AxisCare vs HHAeXchange

GEOH

eRSP

ShiftCare

GeoH is an end-to-end home health care solution designed to help businesses streamline operations, improve caregiver satisfaction, and increase profitability for agency owners. The electronic visit verification (EVV) module ensures accurate recording and reporting of client visits, enabling agencies to maintain Medicaid compliance and get paid on time.

eRSP is a cloud-based medical scheduling solution, which helps small to large healthcare organizations manage client contacts, human resource operations, payroll processes, and more. The platform offers various features such as customer relationship management (CRM), mobile access, digital forms, medication tracking, reporting, and billing management. eRSP also facilitates third-party integration with various applications such as Oracle People Soft, Quickbooks, TriZetto, Paycom, and more.

A cloud-based management platform that helps care and support providers increase efficiency and save time on admin.

AxisCare is a web-based scheduling and management solution with marketing and other functionalities that are designed specifically for Personal Care home care agencies

Mobile Access

Calendar Management

Billing & Invoicing

Care Plan Management

Compliance Management

Patient Records Management

Claims Management

Electronic Signature

Reporting & Statistics

Task Management

Payroll Management

By industry, AxisCare reviewers are most commonly professionals in hospital & health care (69%). The most frequent use case for AxisCare cited by reviewers is home care (74% of reviewers).

Users and use cases

Most reviewers indicate AxisCare offers strong value for money, citing affordable pricing, cost-effectiveness, and a flexible structure. Some users report that per-client costs may add up, and pricing can be high for smaller organizations.

Value for money

AxisCare is a home care program offering key features such as scheduling and mobile access, among others.

AxisCare

iPhone

iPad

Android

Web-based

Basic

Care Director

It provides a clear and efficient way to manage and monitor daily schedules, which helps keep everything running smoothly.

Accounting Manager

That there is not a timecard feature that is specifically for administrative staff to be able to make onboarding, timekeeping, and payroll a smoother process.

Regional Office Manager

I dislike that the hours don't always match the clock in and out times, it does make things alot harder when having to verify shifts you have to double work to make sure the times match

Owner, President

The feature for tracking of employee certifications allows us to stay compliant with state and federal regulations.

Administrator

The issue isn’t support, it’s that the platform sometimes creates situations you need support for in the first place. If they are leaning into AI for development, security and validation needs to be taken seriously.

Owner

Reporting could be better. While the system handles day-to-day operations well, the reporting features feel limited and not as intuitive as they should be.

Scheduling updates, notes, and alerts are clear and timely, which helps us stay organized and provide better care.

Business Operation manager

do not show cancelled shifts on caregivers calendars need to run a report to see them or know the which client they usually are on.

Operations Coordinator

AxisCare does not have the most updated interface and it takes a roadmap to explain where many of their system settings are.

President CEO

The invoice creation, claims management functionality is clunky and requires significant human intervention to manage routine billing processes.

Unit Supervisor Care Coordinator

For me, using Axiscare is essential for my work because it allows me to run reports on everything I need, and if something isn't right, I can fix it in time.

Team Lead

Helps with schedules, care notes, and ensuring every client is taken care of.

Like any system, there are occasional bugs and issues, but they are typically addressed in a timely manner, and support is always available to help troubleshoot.

Recruitment, Retention and Technology

There is no ability to directly connect with the development team or what would be better is the end users of their product to vote on necessary additions, which appears as though they have their own agenda and not that of the end user.

Billing Coordinator

That caregivers have to schedule times, we have caregivers not employees so they work their own hours so if the clients decides that he only needs an hours after you already scheduled for 3 then they have to call me to fix it

I’ve also had the opportunity to join the Super User Academy, which has been an amazing learning experience—especially with new features and updates being added regularly.

Assistant Director

The fact that telephony system for caregivers says the voice confirmation is optional.

The system is not flexible with making edits to a "block" of days.

