Contract Therapy Software
For PT, OT & ST Agencies.
Software built specifically for the contract therapy model — agencies that place 1099 PT, OT, and ST therapists into home visits with home health companies. Visit tracking, multi-agency billing, contractor payroll, and direct payments in one HIPAA-compliant platform.
30-day free trial · No credit card · Setup in under 10 minutes
"Contract therapy" describes a specific business model that sits between staffing and home health. A therapy agency contracts independent PT, OT, and ST therapists — typically as 1099 contractors — and places them with home health companies that need therapy services for their patients. The agency doesn't deliver care directly; it manages the therapist relationship and bills the home health company per completed visit.
Most software wasn't built for this model. Clinical EHRs assume your agency owns the patient relationship. Insurance billing platforms assume you submit claims to payers. Generic invoicing tools don't understand per-visit billing or multi-agency rate matrices. Contract therapy software is built for the contract therapy model specifically — and the niche is small enough that very few tools fit cleanly.
The Contract Therapy Model: Who Owns What
In the contract therapy model, three parties have distinct roles. Understanding who owns what is the entire reason contract therapy software is a different software category:
The reason most software fails here: it's built for a one-party or two-party model. Clinical EHRs assume you ARE the home health company (you own the patient). Insurance billing platforms assume you bill the insurer (not another business). Generic invoicing tools don't understand the per-visit, per-discipline, per-agency rate structure that contract therapy runs on.
Contract Therapy vs. Other Therapy Practice Models
Contract therapy is often confused with adjacent models that look similar on the surface but require completely different software. Here's how it compares:
- Contracts 1099 therapists
- Places them with home health companies
- Bills home health companies per visit
- Doesn't own the patient relationship
- Doesn't bill insurance
- Pays contractors per-visit
- Employs W-2 therapists
- Sees patients in a clinic location
- Bills insurance for each visit
- Owns the patient relationship
- Needs CPT codes and clearinghouses
- Pays therapists salary or hourly
- Therapists employed by the home health company
- Patients are the home health company's patients
- Therapy revenue is part of Medicare bundled payment
- No separate per-visit billing between parties
- Therapists paid salary or per-visit as employees
- Solo or small group of therapists
- Sees patients directly without insurance
- Bills patients (not businesses) per session
- Manages own scheduling and patient relationship
- Software needs are closer to a service business than a B2B agency
If your model matches the "Contract Therapy Agency" card on the left, you're in the right place. The other three models exist and are valid — they just need different software.
What Contract Therapy Software Has to Do
Because the contract therapy model sits between staffing and home health, contract therapy software has to cover capabilities from both worlds — without the assumptions either category typically makes about how you operate.
"Therapy billing and scheduling software" is a common search — and worth being honest about. HomeHealthSync is contract therapy billing and payroll software, not a clinical scheduling platform. In the contract therapy model, scheduling is typically owned by the home health company that owns the patient relationship — they tell your therapist when the patient needs to be seen. HomeHealthSync handles the operational side: tracking what was done, billing for it, and paying the contractor. If you need a clinical calendar or recurring appointment scheduler in addition, that's a separate tool category.
How HomeHealthSync Fits Contract Therapy
HomeHealthSync was built by a home health PT who ran a contract therapy agency and spent years duct-taping QuickBooks, a spreadsheet, and a payroll tool together. The platform automates every operational step of the contract therapy workflow in a single HIPAA-compliant tool:
- Contractor onboarding: W-9 collection, rate configuration, agency assignments — all in one place per contractor.
- Visit tracking: Contractors log visits from any device. You see them in real time as they come in.
- Multi-agency rate management: Configure per-agency, per-discipline, per-visit-type rates once. Applied automatically forever.
- Automated invoicing: Close a cycle, invoices generate per home health agency. Delivered through a HIPAA-compliant secure portal.
- Contractor payroll: Calculated from the same visit data, no re-entry required.
- Direct payments via Stripe: Pay contractors straight to their bank from inside the platform. Every payment logged for 1099 tracking.
- HIPAA compliant: Secure invoice portal, encrypted data, Business Associate Agreement available.
Pricing
30-day free trial, no credit card required.
See Contract Therapy Operations Run End to End
No signup needed — explore a live contract therapy agency account and walk through visit submission, multi-agency billing, contractor payroll, and direct payment in a working demo.
Frequently Asked Questions
What is contract therapy software?
Contract therapy software is purpose-built for agencies that contract independent PT, OT, and ST therapists (typically as 1099 contractors) and place them into home visits with home health companies. It handles visit tracking from the field, billing the home health companies per visit at contracted rates, and running contractor payroll from the same visit data.
What is the contract therapy model?
Contract therapy is a business model where a therapy agency contracts independent therapists and places them with home health companies that need therapy services for their patients. The home health company owns the patient relationship; the contract therapy agency manages the therapist relationship and bills the home health company per completed visit.
How is contract therapy software different from clinical EHR software?
Clinical EHRs are built for practices that own the patient relationship — they document treatment, submit insurance claims, and manage authorizations. Contract therapy software is built for agencies that don't own the patient relationship — they track visits, bill the home health company, and pay contractor therapists. Two completely different software categories.
What features does contract therapy software need?
Field visit submission, per-home-health-agency rate configuration, per-contractor pay rate configuration, automated multi-agency invoicing, HIPAA-compliant invoice delivery, integrated contractor payroll, direct 1099 contractor payments, and year-end 1099-NEC tracking.
Can HomeHealthSync handle scheduling for contract therapy?
HomeHealthSync is contract therapy billing and payroll software — not a clinical scheduling platform. Visit tracking captures completed visits, which drives billing and payroll. In the contract therapy model, scheduling is typically handled by the home health company that owns the patient relationship. If you need a clinical calendar in addition to billing and payroll, that's a separate category of tool.
How much does contract therapy software cost?
$60/month for up to 8 active contract therapists or $149/month for unlimited. Both plans include visit tracking, multi-agency billing, HIPAA-compliant invoice delivery, integrated contractor payroll, direct Stripe payments, and 1099-NEC tracking. 30-day free trial, no credit card required.