The only PDGM-native, mobile-first EMR with LUPA prevention, a 3-tier ICD-10 rules engine, GPS EVV, and FHIR R4 — all included, no add-on fees, 5-day go-live.
LUPA risk: Patient #2241 — 4 days remaining, 1 visit short of threshold. Schedule now →
Legacy EMRs were built for hospitals and retrofitted for home health. The gaps show up as lost revenue.
When an episode falls below CMS visit thresholds, agencies receive ~22% of normal payment instead of $1,548–$2,149 — because their EMR has no real-time alert system.
Unspecified diagnosis codes get flagged after submission. Each denial costs $125 in rework, plus write-off risk if the 120-day appeal window is missed.
Desktop-first EMRs mean nurses complete notes late or incomplete — threatening CMS Star Ratings, physician relationships, and reimbursement.
Every feature below ships in the base platform — not as a $15–40/user/month add-on like competing EMRs.
Maps principal ICD-10 to clinical group, applies comorbidity tiers (+0/+5%/+13%), and constructs the HIPPS code automatically with embedded CMS rate tables.
No manual rate lookupsReal-time visit-count monitoring against thresholds with a 4-day minimum warning window, dispatched via SMS, email, and push.
Recovers $67,200/yr · 50-pt agency8-section wizard with branching M-item logic, auto-save every 60 seconds, dual e-signature, and direct CMS iQIES submission with tracking.
Rejection parsing built in3-tier validation — hard-stop, error, warning — catches diagnosis specificity issues before submission. Prevents CO-57, CO-4, and CO-22 denials.
4.1% denial rate vs. 11.4% national300ft Haversine geofence verification at every visit. Full offline sync — visits complete without connectivity and sync when reconnected.
No connectivity requiredBuilt on React Native, not a web wrapper. 7-step visit note wizard, wound documentation with camera, and medication reconciliation with high-alert flags.
87% docs completed within 24hrsRecorded straight from the HomeFirst web app using a fictional demo agency — no patient data. Jump to any part with the chapter list.
We'll set up a demo agency for you — staff logins with MFA, sample patients, and a walkthrough with our team.
Request a guided demo Customer sign in →Faxed referrals land in an intake inbox, get triaged and assigned, then convert to an admission with demographics filled in.
OASIS-E assessment suggests Omaha problems; the care plan drives each visit note, and visits feed goal progress back.
Scrubbed PDGM claims export as 837I; 835 remittances post payments, flag short pays and start appeals.
Audit trail of every view and change, staff credential tracking with expiry alerts, and QAPI indicators by month.
Home health runs on 3–7% margins. A single percentage point of denial or LUPA reduction is worth tens of thousands of dollars a year.
No per-user fees. No add-on surprises. Every feature included in every tier.
| Census | Tier | Monthly | Annual ACV |
|---|---|---|---|
| 50 patients | Starter | $1,100/mo | $13,200 |
| 100 patients | Professional | $1,700/mo | $20,400 |
| 500 patients | Professional | $8,500/mo | $102,000 |
| 1,000 patients | Enterprise | $12,000/mo | $144,000 |
| 3,000 patients | Enterprise | $36,000/mo | $432,000 |
| Feature | HomeFirst | Homecare Homebase | MatrixCare | Netsmart |
|---|---|---|---|---|
| LUPA real-time alerts | ✓ 4-day lead | ⚠ Limited | ⚠ Add-on | ✓ Built-in |
| ICD-10 rules engine | ✓ 3-tier engine | ⚠ Limited | ⚠ Add-on | ⚠ Limited |
| Native iOS/Android app | ✓ React Native | ✓ Available | ⚠ Add-on | ⚠ Add-on |
| FHIR R4 interoperability | ✓ Included | ⚠ Add-on | ⚠ Add-on | ⚠ Add-on |
| Offline mobile sync | ✓ Full offline | ⚠ Limited | ⚠ Limited | ⚠ Limited |
| Setup & go-live | 5 business days | 4–8 weeks | 6–12 weeks | 8–16 weeks |
| Pricing model | Per-census, all-in | Per-user + add-ons | Per-user + add-ons | Enterprise contract |
Tell us about your agency and we'll set up your own HomeFirst workspace, usually within one business day.