Scheduler

Open request alerts when staff are late or missed shifts labels when things have came up or has happen to client or staff

Staff members still seeing cancellations. Whenever a facility cancels and we make the visit a cancellation unfortunately it stays on the staff members schedule.

Supervising Sr. CareGiver

being provided a link to access the vid is GREAT!, a lot of info to take in all at once, difficult to remember all of it so its really nice we can go back to watch them over as many times as needed.

Office Manager

We are still finding little glitches, with visit times that end and start at the same time, if a CG has accepted a broadcast.

The background screening integration has made this process so much more efficient.

Childcare Scheduler

Sometimes i have trouble with running reports but that’s typically because i just never have made a new report for a certain subject

Scheduling manager

scheduling block is what the caregiver is not available not what they are.

Overall it is a great program that allows us to keep most of our operations in one place.

Also, the sales team and onboarding team are great - they helped with multiple trainings for my team on the new system.  

It allows me to run reports on my clients and employees.

AxisCare - I am still waiting on a fix from development for over 4 months now that renamed the majority of the certifications in my system one name in the background.

One area for improvement would be the community scheduling feature.

You can customize each client and each caregiver for pay rate, mileage, expenses, etc...

Creating forms and tying to figure out why it isn't fillable by email.

Administratior

I like the ability to customize forms and have staff access in service training via the app.

That level of responsiveness makes a big difference in our day-to-day operations.

I also really like the forms that can be created to gather data, which inputs the data into the AxisCare profile.

It is visually pleasing - simple but with enough detail to differentiate different tabs that I use frequently.

real time calendar feature is great love that u can switch between client/CG view.

So yeah, it works, but you’re going to have to put in extra effort if you want it dialed in.

It makes a big difference knowing you can reach someone who understands your business when you need it most.

I greatly appreciate the quick response from customer support whether via phone or email.  

Junior Care Manager

It great to be able to clock in and clock out and do our work notes.

Client Care Manager

I don't like that I can't type in comments next to the Medical History criteria or Supportive Devices list on the In-Home Assessment form.

Which i can learn with more zoom training videos.

We have quite an area to cover and it seem to work at most location.

HCBS Director

I had issues with billing batches rejecting due to a space in a diagnosis but not being able to figure out there was an issue until two weeks later.

It’s not super mobile friendly when you are using a phone for admin access.

Operations

There are lots of ways to match clients with caregivers.

Director

ease of integration to third parties like sandata.

Client Management

Billing and Payroll

Reporting

Client Scheduling

Caregiver Scheduling

Updates and Improvements

User Interface

Bugs and Issues

Users report AxisCare’s mobile access allows caregivers and staff to clock in and out, manage schedules, and access client information from anywhere, including rural areas. Reviewers indicate AxisCare’s mobile app supports EVV compliance and geo-fencing, helping minimize risk and meet state mandates. They find AxisCare’s mobile access helpful for remote work and field operations, though some mention limited admin functionality and occasional technical issues. Users say most caregivers use AxisCare’s app effectively, improving communication and workflow. Of the 24 AxisCare users who gave detailed accounts of their use of Mobile Access, 88% rated this feature as important or highly important.

Caregiver and Client Management

Slow and ineffective call support

40% of reviewers feel negative about AxisCare’s call management. Users report difficulty reaching customer support by phone, with long wait times and unreturned calls being common. Reviewers say support staff are sometimes unhelpful or lack knowledge to resolve issues promptly. Some users mention that slow or ineffective call responses make it challenging to address urgent problems, leading to frustration and increased reliance on alternative communication methods.

Complex billing and payroll processes

40% of reviewers feel negative about AxisCare’s billing and payroll features. Reviewers indicate that payroll integration, billing automation, and invoice management are often confusing or incomplete. Users say manual processes, frequent glitches, and lack of integration with popular accounting platforms create extra work and risk errors. Some reviewers mention difficulties with overtime calculations, syncing with external systems, and unclear billing practices, which they feel complicate financial management.

