Clinical & charts
OASIS-E2 across all 6 timepoints. CMS-485 auto-generated from a locked OASIS. Multi-discipline charts (SN, PT, OT, SLP, MSW, HHA, PDN). Visual Form Builder. Lock-on-sign + audit trail.
Pricing
Custom-quoted, same‑day.
Carelytics is priced per agency based on your size and payer mix. Take a 30-minute demo and we'll send a quote that matches your operations the same business day. Every quote includes the entire platform — no add-on modules, no per-claim fees, no "billing seat" gotchas at signing.
What's included in every quote
One platform. Every feature. No tiered feature gates.
Most home health platforms put their best modules behind a "Premium" tier — billing on one, AI on another, PDGM on a third. Carelytics ships everything in the platform you sign up for. Your quote covers all of this.
AI built in compliantly
SOAP draft, Pre-Sign QA against CMS Conditions of Participation, OIG-safe PDGM Coding Review citing chart evidence, Carry-Forward, AI POC drafting.
Medicare HH (PDGM)
Grouper Preview, LUPA Risk Dashboard, NOA Tracker with one-click Stedi submission, HIPPS-injected episode claims. CY2026 PDGM data bundled.
Billing & RCM
Stedi 837P/I, 835 ERA reconciliation, per-payer rate overrides, 4 unit rounding modes, AR aging, payer enrollment dashboard, structured hold queue, CARC adjustments.
Real-time eligibility (270/271)
One-click eligibility verification on every patient. Stedi-submitted 270, parsed 271 returns coverage dates, copay, deductible, OOP. HETS for Original Medicare. Persisted EligibilityCheck row per request.
Scheduling & EVV
FullCalendar with drag-create. Recurring visits. Overnight-aware shifts (one clock in, one clock out). Multi-state EVV with per-state midnight boundaries.
Payroll & HR
Five payroll exporters: ADP RUN, ADP Workforce Now, Paychex Flex, Gusto, QBO. Per-visit + hourly + salary + OT/DT. Credential expiration tracking.
Compliance & security
17 permission groups, mandatory TOTP 2FA on every login, audit trail of every CRUD + login + export, in-platform HETS attestation, tenant-scoped data with RBAC enforced before PHI loads.
Auto-detecting onboarding
24 onboarding tasks across 4 phases. 20 of them auto-detect from your data — the work that's already done shows as done. Your CSM focuses on what's left, not on chasing checkboxes.
What drives your quote
Three numbers, no surprises.
Quotes are based on size and complexity, not on which features you "unlock." Tell us these on the demo call and we'll send a quote the same business day.
Active client census
How many patients are in active episodes month over month. We don't bill on visits or transactions — only on active patients.
Branches and staff
Single-branch agencies and multi-location organizations are sized differently. Tell us your structure and we'll match it.
Payer mix
Medicare HH PDGM, Medicaid, commercial, and private duty workflows have different operating shapes. The quote reflects the mix you actually run.
Why don't you publish prices on the website?
Carelytics is priced per agency. Two agencies with the same patient count can have very different operating shapes — one is straight Medicare HH, another is mixed Medicaid + commercial across three branches. A flat tier table would either over-charge the simpler agency or undersell the complex one. Take the demo, tell us your size and payer mix, and we'll send a quote the same business day.
How fast do you turn around a quote?
Same business day after your demo. The demo call is 30 minutes — quote arrives by email within a few hours.
What drives the quote?
Three things: active client census, branch and staff structure, and payer mix. We don't bill on visits, claims, or EVV events. Volume goes up — your bill doesn't change.
Is everything actually included?
Yes. Billing, EVV, AI, payroll exporters, real-time eligibility (270/271), the full Medicare HH PDGM pipeline (Grouper Preview, LUPA Risk, NOA Tracker), audit trail, RBAC, mandatory 2FA — all in the platform you sign up for. There are no add-on modules and no per-claim or per-EVV-event fees.
Are clearinghouse fees included?
Stedi clearinghouse usage for 837P/837I/835/270/276 is bundled at standard volumes. Very high-volume agencies (10K+ claims/month) may see a Stedi pass-through line item at cost.
What's required to get a HIPAA BAA?
We can sign a BAA as part of contracting — ask on the demo call. We follow HIPAA-aware architecture across the platform: PHI scrubbed from error monitoring, RBAC enforced before any PHI loads, audit log of every CRUD + login + export.
Do you offer a free trial?
We don't run an open free trial because clinical software with PHI shouldn't be used on synthetic data and abandoned. Instead, we run a 30-day pilot on real workflows for qualified agencies. Ask about it on your demo.
How long does implementation take?
Faster than the 8–12-week ranges most home health vendors quote. 24 onboarding tasks across 4 phases (Foundation → Billing → Clinical → Go-Live) — and 20 of those auto-detect from your data, so the work that's already done shows as done. Your CSM focuses on the remaining items, not on chasing checkboxes.
Ready for a quote?
30-minute demo, then a quote in your inbox the same business day. No sales-gate to the platform overview.