A Kinnser & WellSky Alternative
Built for PT, OT & ST Contract Therapy Agencies.
If Kinnser (now WellSky) feels like enterprise overkill for your therapy contractor agency — expensive, clinical-heavy, and built for someone else's model — HomeHealthSync is the focused alternative: billing and 1099 contractor payroll, transparent flat pricing, no EMR overhead.
30-day free trial · No credit card · Setup in under 10 minutes
I'm a home health PT who ran a contract therapy agency. The big platforms were built for Medicare-certified agencies with clinical teams — not for someone billing home health companies per visit and paying 1099 therapists. I built HomeHealthSync to do exactly that one job well, without paying for an enterprise EMR I'd never use.
First, the thing most people don't realize: Kinnser is now WellSky
Kinnser Software launched in 2003 as a web-based home health EMR. In 2019 it was acquired by WellSky and rebranded as WellSky Home Health. So if you're shopping for "Kinnser" today, you're really evaluating WellSky's platform — the names refer to the same enterprise post-acute software.
WellSky is a serious, capable platform serving thousands of post-acute providers — skilled nursing facilities, hospices, home health agencies, and rehab providers. It's built around:
- Clinical documentation for skilled nursing, therapy, and aide services
- Medicare and Medicaid billing — OASIS, PDGM, full claims processing
- Large agency operations: case managers, schedulers, clinical supervisors
- Regulatory compliance workflows for Medicare-certified agencies
- Analytics, outcomes tracking, and referral management
By any measure, it's powerful — if you're running a large, Medicare-certified agency with a full clinical team. The problem is that a lot of small PT, OT, and ST contract therapy agencies get steered toward it anyway, and end up paying for — and fighting with — far more platform than their model ever needed.
Why therapy agencies go looking for a Kinnser / WellSky alternative
If you run a Medicare-certified home health agency with clinical staff and you need OASIS, PDGM claims, and EVV — WellSky/Kinnser is genuinely the right kind of tool, and HomeHealthSync is not. We're not trying to be a clinical EMR. This page is for the contract therapy agencies that don't need one and shouldn't be paying for one.
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
- Direct contractor payments via Stripe with 1099-NEC tracking
- Document handling without the weight (or cost) of a full EMR
HomeHealthSync vs WellSky (Kinnser): Head to Head
Different categories, really — not better or worse across the board. WellSky 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 billing and payroll to just work, affordably.
What It Costs
Unlike WellSky/Kinnser's custom enterprise quotes, HomeHealthSync's pricing is public and flat:
30-day free trial, no credit card required. No sales call required to find out what it costs.
Not sure if it's the right fit for your agency? Let's talk it through.
“The invoices are automated so that saves me hours of work between 6 agencies we work with. It also auto-calculates certification periods and 30-day re-evals for therapists — a huge help for staying compliant. Also very mobile friendly!”
“Our admin staff loves it and reports it’s much better than the Excel system we had before. I like it a lot too. Of course there’s a small learning curve, but overall I’m happy with the purchase!”
See the Alternative for Yourself
No signup needed — explore a live agency account and see how billing, multi-agency invoicing, and 1099 contractor payroll run end to end. Or book a call and I'll walk you through whether it fits your model.
Frequently Asked Questions
Is Kinnser the same as WellSky?
Yes. Kinnser was founded in 2003 as a web-based home health EMR, acquired by WellSky in 2019, and rebranded WellSky Home Health. Searching for "Kinnser" today lands you on WellSky's platform — same software lineage.
What's the best Kinnser or WellSky 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 flat pricing, minus the clinical EMR overhead. If you run a large Medicare-certified agency, WellSky is likely the better fit.
How much does Kinnser / WellSky cost?
WellSky (Kinnser) doesn't publish pricing — it's custom enterprise quotes with a sales process, annual contracts, and implementation. HomeHealthSync is public and flat: $60/month (up to 8 therapists) or $149/month (unlimited), 30-day free trial, no credit card.
Is HomeHealthSync a full replacement for WellSky or Kinnser?
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, WellSky/Kinnser is built for exactly that.
Can I switch from Kinnser / WellSky 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.