
AI-Driven Remote Patient Monitoring App for Chronic Care Management
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Custom software for home care agencies, assisted living operators, and senior care organizations who need care management, EVV compliance, and caregiver coordination built into one operational platform.
Generic scheduling tools don't handle EVV requirements, Medicaid billing, or care plan management. We build the full system: caregiver mobile apps, family portals, and billing workflows that keep your agency compliant and your caregivers focused on care.
Care scheduling with EVV-compliant visit verification and real-time caregiver location tracking
Caregiver mobile app with visit logs, medication reminders, and health monitoring inputs
Family communication portal with care updates, visit summaries, and direct messaging
Medicaid and Medicare billing, care plan management, and incident reporting
Recognition
Managing caregiver schedules in one system, care plans in paper files, and Medicaid billing in a third tool, with no live view of which visits were completed, which were missed, and which clients had a health change today?
Failing EVV audits or leaving Medicaid reimbursements on the table because visit verification records aren't being captured consistently across your caregiver workforce?
In short
RaftLabs builds custom software for home care agencies, assisted living operators, and senior care organizations, delivering care management and scheduling platforms, caregiver mobile apps with EVV-compliant visit logs, medication reminders, and health monitoring, family communication portals, Medicaid and Medicare billing, care plan management, incident reporting, and staff management systems. Most projects ship in 12 to 14 weeks at a fixed price agreed before work starts.
Companies we've built for


Home care agencies and assisted living operators face operational constraints that generic field service software doesn't address: Electronic Visit Verification mandates, Medicaid billing rules, care plan documentation requirements, and the responsibility of coordinating care for clients who can't advocate for themselves when something goes wrong. A missed visit isn't a service gap. It's a safeguarding event.
We've built management platforms for regulated service businesses. We know what an agency administrator needs: a system that keeps caregivers accountable, families informed, billing accurate, and regulators satisfied, without adding administrative overhead that pulls coordinators away from the work that matters.
Care coordination across facilities and family requires real-time visibility you don't have
When a resident's care plan, medication list, and visit history live in three separate places, coordinators spend the first ten minutes of every family call chasing records. That delay is a cost: staff time, frustrated families, and compliance gaps that only show up at audit time. Pulling those records into one connected system cuts that overhead and gives coordinators the context they need before the phone rings.
Staff scheduling complexity creates coverage gaps that put residents at risk
Matching caregivers to clients by skills, language, and location, then managing shift swaps, call-outs, and recurring schedule changes manually, is a full-time coordination problem. When a shift isn't covered and no one catches it in time, a client goes without care. Real-time scheduling dashboards and automated substitute assignment prevent those gaps before they become incidents.
Resident health monitoring documentation gaps create compliance and liability exposure
Paper MAR sheets get missed entries and illegible initials. They're hard to audit. A missed medication that isn't documented creates a liability. According to CMS data reported by Skilled Nursing News (2024), the nursing home improper payment rate rose from 7.79% in 2022 to 17.2% in 2024, with documentation errors identified as the primary driver. Regulators expect electronic records that show who administered what, when, and that flag omissions in real time. The gap between what happened and what was recorded is where compliance risk lives.
No family communication portal means coordinators absorb every anxiety call
Family members call the agency every few days because they have no other way to know if their parent is doing well. Each call takes a coordinator off other work. Without a structured communication channel, families don't know what they don't know, and that drives anxiety, complaints, and churn. A portal with visit summaries and health updates changes that dynamic entirely.
Caregiver scheduling with client-caregiver matching based on skills, language, location, and client preference. Recurring visit scheduling with configurable frequencies per care plan. Real-time schedule dashboard showing current visit status: in progress, completed, missed, and late, so coordinators can respond to gaps before a client is left without care. Substitute caregiver assignment when a regular caregiver is unavailable, with automatic client and family notification. Visit history by client and caregiver with duration, tasks completed, and any notes recorded at the visit. Reporting on visit completion rates, missed visits, and late arrivals for supervisor review and quality assurance.
Electronic Visit Verification that meets the 21st Century Cures Act requirements: GPS location capture at check-in and check-out, timestamp recording, service type confirmation, and caregiver identity verification. EVV data formatted for submission to your state's EVV aggregator, whether your state uses an open or closed EVV model. Visit records that capture the six required EVV data points: type of service, individual receiving service, date, location, individual providing service, and start and end time. Exception reporting for visits with EVV data gaps, including late check-ins, GPS location mismatches, and manual overrides, so coordinators can investigate before claim submission. Audit-ready EVV records stored against each visit for Medicaid audit response.
Mobile app for caregivers with GPS-verified check-in and check-out at each visit. Client-specific task checklists that load automatically at arrival: ADL assistance, medication reminders, meal preparation, and any client-specific care tasks from the care plan. Medication reminder prompts with confirmation recording so there's a log of which medications were administered and when. Health observation inputs: vital signs, mood, appetite, and any changes in condition recorded during the visit and visible to coordinators in real time. Incident reporting directly from the app with photo documentation and immediate supervisor notification. Offline mode for areas with poor mobile coverage, where data syncs when connectivity returns. Care notes visible to the caregiver before arrival so they walk in prepared.
