Carelytics

Built for home health agencies

Modern home health software with AI built in compliantly.

OASIS-E2, PDGM, billing, EVV, payroll, and AI — all in one platform. Every module included, no add-on fees.

See a demo Tour the product
OASIS-E2 ready 04/01/2026 CMS-485 auto-generated Stedi 837P / 837I / 835 432 HHRGs · CY2026 PDGM data bundled
app.carelytics.com/dashboard
Dashboard

Office dashboard with KPI tiles, today's schedule, AR aging

A glance at the day: revenue MTD, claims pending, missed visits, credentials expiring, plus the field-staff dashboard variant for clinicians who shouldn't see revenue.

↳ Capture: /dashboard (office) — full-width on a 1280×800 viewport

Built to compete with Axxess HomeCare HomeBase WellSky MatrixCare Alora Kantime

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

Stedi 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

Why Carelytics 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 Stedi 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.carelytics.com/billing/pdgm/grouper-preview
PDGM

Grouper Preview against the current OASIS draft

Five PDGM dimensions resolved live: Admission Source × Timing × Clinical Group × Functional Level × Comorbidity → HHRG → CMW → 30-day payment. LUPA threshold + risk badge included.

↳ Capture: /billing/pdgm/grouper-preview/?oasis=<pk>

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.

Get a quote

Pricing built around your agency.

Every plan includes billing, EVV, AI, payroll, and Medicare HH PDGM — no add-on modules, no per-claim fees. Tell us your agency size and payer mix on the demo and we'll send a clear quote the same day.

See a demo & get 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
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

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