One HIPAA-native platform for scheduling, EVV, billing, OASIS-E2, contracts, and clinical operations. Designed for multi-office agencies setting the standard in home care.
Legacy software was designed for paper-charting agencies that billed by hand. Hostcare is built for the regulatory and operational reality of 2026: mandated EVV, OASIS-E2, FCRA-compliant background checks, and multi-state coverage.
Mandatory EVV in every state. CMS OASIS-E2 with PDGM. FCRA pre-adverse windows. State licensing audits. Hostcare ships with each one already enforced — not bolted on.
Most competitors run single-instance deployments — your data sits in the same database as everyone else's. We built on Hyn multi-tenant prefix mode so each agency has structural data isolation.
Patient identity is the same in scheduling, EVV, billing, OASIS, and contracts. The denials and rework that plague stitched-together stacks simply do not exist when there is one source of truth.
AWS KMS encryption. BAA included. AI features gated on signed BAA confirmation before PHI moves. Nine separate audit logs. We treat compliance as table stakes, not a feature.
When EVV and billing systems disagree on patient identity, Medicaid denies the claim 30–60 days later. Each denial costs $25–$50 to rework — and the volume compounds with patient count.
Staff spend 8–12 hours weekly copying data between systems, chasing missed clock-outs, and re-entering eligibility. A full day of payroll, every week, on work that creates no value.
State auditors look for proof of supervision, DVIR records, and care-plan acknowledgement on the same date as the billed visit. Disconnected systems cannot show that chain of custody.
Most agencies run WellSky for scheduling, HHAeXchange for EVV, Claim.MD for billing, and Checkr for backgrounds. Four contracts, four logins, four data models, four audit trails.
| Capability | Stitched stack WellSky + HHAeXchange + Claim.MD + Checkr |
Hostcare |
|---|---|---|
| Unified patient identity across modules | ✗ Manual mapping | ✓ Automatic |
| EVV pre-flight validation before submission | ✗ Submit and pray | ✓ Pre-flight blocks denials |
| OASIS-E2 + iQIES submission native | ✗ External tool required | ✓ Built in |
| NEMT transport billing | ✗ Not supported | ✓ Full module + DVIR |
| FCRA-compliant background checks | ✗ Parallel in vendor | ✓ Adjudication queue |
| Single audit log across modules | ✗ Four separate logs | ✓ Unified trail |
| 15+ AI operations with BAA gating | ✗ 0–4 per vendor | ✓ 15 ops, all PHI-gated |
141 items across 15 sections, data-driven form engine, live PDGM functional scoring (M1800–M1860), GPS proximity validation, and a 19-category scrubber that catches inconsistencies before submission.
M1800 Grooming
2
M1810 Upper Body Dressing
1
M1820 Lower Body Dressing
2
M1830 Bathing
3
M1840 Toilet Transferring
1
M1850 Transferring
2
M1860 Ambulation
2
Full transport request workflow: Transdev NETSPAP authorization (RTN tracking), trip completion with mileage, billing preview with HCPCS line items, Claim.MD 837P submission. Plus a daily DVIR system that locks failed vehicles out of assignment.
A0130
RP
Wheelchair transport
$30.00
A0120
OR
Origin
$20.00
T2001
OR
Waiver transport
$20.00
A0425
RD
Mileage (12.4 mi)
$12.77
A0130
PR
Return
$30.00
A0425
DR
Return mileage
$8.86
Caregiver agreements, client service contracts, HIPAA acknowledgements — all built in, all SHA-256 hash-chained for tamper detection. AI compliance check (10 credits), proofread (5), improve-section (5). Signed contracts auto-lock from edits.
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