An Axxess Alternative
Built for PT, OT & ST Contract Therapy Agencies.

If Axxess feels like enterprise overkill for your therapy contractor agency — quote-based pricing, clinical-heavy, and built for someone else's model — HomeHealthSync is the focused alternative: billing and 1099 contractor payroll, transparent public pricing, no EMR overhead.

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

How Much Does Axxess Cost? (And What HomeHealthSync Costs Instead)

It's the question most agencies want answered first, so let's get it out of the way.

Axxess does not publish standard pricing. It's quote-based — typically census-based tiered pricing with a sales process and a one-time setup/implementation fee. Reported numbers from agencies vary widely depending on agency size, product lines, and modules, but expect a real enterprise commitment rather than a self-serve subscription.

HomeHealthSync's pricing is public, simple, and self-serve:

• $60/month for up to 8 therapists + admins
• Plans scale by team size — up to $450/month for 80 therapists + admins, with unlimited home health agencies on every plan
• 30-day free trial — no credit card required, no sales call required
• No per-user fees, no setup costs, no annual contract

The honest version: Axxess's pricing model makes sense if you're a Medicare-certified agency with a clinical team — that's the market it serves. HomeHealthSync's pricing model makes sense if you're a contract therapy agency that needs billing and payroll to just work without an enterprise budget or procurement cycle.

What Axxess Actually Is (and Who It's For)

Axxess is one of the largest home health software companies in the industry, serving thousands of organizations across home health, home care, hospice, and palliative care. Its suite is built around the operations of Medicare-certified agencies:

• Clinical documentation and EMR for skilled nursing, therapy, and aide services
• OASIS assessments with real-time validation and scrubbing
• Medicare and Medicaid billing — PDGM, eligibility checks, claims submission, revenue cycle management
• EVV (Electronic Visit Verification) at the point of care
• Scheduling, HR, and large-agency operations: case managers, clinical supervisors, field staff coordination

By any measure it's a serious platform — if you're running a Medicare-certified agency with a full clinical team. The problem is that small PT, OT, and ST contract therapy agencies get steered toward enterprise platforms like it anyway, and end up paying for — and fighting with — far more software than their model ever needed.

Why Therapy Agencies Look for Axxess Alternatives

Where HomeHealthSync fits

HomeHealthSync is billing and 1099 payroll software built specifically for the contract therapy model — agencies that place PT, OT, and ST therapists with home health companies and bill those companies per visit. It's intentionally focused on the operational core:

• Visit-based payroll automation for 1099 contractor therapists
• Automated multi-agency invoicing with HIPAA-compliant delivery
• Per-agency, per-visit-type rate configuration — set once, applied automatically
• Automated contractor payroll calculation with 1099-NEC tracking
• Document handling without the weight (or cost) of a full EMR

HomeHealthSync vs Axxess: Head to Head

Different categories, really — not better or worse across the board. Axxess wins decisively if you need a clinical EMR for a Medicare-certified agency. HomeHealthSync wins decisively if you're a therapy contractor agency that needs home health billing software that just works, affordably.

What It Costs

Unlike Axxess's custom enterprise quotes, HomeHealthSync's pricing is public:

30-day free trial, no credit card required. No sales call required to find out what it costs.

Frequently Asked Questions

What is Axxess home health software?

Axxess is an enterprise home health software company whose suite covers clinical EMR, OASIS assessments, Medicare/Medicaid billing and revenue cycle management, EVV, scheduling, and agency operations across home health, home care, hospice, and palliative care. It's built for Medicare-certified agencies with clinical teams — a different category from billing and payroll software for contract therapy vendors.

What's the best Axxess alternative for a small therapy agency?

For a PT, OT, or ST contract therapy agency — placing 1099 therapists with home health companies and billing per visit — HomeHealthSync is purpose-built for that model: visit tracking, multi-agency invoicing, and 1099 payroll with transparent public pricing, minus the clinical EMR overhead. If you run a Medicare-certified agency, Axxess is likely the better fit.

How much does Axxess cost?

Axxess doesn't publish standard pricing — it's custom quotes, typically census-based tiers with a sales process and a setup/implementation fee. HomeHealthSync is public: plans start at $60/month for up to 8 therapists + admins, scaling by team size to $450/month for 80 — 30-day free trial, no credit card.

Is HomeHealthSync a full replacement for Axxess?

For the contract therapy model's billing and payroll, yes. For Medicare-certified clinical agencies needing OASIS, PDGM claims, and EVV — no, and we'll tell you that upfront. They're different categories of software.

Does HomeHealthSync do OASIS, Medicare billing, or EVV?

No — and that's intentional. Contract therapy agencies invoice home health companies rather than billing Medicare directly, so that workflow doesn't apply. If you need it, Axxess is built for exactly that.

Can I switch from Axxess to HomeHealthSync?

If your agency fits the contract therapy model, yes — setup takes under 10 minutes with a 30-day free trial, and there's no clinical-record migration because HomeHealthSync isn't an EMR. You configure agencies, rates, and therapists, and start logging visits.