What does home care billing software actually do?

Home care billing software converts caregiver-recorded visits into invoices and claims. For private pay clients, it generates invoices and accepts payment (ACH or card). For Medicaid clients, it formats 837P claims with EVV data, submits them to the state Medicaid agency or MCO, and reconciles 835 ERAs. For LTC insurance, it generates the claim packet the carrier requires (often a paper-equivalent PDF). Software with strong billing also tracks aging, denial reasons, and revenue per payer.

How is home care billing different from medical billing?

Home care billing has more billable units (one visit = one billable hour, not one claim), more payer types per agency (private pay + Medicaid + LTC + occasional VA), and EVV data must be attached to Medicaid claims. Most generic medical billing tools (Kareo, AdvancedMD, athenahealth) are built for office-based practice and miss EVV, hourly billing, and personal-care service codes.

Does AveeCare include billing?

Yes. AveeCare includes private-pay invoicing, ACH and card payment processing, and Medicaid 837P billing across all 50 states with EVV export to your state aggregator. Billing is included at $6 per active client per month, no separate billing module fee. LTC insurance billing is supported via printable claim packets formatted to common LTC carriers.

How much does home care billing software cost?

Home care billing bundled into a primary platform runs $5 to $25 per active client per month. Standalone billing services or revenue cycle management providers charge $200 to $1,000+ per month, plus a percentage of collections (typically 3-7%). Outsourced RCM is most common for agencies above 100 active Medicaid clients. AveeCare bundles billing at $6 per active client per month.

Buyer's Guide

Home care billing software: 2026 buyer's guide

The honest 2026 home care billing software guide: Medicaid, Medicare, private pay, and LTC insurance, sometimes on the same client. 18 platforms compared.

By Calvin Nesvig, Founding Partner·Updated May 3, 2026

Quick answer

Multi-payer support is the #1 thing. If your tool can't handle private pay + Medicaid 837P on the same client, switch.
EVV must attach to Medicaid claims automatically. Not a separate workflow.
Avoid generic medical billing tools like Kareo, AdvancedMD, NetMD — they miss EVV and personal-care codes.
Outsourced RCM makes sense above 100+ Medicaid clients; below that, in-house with bundled software wins on margin.
AveeCare bundles billing at $6 / active client / mo; private pay, Medicaid 837P, LTC printable packets.

Quick answer 18 vendors compared Must-haves AveeCare fit FAQ

18 home care billing platforms compared

Click any row for detail. Numbers are estimates from public sources, partner decks, and buyer-reported quotes (Q1 2026).

Vendor	Private pay	Medicaid 837P	Medicare 837I	LTC ins	Starting
AveeCare(us)	Yes	Yes	No	Yes	$6 / client / mo
WellSky Personal Care (ClearCare)	Yes	Yes	No	Yes	$300+ / mo
AxisCare	Yes	Yes	No	Yes	$200+ / mo
AlayaCare	Yes	Yes	Add-on	Yes	$250+ / mo
Axxess Home Care	Yes	Yes	Yes	Yes	$300+ / mo
KanTime	Yes	Yes	Yes	Yes	$300+ / mo
WellSky Home Health (Kinnser)	Add-on	Yes	Yes	Add-on	$2,500+ / mo
Homecare Homebase (HCHB)	Add-on	Yes	Yes	Add-on	$4,000+ / mo
CareSmartz360	Yes	Yes	No	Yes	$150+ / mo
Generations Homecare	Yes	Yes	No	Yes	$150+ / mo
Aaniie (Smartcare)	Yes	Yes	No	Yes	$200+ / mo
Carecenta	Yes	Yes	Add-on	Yes	$200+ / mo
Brightree Home Health	Add-on	Yes	Yes	Add-on	$2,000+ / mo
Alora Home Health	Yes	Yes	Yes	Yes	$995+ / mo
NetMD / Generic Medical Billing	Add-on	Add-on	Yes	No	$200+ / mo
Kareo (Tebra)	Yes	Add-on	Yes	No	$160+ / mo
Outsourced RCM (e.g. Healthcare Resolution Services)	Yes	Yes	Yes	Yes	3-7% of collections
Tellus / Netsmart EVV+Billing	Add-on	Yes	Add-on	No	$1,200+ / mo

Showing 18 of 18.

6 home care billing must-haves

Multi-payer support

Private pay invoicing + Medicaid 837P + LTC insurance claims, ideally on one client.

EVV-attached Medicaid claims

837P with EVV data linked, not separately submitted.

ACH + card private-pay payments

Saved payment method, recurring autopay, no extra processor.

ERA 835 import + auto-post

No manual remit posting; categorize denials by reason code.

Aging by payer

0-30, 31-60, 61-90, 91+ aging by payer; collections-team workflow.

Revenue per client / per service

Margin visibility; spot underwater clients.

Where AveeCare fits

AveeCare bundles billing at $6 per active client per month: private pay invoicing with ACH + card, Medicaid 837P with EVV export across all 50 states, LTC insurance printable claim packets, ERA 835 auto-post, aging by payer, denial reason categorization.

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Frequently asked questions

Sources

Accessed May 3, 2026.

Calvin Nesvig

Founding Partner, AveeCare

Builds home care software full-time.

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Tired of stitching billing tools together?

$6 / active client / month. Bundled billing across private pay, Medicaid, and LTC.

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