Home Health Agency Software

What is home health agency software?

Home health agencies, private-duty nursing companies, and caregiver staffing platforms that rely on three or four disconnected tools, one for scheduling, another for EVV, a third for billing, spend more time reconciling systems than running care. When a missed clock-in causes a claim denial, when a coordinator is on the phone at 6am backfilling a call-out with no visibility into caregiver availability, or when a family member has no way to see what happened during yesterday's visit, the problem is not the people. It is the software. A unified platform where the scheduler, the EVV mobile app, and the billing engine read the same record cuts the translation step out entirely.

  • EVV-compliant visit verification that captures time, location, and service codes in one mobile tap, with no manual reconciliation with billing

  • Caregiver scheduling with credential tracking, geographic matching, and real-time gap alerts so coordinators see coverage problems before the visit misses

  • Family communication portals that show visit logs, care notes, and upcoming schedules without coordinators fielding inbound calls

  • Medicaid and private-pay billing with claim scrubbing, denial tracking, and authorization management built into the same platform

Bring the problem, the current workflow, or the existing code. We reply with a practical next step within one business day.

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The brief

Start with what is not working.

Good software decisions begin with the constraint, not a list of features or a preferred technology.

01

Coordinating caregiver schedules, EVV data, and Medicaid billing across three separate systems that do not talk to each other?

02

Claim denials mounting because EVV timestamps do not match the shift records submitted for reimbursement?

Plain answer

Home health agency software connects caregiver scheduling, electronic visit verification (EVV), care plans, family portals, and Medicaid billing in one HIPAA-compliant platform. RaftLabs builds custom home health agency software for agencies, private-duty nursing firms, and caregiver staffing platforms. A first module starts around $30,000 and launches a validated v1 in about 10 to 12 weeks.

What to remember

  • EVV mismatches between the shift record and the clock-in cause hard-edit claim denials once a state enforces them, so revenue leaks out through authorization and claims drain.
  • A unified scheduler-EVV-billing record means denials from data mismatches never enter the system, because billing works from verified EVV data before the claim goes out.
  • Offline mode queues EVV data (clock-in, clock-out, GPS, service code) on-device and syncs automatically on reconnect, with no caregiver action required.
  • A first module, caregiver scheduling with EVV, starts around $30,000 and launches a validated v1 in about 10 to 12 weeks; the full platform grows to $60,000-$120,000 as you add Medicaid billing, care plan management, and a family portal.

Proof

Since 2015
shipping production healthcare and field-service software
RaftLabs delivery record
4.9/5
average client rating across delivered projects
Clutch, verified reviews
Fixed price
scope and cost agreed in writing before any development starts
Every RaftLabs engagement

What is home health agency software?

Home health agency software connects caregiver scheduling, electronic visit verification (EVV), care plan management, family communication, and payer claims in one platform. A coordinator spots a coverage gap before a shift is missed. The billing team works from verified attendance data, not a re-keyed timesheet.

Demand keeps climbing. The U.S. population aged 65 and older is projected to reach 73 million by 2030 (U.S. Census Bureau), which pushes more care into the home and more agencies onto software that has to prove every shift. That is what home health agency software solves: one record the scheduler, the caregiver app, and the claims engine all read.

Capabilities

What we build

  • 01
    Caregiver scheduling and dispatch

    Credential-, geography-, and preference-matched scheduling with real-time gap alerts before a visit is missed.

  • 02
    Electronic visit verification (EVV)

    GPS-and-biometric-confirmed visit capture feeding billing directly, with offline queuing and automatic sync.

    Built with
    21st Century Cures Act
  • 03
    Care plan management

    Mobile-visible task and medication plans with supervisor compliance review and version-tracked audit history.

    Built with
    HL7 FHIR
  • 04
    Family communication portal

    Real-time visit status, post-visit notes, and two-way messaging that replaces daily coordinator phone calls.

  • 05
    Medicaid and private-pay billing

    Pre-submission authorization and service-code validation with unified billing across Medicaid and private-pay clients.

    Built with
    Change Healthcare · Availity
  • 06
    Compliance reporting and audit readiness

    One-report audit packages covering visit records, credentials, authorizations, and billing tied to visit data.

How we work

From scope to live home healthcare platform

  1. Week 1
    01

    Workflow and payer scoping

    We map your current workflow, which payers you accept, and every system we must integrate with: your EHR, payroll, state EVV aggregator, and clearinghouse.

  2. Weeks 2-4
    02

    Design around real coordinator and caregiver workflows

    We design the coordinator dashboard and caregiver mobile app for speed and low-connectivity field conditions, and build HIPAA safeguards in from this stage rather than bolting them on later.

  3. Weeks 5-11
    03

    Build scheduling and EVV first

    Core scheduling and EVV ship first as a validated v1, for immediate operational impact. Billing, care plans, and the family portal follow in later phases as the platform grows.

  4. Final 2-3 weeks
    04

    Phased launch and support

    A pilot group runs the new system in parallel with existing tools before full cutover, with post-launch support for regulation and payer changes.

Why us

Why home health agencies choose RaftLabs

  • 01
    Senior engineers build what they scope

    The engineers who assess your workflow also build the solution. No bait-and-switch, no offshore handoff after the contract is signed.

  • 02
    Fixed price before development starts

    We scope the work, calculate the cost, and lock it in writing before any development starts.

  • 03
    Shipped production software since 2015

    Real engagements across SaaS, fintech, healthcare, and logistics, not every one published as a named case study. In healthcare we have shipped HIPAA-grade platforms, including remote patient monitoring and telehealth.

  • 04
    EVV and billing built as one data flow

    Denials from data mismatches never enter the system because both sides read the same verified record.

  • 05
    Built for low-connectivity field conditions

    We test offline queuing against real residential visits with dead zones and no Wi-Fi, instead of assuming connectivity that is not there.

Useful next steps

More on healthcare

Frequently asked questions

Yes. EVV data captured at the point of care feeds directly into the billing workflow. Visit timestamps, GPS confirmation, service codes, and caregiver identity flow into the claim without manual re-entry, with authorization and service code validation run before submission.

The required data elements (time, location, service type, caregiver and client identity) are consistent under the 21st Century Cures Act, but how states receive that data varies between open-vendor and state-aggregator models. We scope the integration during discovery and build the export in each state's required format.

A first module covering caregiver scheduling with EVV starts around $30,000 and launches a validated v1 in about 10 to 12 weeks. From there it grows: adding Medicaid billing, care plan management, a family portal, and compliance reporting brings a full platform to $60,000 to $120,000.

Client and patient health data is protected health information under HIPAA. We build with encryption in transit and at rest, role-based access, audit logging of every record view and change, and signed business associate agreements with any subprocessor that touches that data.

Yes. We integrate with HL7 FHIR-compatible EHR platforms, payroll systems including ADP, Paychex, and QuickBooks, and home care platforms like HHAeXchange and ClearCare via API where a full replacement isn't the right approach.

Work with us

Ready to build home healthcare software that proves every shift?

Tell us what you run today and we will scope the first module together.

  • Scope and cost agreed before work starts. No surprises. No obligation.
  • Working prototype within 3 weeks of kickoff.
  • Pay by milestone. You see progress before each invoice.
  • 60-day post-launch warranty. Bug fixes, UI tweaks, and deployment support. No retainer.
  • All conversations are NDA-protected.