Home Care Billing and Payroll Software
Built for PT, OT & ST Agencies.
Auto-build invoices from submitted visits. Run 1099 contractor payroll off the same data. Pay therapists directly. One HIPAA-compliant platform for home care and home health therapy agencies — no second tool, no double entry, no reconciliation.
30-day free trial · No credit card · Setup in under 10 minutes
Most home care and home health agencies run their billing and payroll across two or three separate tools — QuickBooks for invoices, Gusto or a spreadsheet for contractor pay, and a text-message thread for collecting visit data from therapists in the field. Visit data ends up living in three places, drifting out of sync, and burning several hours per week of admin time just keeping the systems aligned.
The point of integrated home care billing and payroll software isn't to digitize each tool separately — it's to run both workflows off the same source of truth: the visit data your therapists log in the field.
This page is for owners of home care and home health agencies that contract PT, OT, and ST therapists to see patients in their homes. If you bill insurance directly or primarily employ W-2 staff with fixed schedules, this is a different model and different tools apply.
The Real Cost of Separate Billing and Payroll Tools
When billing lives in QuickBooks and payroll lives in Gusto, every visit your therapists complete has to be entered into both — once to invoice the home health agency, again to calculate what the contractor is owed. Same data, two destinations, double the entry work, double the opportunity for error.
What that actually looks like across a typical billing cycle for a 10-therapist agency:
- Therapists text or email visits in throughout the week — already a fragile collection step
- You transcribe visits into a spreadsheet, double-checking dates and agencies
- You build invoices per home health agency, applying the right rate per visit type
- You build a separate payroll sheet calculating contractor pay per visit
- You reconcile the two — make sure every visit on an invoice has a matching contractor pay line
- You write checks or initiate ACH transfers from your bank for each contractor
- You log every payment somewhere (or hope you'll remember in January for 1099s)
That's not billing software working for you. That's you doing the work manually and using software as filing cabinets.
One Source of Truth: How Integrated Software Actually Works
The premise of purpose-built home care billing and payroll software is that visit data should be entered exactly once — by the therapist who completed the visit — and that single entry should drive both invoicing and payroll automatically. No re-entry. No reconciliation. No drift.
Why Generic Tools Aren't Enough
What Integrated Home Care Billing and Payroll Software Has to Do
How HomeHealthSync Compares to the Typical Two-Tool Stack
Pricing
HomeHealthSync is priced for growing home care and home health agencies — not enterprise healthcare systems:
30-day free trial, no credit card required. Replaces what most agencies currently pay across QuickBooks + Gusto + manual admin time — at a lower combined cost.
See Billing and Payroll Run Off One Visit Entry
No signup needed — explore a live agency account and walk through the integrated workflow from visit submission to invoice to contractor payment.
Frequently Asked Questions
What is the best home care billing and payroll software for a PT, OT, or ST agency?
HomeHealthSync is built specifically for PT, OT, and ST home health agencies. It combines billing and 1099 contractor payroll in a single platform driven by the same visit data — invoices generate automatically per home health agency at contracted rates, and contractor payroll calculates from the same visits without any re-entry.
Why use one platform for home care billing and payroll instead of separate tools?
When billing and payroll live in separate tools, visit data has to be entered twice — once to invoice the home health agency, again to calculate contractor pay. Every duplicate entry is an opportunity for the two systems to drift apart, and reconciling them at month-end is hours of work. Integrated software runs both off the same submitted visits, so they can't disagree.
Does HomeHealthSync replace QuickBooks for a home care agency?
For invoicing and accounts receivable — yes. Many agencies keep QuickBooks for general accounting (expense categorization, P&L, tax prep), but the invoice-generation workflow moves into HomeHealthSync where it can be driven off visit data instead of built manually.
Is home care billing and payroll software HIPAA compliant?
It has to be. Invoices include patient identifiers and visit details — that's PHI. HomeHealthSync is HIPAA compliant end to end, delivers invoices through a secure authenticated portal, and a Business Associate Agreement is available.
How does payroll work for 1099 therapists?
Each contractor has a per-visit-type pay rate configured once. When a visit is submitted, the platform automatically calculates what's owed. At pay time, you review and pay directly via Stripe ACH. Every payment is logged automatically for year-end 1099-NEC reporting.
How much does home care billing and payroll software cost?
$60/month for up to 8 active therapists or $149/month for unlimited therapists. Both plans include integrated billing and payroll, multi-agency invoicing, HIPAA-compliant delivery, direct Stripe contractor payments, and 1099-NEC tracking. 30-day free trial, no credit card required.