Carelytic

Built for home health agencies

The modern home health platform — billing, EVV, AI, and PDGM in one product.

OASIS-E2, CMS-485, Medicare HH PDGM, multi-clearinghouse billing, real-time eligibility, scheduling with EVV, payroll exports, and OIG-safe AI. Every feature in every tier. Published pricing. No add-on modules.

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Prefer to talk? Call (763) 485-6410 — we answer.

OASIS-E2 ready 04/01/2026 CMS-485 auto-generated from a locked OASIS 432 HHRGs · CY2026 PDGM data bundled HIPAA BAA on every tier
app.carelytic.ai/dashboard
Carelytics office dashboard — KPI tiles, today's schedule, AR aging buckets, claims pending
Trusted infrastructure HIPAA BAA on every tier OIG-safe AI by design Mandatory TOTP 2FA Tenant-scoped RBAC Audit log on every CRUD Multi-clearinghouse
Built to compete with Axxess HomeCare HomeBase WellSky MatrixCare Alora KanTime

By the numbers

Specific, verifiable, built in.

Marketing copy is cheap. These are the actual numbers under the hood — the data set we ship with, the time-savings we measure, the compliance posture we test in production.

432

HHRGs · CY2026

Full PDGM Grouper with CY2026 weights, rates, and case-mix coefficients baked in. No third-party Grouper subscription.

~75K

ICD-10 crosswalk codes

CMS HH Grouper v07.0.26 dataset. Includes 117 comorbidity subgroups and 99 high-comorb interaction pairs.

75 min

Fax intake time saved daily

At a typical 50-fax/day agency — auto-routing collapses 90-sec manual handling into a glance.

100%

Audit-logged

Every CRUD, every login, every export, every impersonation. HIPAA-grade trail across every PHI surface.

Want the walkthrough?

30 minutes on your workflows. Quote in your inbox the same day.

Book a demo

Three workflows. One platform.

Clinical, billing, and AI — built together, not bolted on.

Most home health platforms are stacks of acquisitions stitched together with imports. Carelytics is one codebase, one schema, one source of truth.

Clinical & EHR

OASIS-E2 across all 6 CMS timepoints. CMS-485 auto-generated from a locked OASIS. Multi-discipline charts. Lock-on-sign with audit trail.

Explore Clinical

Billing & RCM

837P / 837I submission. 835 ERA reconciliation. Per-payer rate overrides. CMS 8-minute rule. AR aging. Payer enrollment dashboard.

Explore Billing

AI built in compliantly

SOAP draft, Pre-Sign QA, OIG-safe PDGM Coding Review anchored to documentation. Carry-Forward. Not "maximize reimbursement" — improve coding accuracy.

Explore AI

Before vs. after

What changes the day you switch to Carelytic.

We benchmark against the operational pain agencies actually feel — not feature checklists. Here's the day-1 experience difference, drawn from the agencies we've migrated.

Before

The bolt-on tax

  • Billing module: +$499/mo add-on
  • EVV module: +$299/mo add-on
  • AI Coding tools: third-party, per-claim fees
  • HIPAA BAA: enterprise contract only
  • NOA tracker: manual spreadsheet
  • Faxes: third-party eFax, manual copy-paste to charts
  • Onboarding: 8-12 weeks of manual checklists

After Carelytic

Everything included

  • Billing module: included on Starter
  • EVV module: included on Starter
  • AI Coding Review: included, OIG-safe, evidence-cited
  • HIPAA BAA: signed on every tier
  • NOA tracker: 5-day countdown with auto-submission
  • Faxes: built into the chart, auto-routed inbound
  • Onboarding: 14-30 days, 20 of 24 tasks auto-detected

Why Carelytic is different

The first modern home health platform with AI built in compliantly.

AI cites documentation evidence

Our PDGM Coding Review flags specificity gaps and doc-vs-code mismatches with the chart text it found. It catches coding errors before they trigger an RTP — it does not recommend changes purely to maximize reimbursement. OIG-safe by design.

Auto-detecting onboarding

Most home health vendors quote 8–12 weeks of implementation. Carelytics auto-detects 20 of 24 onboarding milestones from your data — the work that's already done shows as done. Your CSM focuses on what's left, not on chasing checkboxes.

Everything included, no add-ons

Billing, EVV, AI, payroll, PDGM, real-time eligibility (270/271) — every module included. No add-on fees, no "billing module" upsell, no per-claim or per-EVV-event charges. What you sign up for is what you get.

Medicare home health

Full PDGM pipeline. Built in, not bolted on.

Most platforms charge extra for a "PDGM module" or push you to a third-party Grouper. Carelytics ships the entire pipeline as part of the platform — what-if classifier, LUPA risk dashboard, NOA tracker with one-click clearinghouse submission, and HIPPS-injected episode claims.

