wait on a vendor’s release calendar. Agencies running on systems built around their own visit mix, payer contracts, and clinical documentation patterns adjust the logic directly, without renegotiating a license or waiting for a quarterly update.
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Core Modules a Home Healthcare Platform Needs
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GPS-verified visit tracking, drag-and-drop schedule management, and automatic conflict detection across multiple branches. Built to handle reassignments, split visits, and last-minute caregiver swaps without breaking the day’s route plan.
Point-of-care charting that supports OASIS-E2 and MDS assessment timepoints, with offline capture for caregivers working outside cell coverage. Documentation syncs automatically once the device reconnects.
Claims generation tied directly to visit verification data, eligibility checks across Medicare, Medicaid, managed care, and private pay, and automated remittance reconciliation that flags denials before resubmission deadlines slip.
Vitals and movement data from connected devices feed directly into the care plan, with abnormal-reading alerts routed to the assigned clinician. Pairs naturally with remote patient monitoring platforms for agencies managing chronic disease patients at home.
Tell us how your agency bills today and we'll show you what a custom build actually changes.
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Every skilled patient now needs an OASIS assessment regardless of payer, not just Medicare cases. The platform enforces the right timepoints and skip patterns for private pay, commercial, and Medicaid patients the same way it does for Medicare.
Clinical grouping, comorbidity adjustment, and LUPA threshold checks run against the recalibrated CY2026 weights, so a clinician sees the payment implications of their documentation before the episode closes, not after the claim bounces.
CMS guidance prohibits software from auto-answering OASIS items on a clinician's behalf. Our AI layer assists with QA review and flags likely scoring errors, but every response stays clinician-entered, matching the current regulatory line on AI in assessment workflows.
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Visit clock-in and clock-out data flows straight into payroll and billing without a manual re-entry step, cutting the lag between a completed visit and a clean claim.
A reference architecture that keeps clinical, billing, and visit verification data interoperable across your existing systems.
Connects to HHAeXchange, Sandata, and CareBridge, so visit data flows directly into billing without manual reconciliation.
Pulls patient records, medication history, and physician orders from connected hospital and clinic systems through HL7/FHIR interfaces.
Routes claims and remittance data through existing clearinghouse relationships rather than forcing a new payer setup.
Ingests vitals and movement data from Bluetooth and cellular-connected devices used in chronic disease and post-acute care.
Custom builds typically range from $50,000 for a focused compliance module to $200,000+ for a full multi-branch platform with EVV, billing, and RPM integration. Tell us your scope and we'll size it accurately.
A focused review of where your current platform's PDGM and OASIS logic falls short of the CY2026 rule set.
We identify the gaps, then build the specific modules that close them inside your existing platform.
A complete custom build owned by your agency end-to-end, replacing your current vendor relationship entirely.
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We sit with your scheduling, clinical, and billing teams to map how visits actually get assigned, documented, and billed today, including where staff already work around the current system's limitations. This becomes the requirements baseline instead of a generic feature checklist.
We define which CMS rules apply to your patient mix, including all-payer OASIS submission and PDGM case-mix logic, then design the data architecture so compliance checks run inline with documentation rather than as a separate audit step afterward.
Scheduling, clinical documentation, EVV, and billing modules get built and tested against real visit scenarios from your agency, including edge cases like missed visits, split shifts, and multi-payer episodes that generic platforms tend to handle poorly.
We connect the new platform to your existing EHR, EVV aggregator, and billing clearinghouse, validating that data flows correctly in both directions before any production cutover happens.
Security validation, OASIS scoring accuracy checks, and HIPAA audit trail testing run before go-live, paired with hands-on training so caregivers and office staff aren't learning the system during their first live patient visits.
We deploy with a support plan that covers CMS rule changes as they land each year, so a PDGM recalibration or a new OASIS version doesn't sit on a backlog waiting for budget approval.
Home health surveys and CMS audits don't wait for a convenient quarter. The platform has to produce a clean audit trail on demand, not after a week of pulling records together manually.
Talk to a Compliance Engineer
We don't ship a shared rule engine across every client. Your case-mix logic, LUPA thresholds, and HHVBP scoring reflect your actual patient population and payer contracts.
Our documentation assist tools follow CMS's current line on AI in clinical workflows, supporting QA review without ever auto-generating a clinician's assessment response.
You own the platform outright at delivery. No license renewal cycle, no vendor controlling your roadmap.
We stay engaged after launch so PDGM recalibrations and OASIS version changes get built in rather than discovered during an audit.
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Read Article →Those platforms run shared logic across thousands of agencies. A custom build reflects your specific payer mix, visit patterns, and compliance rules, and you own the code instead of renting access.
Yes. The documentation module enforces correct timepoints and skip patterns for every skilled patient regardless of payer, matching the current CMS Conditions of Participation requirement.
Most builds run 16-24 weeks, depending on module count, EVV and EHR integrations, and how much legacy data needs migrating from your current system.
Yes. We connect to HHAeXchange, Sandata, CareBridge, and most major billing clearinghouses without requiring you to renegotiate those existing relationships.
All three. Documentation cadences and billing logic differ by care model, and we build each workflow to match rather than forcing one generic visit structure across all of them.
Our support engagement includes rule updates as part of ongoing maintenance, so a recalibration like the CY2026 case-mix update gets built into your logic rather than sitting on a backlog.
Yes. Offline documentation captures the visit locally and syncs automatically once the device reconnects, with no data loss in between.
Costs vary by module scope and integration complexity. An audit-only engagement runs far less than a full platform build. We provide a detailed estimate after reviewing your current workflows.
