HomeHealthSync vs TherapySync: Honest Comparison for Contract Therapy Agencies
If you're evaluating software for a contract therapy agency, HomeHealthSync and TherapySync are two of the more relevant options — and people often discover both while shopping. They target the same niche (contract therapy agencies placing PT, OT, and ST therapists with home health companies), but they're built around fundamentally different priorities.
The shortest honest summary: TherapySync is a comprehensive clinical-plus-business platform with deep customizable documentation. HomeHealthSync is a focused billing and 1099 contractor payroll platform with transparent flat pricing. Both are real options for contract therapy agencies — the right choice depends on what you actually need software to do for you.
This post compares them honestly, including the places where TherapySync is genuinely the better fit. We're not going to pretend HomeHealthSync wins on every dimension, because it doesn't. It wins on the dimensions it was built for.
This post is published on the HomeHealthSync site — we built HomeHealthSync. We've tried to compare both products fairly using publicly available information from each company's site as of May 2026. Where TherapySync's site doesn't publicly state something (like pricing), we've said so rather than guessing. If anything below is out of date or inaccurate, let us know and we'll correct it.
Side-by-Side: What Each Product Is
Feature-by-Feature Comparison
Note on the "Partial" markers: where TherapySync's public site doesn't explicitly state a feature detail (like whether their payroll module specifically supports 1099 contractors, whether they offer direct ACH payments, or whether they have automatic 1099-NEC tracking), we've marked it conservatively rather than assuming. A demo or sales conversation with TherapySync would clarify these.
Where TherapySync Wins
TherapySync is the better fit if you need:
- Full clinical documentation: Customizable evaluation forms, treatment notes, standardized tests, and patient charts integrated into the same platform as your billing and operations.
- Home exercise programs: If you want to deliver patient HEPs as part of your service, TherapySync has this built in. HomeHealthSync does not.
- White-label / branded experience: TherapySync emphasizes "your company branding." If presenting a custom-branded portal to your therapists or contracting agencies matters to you, TherapySync offers more flexibility there.
- One platform for everything: If you want to avoid running clinical documentation and billing in separate tools — and you're willing to evaluate via demo and accept custom pricing — TherapySync's breadth is the appeal.
- Heavy customization needs: "Hundreds of customizable documentation sections" is a real differentiator if your workflow requires a lot of form tailoring.
If any of the above are hard requirements for your agency, TherapySync is the better tool and we'd point you there.
Where HomeHealthSync Wins
HomeHealthSync is the better fit if you need:
- Focused billing and 1099 contractor payroll: If your operational pain is specifically billing the home health agencies and paying contractors — and you don't need a full clinical EHR — HomeHealthSync is built around exactly that workflow, with nothing extra to wade through.
- Transparent, flat pricing: $60/month or $149/month, published on the site. No demo required to find out what it costs. No per-user fees that scale with your therapist count.
- HIPAA-compliant invoice delivery as a hard requirement: HomeHealthSync delivers invoices through a secure authenticated portal — never email attachments containing PHI — and a Business Associate Agreement is available. This is front-and-center positioning.
- Direct contractor payments + automatic 1099-NEC tracking: Pay contractors via Stripe ACH from inside the platform. Every payment logged automatically against year-to-date totals, so January 1099-NEC reporting is a report pull, not a reconstruction project.
- Self-serve onboarding: 30-day free trial, no credit card required, no demo gating. You can start using it without a sales call.
- Standardized product (not customized per agency): Everyone gets the same product and the same updates. If you want a tool that just works without configuration overhead, that's an asset. If you want deep per-agency customization, it's a limitation.
Pricing Compared
This is one of the clearest practical differences between the two products:
TherapySync
Pricing is not published on their public website as of May 2026. To get pricing, you'd need to request a demo or quote, and pricing varies based on agency size and which modules you need. This is a common pattern for comprehensive platforms with many configurable modules.
HomeHealthSync
Pricing is public and flat:
- Starter: $60/month — up to 8 active therapists
- Growth: $149/month — unlimited therapists, unlimited agencies, priority support
- Free trial: 30 days, no credit card required
- No per-user fees, no setup costs
For a small to mid-sized agency where billing and contractor payroll are the primary pain points, HomeHealthSync's pricing is typically going to be both lower and more predictable. For an agency that wants the full clinical-plus-business platform that TherapySync offers, you're going to want to get a quote and evaluate the total value.
Decision Guide: Which Should You Pick?
Can You Use Both?
Some agencies do, although it's not a common pattern. The thinking: use TherapySync (or another EHR) for clinical documentation, and use HomeHealthSync for billing and contractor payroll. The two tools don't directly integrate — HomeHealthSync uses its own visit logging for billing — but operationally many agencies treat clinical documentation and billing/payroll as separate workflows.
If you're considering this, the trade-off is straightforward: two tools cost more in subscriptions but give you best-of-breed in each lane, vs. one platform that does both reasonably well. Most agencies pick one or the other, not both.
What This Comparison Doesn't Tell You
A few things this post deliberately doesn't try to evaluate:
- Support quality: Both companies offer support; we haven't surveyed customers to compare responsiveness. Ask each vendor to describe their support model during evaluation.
- Implementation timeline: Comprehensive platforms typically take longer to set up than focused tools. HomeHealthSync's 30-day free trial gives you a clear timebox; TherapySync's implementation cadence we'd defer to them.
- Long-term roadmap: Both products evolve. Where each is going matters for a multi-year commitment. Worth asking each team.
- Specific integrations: If you need a specific integration (e.g., to a particular accounting tool or CRM), check directly with each vendor — we haven't catalogued integrations.
The goal of this post isn't to declare a winner. It's to help you understand what each product is actually built for, so you can make the call that fits your agency.
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Frequently Asked Questions
What is the difference between HomeHealthSync and TherapySync?
Both target contract therapy agencies, but with different priorities. TherapySync is a comprehensive clinical-plus-business platform with deep customizable documentation, home exercise programs, and white-label branding — custom-quoted pricing. HomeHealthSync is a focused billing and 1099 contractor payroll platform with transparent flat pricing ($60–$149/month). Different priorities, both legitimate options.
Is HomeHealthSync a TherapySync alternative?
For the billing and 1099 contractor payroll portion of operations, yes. HomeHealthSync targets the same contract therapy agency model. The key difference: HomeHealthSync doesn't include clinical documentation (EHR) features or home exercise programs that TherapySync does.
How much does TherapySync cost?
TherapySync does not publish pricing publicly. Pricing is custom-quoted based on agency size and feature needs — you'd need to request a demo or quote from them directly. HomeHealthSync's pricing is public: $60/month (up to 8 therapists) or $149/month (unlimited).
Does HomeHealthSync include clinical documentation like TherapySync?
No. HomeHealthSync captures visit data needed for billing and payroll but is not a clinical EHR. No customizable evaluation forms, treatment notes, standardized test integration, or home exercise programs. If clinical documentation is a hard requirement, TherapySync (or a separate EHR alongside HomeHealthSync) is the right path.
Which is better for a small contract therapy agency?
For a small agency where billing and 1099 contractor payroll are the primary pain points, HomeHealthSync's flat $60/month pricing is typically the easier starting point. For a small agency that also needs clinical documentation and a customizable EHR experience, TherapySync's broader feature set is worth the additional pricing and onboarding conversation.
Can I use HomeHealthSync alongside TherapySync or another EHR?
Yes, though it's not common. Some agencies use a dedicated EHR for clinical documentation and HomeHealthSync for billing and contractor payroll. The two don't directly integrate, but operationally many agencies treat clinical documentation and billing as separate workflows.