Therapy billing software built by a Home Health PT — for PT, OT & ST agencies

Home Health Billing & Payroll Software
Built for PT, OT & ST Agencies.

Billing software for therapists who run home health agencies — track visits, auto-build invoices, and run 1099 contractor payroll from one HIPAA-compliant dashboard built for PT, OT & ST.

📅 Book a Demo Call ▶ Try Live Demo Start Free Trial

30-day free trial  ·  No credit card  ·  Setup in under 10 minutes

RM
★★★★★ “Saves me hours of work between 6 agencies” — Rosie M., Agency Admin
app.homehealthsync.com
HomeHealthSync dashboard — home health billing and payroll software for PT, OT, and ST agencies

▶ Click the screenshot to explore the live demo — real product, no mockups, no signup.

1 click
Invoice emailed securely
PT · OT · ST
Built for all specialties
30 days
Free trial — no card needed
🔒 HIPAA
Compliant & secure
🔒 HIPAA-Compliant Platform
📧 HIPAA-Secured Invoice Emails — No PHI Transmitted
🏥 Patient Data Encrypted & Protected
☁️ Powered by Google Firebase (BAA Covered)
Built For

Find the page for your model

HomeHealthSync is the billing and payroll layer for agencies that contract with home health companies — your therapists use those companies' existing clinical systems for documentation; you use HomeHealthSync to handle invoicing and contractor pay. Find your model below.

Is HomeHealthSync the right fit?

✅ Right fit

Your agency contracts 1099 PT, OT, or ST therapists to home health companies that already provide their own clinical documentation system. You need the billing and payroll layer — not a full EMR.

❌ Not the right fit

Your agency needs to own and operate its own EMR or clinical documentation system independently. For that, look at TherapySync or Kinnser — they're built for that model.

See It In Action

Everything your agency needs
in one clean dashboard

Real screens from the platform — no mockups, no marketing fluff. This is exactly what you and your therapists see every day.

📋 Visit Submission
Therapists log visits in seconds from any device — company and rate auto-filled
HomeHealthSync visit logging screen — PT, OT and ST therapists submit home visits from any device in seconds
🧾 Invoices
Auto-built invoices per agency — preview, export to QuickBooks, or email in one click
HomeHealthSync automated invoice — one-click billing email sent to home health agency customer with full visit breakdown
💰 Payroll
Automated contractor payroll with AI insights — billed revenue, pay, net profit, and margin in one view
HomeHealthSync payroll summary — automated 1099 contractor pay calculation for PT, OT and ST home health agencies
Stop spending your Sunday nights in QuickBooks.

Agency owners spend 6+ hours every month manually re-entering visit data, calculating contractor pay, and reconciling QuickBooks. Unlike generic home care private duty software, HomeHealthSync is the payroll software for home health therapy contractors that actually matches how you operate — visit tracking, automated payroll, and one-click invoicing all in one place. That's time you're not getting back — and money you're losing.

6+ hrs
wasted every month
on manual back-office work
3 apps
open just to pay
one contractor
~10 min
that's all it takes
with HomeHealthSync
$0
in QuickBooks fees
once you switch
Task
QuickBooks Route
HomeHealthSync
Track visits
Separate system / spreadsheet
✓ Built in
Calculate contractor pay
Manual math / spreadsheet
✓ Auto-calculated
Re-enter data for payment
✕ Required every pay period
✓ Never — data is already there
Send invoice to customer
Manual — create & email separately
✓ One click
Run contractor payroll
Log into QuickBooks, re-enter, approve
✓ Review & approve in-app
1099-NEC at year end
$6/form mailed + manual work
✓ Auto-calculated payroll
AI business insights
✕ Not included
✓ Add-on for $20/mo
Monthly cost
$50–$105+/mo
QBO + Contractor Payments
$60–$450/mo
everything included
QuickBooks charges you to do the work yourself.
HomeHealthSync charges you to not do it at all.

For an agency owner billing $50–$100/hour of their own time, recovering 6 hours a month is worth $300–$600. The math isn't even close.

See Pricing →
Everything your practice needs — nothing it doesn't

The only homecare software for billing and payroll built specifically for therapy contractors. From visit submission to contractor payroll, HomeHealthSync handles the entire workflow — replacing spreadsheets, QuickBooks, and every other workaround you've been using.

