A Homecare Homebase Alternative
Built for PT, OT & ST Contract Therapy Agencies.

If Homecare Homebase (HCHB) feels like enterprise overkill for your therapy contractor agency — quote-based pricing, heavyweight implementation, 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 Homecare Homebase Cost? (And What HomeHealthSync Costs Instead)

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

Homecare Homebase does not publish pricing. It's custom enterprise pricing — a sales process, a contract, and an implementation that's a serious project in its own right (reported implementation costs commonly run well into five figures). Numbers vary widely with agency size and service lines, 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: HCHB's pricing model makes sense if you're a large 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 Homecare Homebase Actually Is (and Who It's For)

Homecare Homebase is one of the two dominant enterprise EHR platforms for home-based care (alongside WellSky), serving home health, hospice, home care, and private duty agencies since 1999. Its suite is built around the operations of large Medicare-certified agencies:

• Clinical documentation and EMR for skilled nursing, therapy, and aide services
• OASIS workflows, intake, referral management, and authorization tracking
• Medicare and Medicaid billing — PDGM, eligibility verification, claims submission, revenue cycle management
• Point-of-care documentation and EVV in the field
• Drag-and-drop scheduling and multi-site, multi-state agency operations

By any measure it's a serious platform — if you're running a large 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 HCHB 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 Homecare Homebase: Head to Head

Different categories, really — not better or worse across the board. HCHB wins decisively if you need a clinical EMR for a large 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 HCHB'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 Homecare Homebase (HCHB)?

Homecare Homebase is one of the dominant enterprise EHR platforms for home-based care, serving home health, hospice, home care, and private duty agencies since 1999 — point-of-care documentation, OASIS workflows, intake, scheduling, Medicare billing, and RCM. It's built for large Medicare-certified agencies with clinical teams — a different category from billing and payroll software for contract therapy vendors.

What's the best HCHB 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 large Medicare-certified agency, Homecare Homebase is likely the better fit.

How much does Homecare Homebase cost?

Homecare Homebase doesn't publish pricing — it's custom enterprise quotes with a sales process and a significant implementation. 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 Homecare Homebase?

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, HCHB is built for exactly that.

Can I switch from Homecare Homebase 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.