Introduction

Home health agencies do not buy software for “features.” They buy it to keep clinicians moving, keep documentation clean, keep claims flowing, and keep the back office from drowning.

This guide focuses on what matters in real operations: scheduling, documentation, billing, compliance, EVV, and the workflows around your EMR that almost always end up living in spreadsheets.

Note: “Home health software” sometimes includes personal care and HCBS workflows. This guide is written for home health agencies, but the evaluation checklist still applies if you run multiple lines of business.

TLDR quick picks

Best overall platform for home health agencies: Axxess
Widely adopted, strong ecosystem, and frequently shortlisted for agencies that want a broad platform.

Best for an all-in-one EMR with billing and compliance workflows: Alora Health
Built around clinical + ops + financial workflows, including EVV options and multi-payer billing support.

Best when your biggest pain is everything around the EMR: Build on Tadabase
Keep your EMR as the system of record, and build intake, portals, internal tools, QA queues, and operational dashboards around it.

What “home health software” usually includes

Most agencies end up with a stack that looks like this:

• Clinical documentation and charting

• Scheduling and dispatch

• Billing and claims support

• Compliance workflows (Medicare rules, audits, QA)

• EVV (when Medicaid or state programs require it)

• Portals and internal tools (referral intake, onboarding, HR, checklists, task routing)

Many “home health platforms” try to cover everything. In practice, agencies often keep the clinical core in the EMR and build everything around it.

The buying checklist that actually matters

Use this shortlist to evaluate any vendor quickly.

Clinical and field workflow

• Mobile experience for clinicians in the field

• Visit notes, plans of care, assessments, orders, signatures

• Offline or low connectivity tolerance (depends on your territory)

Scheduling and operations

• Multi discipline scheduling

• Caregiver availability, assignment rules, routing

• Alerts for missed visits, late notes, expiring auths

Billing and revenue cycle

• Payer support and billing workflows

• Claim status visibility and exception handling

• Clean handoff between clinical completion and billing

Alora, for example, explicitly positions as unifying clinical, operational, and financial workflows and supporting billing across major payer types.

Compliance and EVV

• EVV support and audit trails

• QA workflows (note review, missing items, escalation)

• Reporting exports your team can trust

Alora calls out EVV and compliance workflows as part of its platform positioning.

Integrations and extensibility

• API availability, webhooks, exports

• Ability to connect to payroll, accounting, HR, eFax, storage, BI

This is where many agencies feel pain. Even good EMRs leave gaps in referrals, intake, onboarding, portals, and internal tooling.

Best home health software vendors to consider

Below are commonly evaluated options, with a plain language “best for” and what to watch out for.

Axxess

Best for: Agencies that want a widely adopted platform and ecosystem.
Axxess positions itself as a healthcare at home technology platform serving more than 9,000 organizations.

Watch for: Enterprise complexity, implementation effort, and what is included vs add-on.

Alora Health

Best for: Agencies that want an all in one approach with EVV and broad payer billing support.
Alora describes its home health software as integrating clinical, operational, and financial processes and supporting billing across payer types.

Watch for: Fit for your exact lines of business and how flexible the workflows are for your specific process.

Netsmart

Best for: Agencies that want a home health focused EHR and operational streamlining.
Netsmart describes streamlining core processes like admissions, scheduling, care plan documentation, and claims.

Watch for: Integration depth for your surrounding stack and how much customization is required.

HHAeXchange

Best for: Agencies where EVV and Medicaid driven workflows are central, especially in HCBS.
HHAeXchange positions as an enterprise platform for homecare and home health agencies and is closely associated with EVV adoption.

Watch for: User experience for clinicians and how the platform handles non standard internal workflows.

Homecare Homebase, WellSky, MatrixCare, KanTime, others

These are also frequently shortlisted depending on agency size, payer mix, and whether you need home health, hospice, personal care, or multiple lines. Use the checklist above to compare them on field workflow, billing reliability, compliance, and integrations.

When building on Tadabase is the best move

Even agencies with a strong EMR still end up with a pile of spreadsheets and manual processes around it:

• Referral intake forms and routing

• Insurance verification checklists and status tracking

• Authorizations and recertification workflows

• Staff onboarding, credentialing, compliance training

• Internal QA queues and escalation

• Role based portals for partners and referral sources

• Operational dashboards that the EMR cannot produce cleanly

This is the ideal “build layer” for Tadabase: your workflows, portals, and internal tools that connect to your system of record.

What you build in Tadabase

• Secure staff portals and role based access

• Intake workflows and task routing

• Automation, reminders, audit trails

• Dashboards that match how your agency actually runs

How it connects

• API and webhooks to your EMR when available

• File storage, notifications, and operational reporting

• Optional integration tools depending on your stack

This approach also reduces vendor lock in: you can change EMRs without rebuilding the whole operations layer.

Frequently asked qustions

What is the best home health software?

The best option depends on payer mix, services offered, and whether you need clinical plus billing in one system or prefer a modular stack. Start with your must haves for scheduling, documentation, billing, compliance, and EVV.

Do I need EVV?

EVV requirements are often driven by Medicaid and state programs. Many platforms include EVV or integrate with EVV tools, and vendors like Alora explicitly include EVV options.

Can I keep my EMR and still modernize operations?

Yes. Many agencies keep the EMR for clinical documentation and billing, then build the surrounding workflows, portals, and internal tools on a flexible platform like Tadabase.

Conclusion

If you are replacing your core EMR, compare the top vendors against your real workflows using the checklist above. If your biggest pain is everything around the EMR, build that layer on Tadabase and integrate with your current system.