📧
Instant Invoice Emails
Hit one button and your invoice is emailed directly to your customer — complete with a secure portal link to view every visit detail online. No PHI ever touches the email. Patient data stays encrypted in our HIPAA-compliant database. Fully secured, fully compliant.
Live Now
🧾
Automated Invoicing
Invoices are built automatically from submitted visits each week. Every visit, rate, and total is calculated for you — no manual entry, no spreadsheets, no errors.
🏢
Multi-Agency Billing
Set different billing rates per agency and visit type. HomeHealthSync automatically applies the right rate when visits are submitted — no manual lookups needed.
💸
1099 Contractor Payroll
HomeHealthSync calculates each contractor's pay automatically from submitted visits — every visit type at the right rate, every therapist in one payroll run. Review the full breakdown and export it to pay via your preferred method. See what to look for in payroll software for home health.
✅ Live
💰
Automated Payroll
Pay rates are set per therapist. HomeHealthSync automatically calculates what each contractor is owed each week based on their visits — no manual math required.
🔔
Therapist Accountability
Know exactly who has submitted their visits and who hasn't. Send SMS reminders to delinquent therapists directly from the dashboard in one tap.
📋
Visit Tracking
Therapists log their visits directly in the app — patient name, visit type, date, and agency. You see everything in real time without sending a single text.
🏥
Patient List Management
Track every patient with their assigned therapist, agency, visit frequency, and status. Everything you need to manage your caseload in one clean view.
📅
Projected Visit Calendars
Based on patient frequencies, HomeHealthSync projects upcoming visits so your therapists always know who they need to see and when.
🤖
AI-Powered Business Insights +$39/mo Add-On
Three analyses built into your dashboard: Financial Health (revenue by agency and therapist, aged unpaid invoices — including ones that were never sent), Outlook & Growth (8-week and 3-month projections as honest ranges, like-for-like comparisons, seasonality), and Coverage & Growth (demand mapped against who can actually serve it — coming soon). Every number is computed by the software; the AI interprets, it never calculates. And when the data can't support a conclusion, it says so instead of guessing.
What it catches: "Two of Agency X's overdue invoices were never actually sent" — or "the Q3 dip is physician vacations, not lost business."
💰 Financial Health 📊 Revenue Trends 🧑‍⚕️ Therapist Performance 🏥 Patient Compliance
🔒
Role-Based Access
Admins see everything. Therapists only see their own visits and patients. Set billing managers, patient editors, and more — your data stays secure and organized.
📱
Works on Any Device
No app to download. HomeHealthSync runs in any browser on any phone, tablet, or computer. Your therapists are ready to go in minutes — zero setup needed.
Next: See How It Works →
AI that interprets your numbers — and never invents them.

Every figure is computed by the software from your real visit and invoice data. The AI explains what it means — and when the data can't support a conclusion, it says so instead of guessing.

💰
Financial Health
Revenue by agency and therapist, and aged unpaid invoices — split by sent vs. never-sent, with remaining balances on partial payments. It catches the overdue invoice that was never actually emailed.
📈
Outlook & Growth
The next 8 weeks and 3 months as honest ranges, not single made-up numbers. Like-for-like period comparisons and seasonality — so a 5-week month isn't mistaken for growth, and a Q3 dip reads as physician vacations, not lost business.
🗺️ COMING SOON
Coverage & Growth
Demand mapped against who can actually serve it — uncovered areas, therapists at capacity, and who has room to take more visits.
It also knows a week isn't finished yet — it measures each agency's own submission lag rather than trending a half-recorded week against complete ones.
See Plans & Add-Ons →
From visit to payment — fully automated

HomeHealthSync handles the entire billing and payment cycle. Set it up once and the app does the rest.

1
Set Up Your Practice
Add your agencies, set billing rates per visit type, and configure your practice in about 10 minutes. No IT department needed.
2
Therapists Log Visits
Each week your contractors select their patients, visit types, and dates. The app auto-fills their pay rate and the correct agency. Done in seconds from any device.
3
Email Invoice in One Click
HomeHealthSync builds the invoice automatically from submitted visits. Hit the email button and your customer receives it instantly — with a secure link to view every detail online.
4
Pay Your Contractors
Review payroll, approve amounts, and export the full breakdown — each contractor's pay calculated automatically from their submitted visits and per-visit rates.
🔄 Core Workflow Demo
From Visit to Invoice — In Seconds
Watch a therapist log visits and see a HIPAA-compliant invoice automatically built and emailed to the agency — no spreadsheets, no manual work.
Next: Check Pricing →
Simple, transparent pricing

Start with a 30-day free trial — no credit card required. Cancel anytime.

Trusted by PT, OT & ST contract agencies managing 30+ contractors across Texas and New Mexico — and growing.