Family-facing portal where authorised family members can see visit summaries: when the caregiver arrived, what tasks were completed, and any notes from the visit, without needing to call the agency. Health observation updates visible to family in near-real time so they know about condition changes promptly. Direct messaging between family members and care coordinators with message history stored against the client record. Configurable notification preferences: family members can choose push notifications or emails for visit completions, missed visits, and incident reports. Document access for care plans, assessment reports, and service agreements. Family members outside the local area, which is common in senior care, get the same view as if they were present.
Billing workflows built around the specific requirements of Medicaid waiver programmes and Medicare home health billing. EVV-verified visit records feed directly into billing so only completed, verified visits generate claims. Authorization tracking per client: units authorised, units used, and units remaining, with alerts before a client's authorisation is exhausted. Claim generation in the correct format for your state Medicaid system or Medicare clearinghouse. Remittance advice processing and payment reconciliation. Denial tracking and resubmission workflows for rejected claims. Private pay billing for clients not on Medicaid or Medicare. Reporting on billing by payer, service type, and authorisation period for revenue management.
Care plan management with assessment-driven plan creation, task assignment, and scheduled review dates. Care plan version history so any change is documented with the date, reason, and authorising staff member. Incident and adverse event reporting with structured documentation workflows: what happened, who was present, what action was taken, and supervisor sign-off. Incident report storage for state licensing and Medicaid audit response. Staff management with caregiver credential tracking: HHA certification, CPR, First Aid, background check status, and expiry date alerts. Caregiver performance tracking: visit completion rate, punctuality, and client and family feedback. New caregiver onboarding document collection and training record management.
We map the current workflow from intake through care delivery to billing: how residents are assessed, how care plans are created and updated, how visits are scheduled and verified, and how claims are submitted. We document the compliance requirements specific to your state or jurisdiction before designing anything.
We design the data model for residents, care plans, visit records, medication logs, and billing before writing code. Compliance requirements: EVV data points, MAR record format, and funding claim structure, are built into the architecture from the start, not added later.
We build care management, caregiver mobile app, family portal, and billing as connected modules. You see working software every two weeks. Each module is tested against real care scenarios before the next one starts.
We train coordinators, caregivers, and billing staff. We support the transition from existing paper and digital systems. Post-launch monitoring covers EVV submission success rates, billing claim acceptance, and any workflow adjustments needed after real-world use begins.
Off-the-shelf home care platforms handle scheduling, EVV, and basic billing for most agencies. Custom software is the right choice when your EVV integration requirements don't fit the platform's supported state aggregators; when you operate in multiple states with different Medicaid billing rules and need consolidated management; when your care plan documentation requirements exceed what the platform supports; or when you're building home care management software to sell to other operators. We'll tell you directly if a platform would serve you better. The ongoing maintenance cost of custom software needs to be justified by operational complexity or revenue that a platform can't support.
EVV compliance requires capturing six data points at every visit: service type, client identity, date, location, caregiver identity, and visit start and end times. Our caregiver mobile app captures GPS location and timestamps at check-in and check-out, and records caregiver and client identity at the point of service. The data is stored in audit-ready format and exported in the format your state's EVV aggregator requires. States use different aggregator systems and different data transmission methods. We scope the specific integration requirements for your state during discovery. If your state uses an open model where you submit to an aggregator, we build that integration. If your state uses a closed model with a mandated vendor, we build the data export that feeds their system.
Yes. Family members who live far from an ageing parent are often the decision-makers paying for care but the last people to know when something changes. A family portal that surfaces visit completion confirmations, health observation notes, and incident notifications in near-real time closes that gap. The design challenge is the permission model: different family members may need different levels of access. An adult child managing finances sees billing; a sibling in another state needs visit summaries and health updates; a healthcare proxy needs care plan access. We design the access control structure during discovery based on the family scenarios your clients actually present. The goal is giving families confidence without creating a channel that generates more coordinator phone calls.
A focused scheduling and EVV compliance system with a caregiver mobile app typically runs $40,000 to $70,000. A full platform with scheduling, EVV, caregiver app, family portal, Medicaid billing, care plan management, and incident reporting typically runs $80,000 to $150,000. Cost depends on the number of states you operate in, payer mix complexity, EVV aggregator integration requirements, and the depth of care plan documentation workflows. We scope every project before pricing it: fixed cost, agreed before development starts, no hourly billing.
Home care billing software
EVV-linked claims, prior auth tracking, multi-payer rates, remittance posting, and denial management
Senior care management software
Digital care plans, carer scheduling, electronic call monitoring, MAR charts, and family portal
Caregiver mobile app
Shift schedule, EVV check-in, care task documentation, incident reporting, and secure messaging
EVV software for home care
GPS visit verification, state aggregator integration, exception management, and Medicaid audit records
Family communication portal
Real-time visit updates, care notes, caregiver profiles, schedule visibility, and billing access
What clients say
Three-year average engagement. Founders and operators describing the work in their own words. No marketing varnish.
PDC has been a great addition to our clinic. It is easy to navigate and helps us stay connected with senior patients who cannot visit regularly.
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Tell us the operational challenge: EVV compliance, Medicaid billing, caregiver management, or family communication. We'll tell you what we'd build and how.