  • 432 HHRGs with CY2026 weights and rates
  • ~75K ICD-10 crosswalk codes (CMS HH Grouper v07.0.26)
  • 504 CBSA wage indices · 117 comorbidity subgroups · 99 high-comorb interaction pairs
  • Grouper Preview — catch coding errors before signing the OASIS
  • NOA Tracker — 5-day deadline countdown with 1/30 daily penalty math
  • Episode claims — HIPPS on revenue code 0023, TOB-derived frequency code
See PDGM features →
app.carelytic.ai/clinical/oasis/<pk>/preview-grouper/
PDGM Grouper Preview — five-dimension classification with HHRG, case-mix weight, and 30-day payment estimate

OASIS-E2 ready for 04/01/2026

Automatic OASIS workflow. No manual status dropdowns.

Status transitions are button-driven and audit-logged. A clinician completes, the QA team reviews, the system locks. No orphan editing paths after sign.

  1. Draft autosave 2.5s
  2. Validate & Complete 0-error gate
  3. Sign clinician
  4. QA Review QA / DON
  5. Locked read-only
  6. 485 Generated auto-pre-fill

All 6 CMS timepoints

SOC, ROC, FUP, RFA, TRN, DC, DAH — across 10 sections (A–Q) covering all OASIS-E2 items.

Multi-discipline charts

SN, PT, OT, SLP, MSW, HHA, PDN. 11+ form templates. Schema-driven so new forms ship without code.

CMS-485 from a locked OASIS

All 28 sections pre-filled — meds, dx, DME, safety, prognosis, goals, interventions, frequency.

Onboarding

Sign Friday. Live in 14 days.

Industry standard for legacy platforms is 8-12 weeks of "implementation" — mostly chasing a manual checklist while the work was already half-done. We auto-detect 20 of 24 onboarding tasks from your data, so the work that's already done shows as done.

  1. Kickoff

    30-min call with your CSM. Branches, service lines, payer mix, clearinghouse picks confirmed live.

  2. Data migration

    White-glove on Pro+ tiers. Clients, employees, schedules, active auths, eligibility data — all moved.

  3. Clinical setup

    OASIS-E2, CMS-485, clinical forms enabled. EVV state aggregator credentials provisioned.

  4. Billing wiring

    Stedi / Availity / Waystar enrollment, HCPCS mappings, rate tables, payer setup. HETS attestation signed.

  5. Go live

    Day 14-30 for most agencies. Health-score dashboard shows progress; CSM stays available for 60 days.

Ready to see it on your workflow?

30-minute demo. Same-day quote. No pressure.

Book a demo

Pricing

Every feature on every tier. You only pay for the scale.

OASIS-E2, AI Coding Review, PDGM, billing, EVV, payroll, fax, HIPAA BAA — all included on every tier. The only thing that changes between tiers is your active client cap.

Starter

$350/mo

Up to 30 active clients. $20/each above 30, capped at the Professional rate. + $2,000 onboarding.

See what's included
Most popular Professional

$999/mo

Up to 100 active clients. White-glove migration. Priority support. + $4,000 onboarding.

See what's included
Enterprise

From $2,499/mo

101+ active clients. Dedicated CSM, SLA-backed support, SSO. Custom onboarding — call for a quote.

See what's included

7% off with annual billing on Starter and Professional. Onboarding waived on annual contracts of $25K+. See full pricing →

How Carelytics compares

What's actually included — vs competitors.

  Carelytics Axxess HomeCare HomeBase WellSky
Billing & claims included Every tier Add-on Yes Add-on
EVV included Every tier Add-on Yes Add-on
AI for coding / QA OIG-safe, evidence-cited Limited No Limited
Medicare HH PDGM (Grouper, LUPA, NOA) Every tier Tiered upgrade Yes Add-on
Real-time eligibility (270/271) included Every plan Add-on Add-on Add-on
Fax built in (auto-routed inbound, send from chart) Built in 3rd-party eFax 3rd-party eFax 3rd-party eFax
Self-healing claim pipeline (idempotent retries + polling backstops) Yes Manual recovery Limited Manual recovery
Mandatory 2FA on every login Required Optional Per-tenant Optional
Auto-detecting onboarding 20 of 24 tasks Manual Manual Manual
Modern UX (built 2025–2026) Yes Legacy Legacy Legacy
Overnight shifts without double clock-in Yes No Workaround No
Mobile PWA + offline outbox + voice dictation Built in Native app, no offline Native app, no offline Native app, no offline
Passkey / WebAuthn login Yes No No No

Comparison reflects publicly available product information as of 2026. Competitors update offerings frequently — verify in your own discovery.

See the full head-to-head comparisons