Starter
$60
per month
Up to 8 therapists + admins

  • Up to 8 therapists + admins
  • Visit tracking & payroll
  • Patient list management
  • Multi-agency billing
  • Instant invoice emails
  • SMS reminders
  • Priority support
  • 🤖 AI Insights add-on (+$39/mo)
Start Free Trial
Growth
$99
per month
Up to 20 therapists + admins

  • Up to 20 therapists + admins
  • Visit tracking & payroll
  • Patient list management
  • Multi-agency billing
  • Instant invoice emails
  • SMS reminders
  • Priority support
  • 🤖 AI Insights add-on (+$39/mo)
Start Free Trial
Plus
$149
per month
Up to 30 therapists + admins

  • Up to 30 therapists + admins
  • Visit tracking & payroll
  • Patient list management
  • Multi-agency billing
  • Instant invoice emails
  • SMS reminders
  • Priority support
  • 🤖 AI Insights add-on (+$39/mo)
Start Free Trial
Business
$300
per month
Up to 60 therapists + admins

  • Up to 60 therapists + admins
  • Visit tracking & payroll
  • Patient list management
  • Multi-agency billing
  • Instant invoice emails
  • SMS reminders
  • Priority support
  • 🤖 AI Insights add-on (+$39/mo)
Start Free Trial
Agency
$450
per month
Up to 80 therapists + admins

  • Up to 80 therapists + admins
  • Visit tracking & payroll
  • Patient list management
  • Multi-agency billing
  • Instant invoice emails
  • SMS reminders
  • Priority support
  • 🤖 AI Insights add-on (+$39/mo)
Start Free Trial
Enterprise
Custom
contact us for pricing
80+ therapists

  • Unlimited therapists
  • Visit tracking & payroll
  • Patient list management
  • Multi-agency billing
  • Instant invoice emails
  • SMS reminders
  • Priority support
  • 🤖 AI Insights included
Contact Us

All plans include a 30-day free trial. No credit card required to start.

Not sure which plan fits your team? Start the free trial and we’ll help you get set up — no commitment needed.

🤖 Premium Add-On
AI Insights — $39/month
Financial Health, Outlook & Growth, and Coverage & Growth (coming soon) — three analyses that read your real visit and invoice data and tell you what it means. Every number is computed by the software; the AI interprets, it never calculates — and when the data can't support an answer, it tells you that instead of making one up. Available on any plan.
Add to My Plan →
🛠️ Optional Add-On
Done-For-You Setup — One-Time Fee
Don't want to set things up yourself? We'll do it for you — therapist roster, patient list, company settings, billing rates, and a walkthrough call so your team hits the ground running.
✅ Completely optional — customers can self-setup for free
Starter
$150
Up to 8 therapists + admins
+ 30 min call
Growth
$250
Up to 20 therapists + admins
+ 1 hr call
Professional
$350
Up to 40 therapists + admins
+ 1 hr call
Business+
$500
60–80+ therapists
+ 1 hr call & 1 week support
Add Setup to My Plan →
Seen enough? Try it live.
No signup required — explore a real agency account right now.
▶ Try the Live Demo

Real feedback from the people who run it daily

★★★★★

“Super user friendly to manage our day to day operations. I primarily run and update patient lists and it is so easy to enter patient info. I track all visits and love how I can sort by timeframe, company, or specific therapist. The invoices are automated so that saves me hours of work between 6 agencies we work with. It also auto-calculates certification periods and 30-day re-evals for therapists — a huge help for staying compliant. Also very mobile friendly!”

RM
Rosie M.
Agency Admin · Managing 6 Agencies
★★★★★

“Our admin staff loves it and reports it’s much better than the Excel system we had before. I like it a lot too. Of course there’s a small learning curve, but overall I’m happy with the purchase!”

L
Luis
Therapist & Agency Owner
Common questions
How does the instant invoice email work?
Once your therapists submit their visits, HomeHealthSync automatically builds the invoice. You hit one button and it's emailed directly to your customer with a secure link to view every visit detail online — no manual work required.
Is the platform HIPAA-compliant?
Yes — the entire platform is HIPAA-compliant. All patient data is stored in Google Firebase, which operates under a Business Associate Agreement (BAA). Invoice emails contain zero PHI — customers receive only a secure portal link. No protected health information is ever transmitted through email.
What does the AI Insights add-on include?
For $39/month added to any plan, you get three analyses built into your dashboard. Financial Health shows revenue by agency and therapist and aged unpaid invoices — including invoices that were never actually sent, and remaining balances on partial payments. Outlook & Growth projects the next 8 weeks and 3 months as honest ranges, with like-for-like period comparisons and seasonality. Coverage & Growth, coming soon, maps demand against which therapists can actually serve it. Every number is computed by the software itself — the AI interprets the results, it never calculates them — and when the data can't support a conclusion, it says so instead of guessing.
How does contractor payroll work?
HomeHealthSync calculates contractor payroll automatically from submitted visits — each therapist's pay is calculated at their per-visit rates across every visit type. You review the full breakdown, then pay contractors via your preferred method (ACH, check, Zelle, etc.). No manual spreadsheet work needed.
Do my therapists need to download anything?
No. HomeHealthSync runs entirely in the browser. They just open the link you send them, sign in with their Google account, and they're ready to go. No downloads, no setup, no training required.
Can I manage multiple specialties (PT + OT + ST)?
Yes. HomeHealthSync supports PT, OT, and ST practices — each with their own credential types, visit types, and billing rates — all manageable from one admin account.
Is patient data secure?
Yes. All patient data is stored in Google Firebase under a HIPAA Business Associate Agreement (BAA). Data is encrypted at rest and in transit. Therapists only see their own patients and visits, and admins control all access permissions.
What happens after the free trial?
After 30 days you choose the plan that fits your practice size. There's no automatic charge — we'll reach out to get you set up on the right plan.
Can I change plans as my practice grows?
Absolutely. You can upgrade at any time as you add more therapists. Just reach out and we'll make the switch for you right away.
Insights for home health practice owners

Expert guides on billing, payroll, compliance, and growing your therapy practice.

Home Health Billing Mar 30, 2026
The Best 1099 Therapist Payment Software for Home Health Agencies in 2026
If you rely on 1099 contractor therapists, you know the pain of manual payroll. Here's what to look for in payment software and why HomeHealthSync is the go-to choice.
Read Article →
Home Health Billing Mar 30, 2026
The Best QuickBooks Alternative for Home Health Agencies in 2026
QuickBooks wasn't built for home health. Learn why agencies are switching to a purpose-built platform that handles visit tracking, invoicing, and 1099 payments in one place.
Read Article →
Home Health Payroll Apr 18, 2026
Payroll Software for Home Health: What Therapy Contractors Actually Need in 2026
Generic payroll tools weren't built for visit-based contractor pay. Here's what to look for in payroll software designed specifically for PT, OT, and ST home health agencies.
Read Article →
Home Health Billing Apr 18, 2026
Homecare Software for Billing: The Complete Guide for PT, OT & ST Agencies in 2026
Most billing software misses the mark for therapy contractors. Learn what a real homecare billing solution looks like — and how to stop leaving money on the table.
Read Article →
Home Health Software Apr 18, 2026
Home Care Private Duty Software for Therapy Contractors: What Actually Works in 2026
Most private duty platforms are built for personal care aides, not PT, OT & ST contractors. Here's what therapy-specific home care software should actually do.
Read Article →
Software Comparison Apr 18, 2026
HomeHealthSync vs WellSky & Kinnser: Which Home Health Software Is Right for PT, OT & ST Contractors?
WellSky and Kinnser are powerful — but built for large Medicare agencies. Here's how they compare to HomeHealthSync for private-pay therapy contractor operations.
Read Article →
Home Health Billing Apr 18, 2026
What Features Should I Look for in Caregiver Billing Software? A PT, OT & ST Guide
The billing software feature checklist for therapy contractors is very different from what personal care agencies need. Here's exactly what to look for — and what to skip.
Read Article →
Billing Automation Mar 30, 2026
PT & OT Billing Automation: How Home Health Agencies Save 6+ Hours a Month
Manual billing is costing your agency hours every month. Here's how PT, OT, and ST home health agencies automate the full billing cycle from visit to payment.
Read Article →
Home Health Payroll Mar 30, 2026
Home Health Payroll Software for Agency Owners: The Complete Guide
Managing 1099 contractor payroll by hand? Learn how home health agencies automate visit-based pay calculation and 1099-NEC tracking in one platform.
Read Article →
Home Health Billing Mar 30, 2026
Physical Therapy at Home Billing Guide for Agency Owners
The complete guide to PT home visit billing — from visit logging and 1099 contractor pay to automated invoicing and HIPAA-compliant delivery.
Read Article →
Get Started Today

The only platform your practice will ever need.

Visit tracking, automated invoices, instant email delivery to customers, and automated 1099 contractor payroll — all in one place. Start your free 30-day trial today.

Request Your Free Trial → 📅 Request a Demo

Or email us directly at hello@homehealthsync.com

No credit card required

Ready to stop doing billing manually?

Join home health therapy agencies already saving hours every week. Get your account set up in minutes — no sales call, no setup fee.

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30-day free trial · No automatic charges · Cancel anytime