Frequent glitches and errors

Operations Manager

The biggest problem is that it sometimes crashes and makes me sign in again.  

42% of reviewers feel negative about AxisCare’s bugs and issues. Reviewers report recurring glitches, system crashes, and errors that disrupt daily operations. Users say problems like inaccurate alerts, malfunctioning features, and slow responses to technical issues are frustrating and time-consuming. Some reviewers find that fixes are often delayed or require workarounds, and they mention inconsistent customer support experiences when seeking resolutions. They feel these technical problems can hinder workflow and reliability.

Comprehensive home care tools

100% of reviewers feel positive about AxisCare’s home care management capabilities. Users think the software covers all aspects of running a home care agency, from intake to scheduling and documentation. Reviewers appreciate that it was designed specifically for the home care industry, which they say ensures relevant features and functionality. They find it easy to track caregivers, manage cases, and keep critical data organized, which is vital for maintaining high standards of care and supporting business growth.

Intuitive system navigation

92% of reviewers feel positive about AxisCare’s navigation. Reviewers appreciate how easy it is to move through the system, highlighting features like intuitive layouts, quick access to information, and user-friendly design. Users say navigation is straightforward, reducing the time needed to complete tasks and making it simple to train new staff. They indicate that being able to find and input data quickly is crucial for daily operations, and many mention that the navigation tools help them manage workflow efficiently without unnecessary complexity.

Efficient staff organization

Staffing Coordinator

Communication between the office and field staff has greatly improved, our overall organization has benefitted greatly.

91% of reviewers feel positive about AxisCare’s office staff management. Reviewers indicate the software helps them organize and manage staff effectively, streamlining communication and improving overall office workflow. Users say the system is beneficial for both small and large teams, making it easier to train new employees and maintain organization. Some reviewers find the support staff knowledgeable and responsive, which they feel is important for addressing industry-specific needs and ensuring smooth daily operations.

User-friendly experience

Regional Manager

AxisCare offers a user friendly interface and at the same time enables users to do a deeper dive with a range of comprehensive reports.

93% of reviewers feel positive about AxisCare’s ease of use. Users think the software is intuitive, allowing them to quickly learn and perform essential tasks. Reviewers appreciate customizable features, clear dashboards, and multiple ways to access information. They say the platform accommodates users with varying technical skills and makes onboarding new team members simple. Some users report that the system’s flexibility and straightforward interface help them keep their business organized and efficient, with helpful support available when needed.

Small Business

Mid-size Business

Large Enterprises

Freelancers

Most reviewers indicate AxisCare offers strong value for money, highlighting its affordable pricing, cost-effectiveness for small businesses, and a flexible pricing structure. They appreciate that AxisCare provides more features at a lower or comparable cost than competitors, and some say the software pays for itself. Some users report that the product is well worth the price, especially given its functionality and ease of use. However, a few reviewers feel the pricing can be high for smaller organizations or when not all features are needed, and some mention that per-client costs may add up.

InMyTeam

A Home Health Care Solution for All Sized Agencies Simple to use and ready for enterprises in the modern world. Scheduling, payroll, billing, EVV, HR, patient records, and many other capabilities are important aspects of InMyTeam. PrivateDuty, Medicaid, Medicare.

AlayaCare

AlayaCare’s unique home care software offers a complete solution to manage the entire client lifecycle in a secure, integrated cloud-based system.

Alora Home Health

Alora Home Health Software is a cloud-based solution that simplifies how you deliver and manage home health care.

Developed specifically for Medicaid personal care, HHAeXchange is the leading technology platform for homecare agency management.

Time Tracking by Client

HHAeXchange

Billing and Scheduling is a very easy-to-use application that allows you to create schedules and send invoices without any problems.

Payroll and Benefits Specialist

Our account with HHAeXchange is linked to InMyTeam, and at times, the shift will not populate in HHAeXchange even though it's been bileld in InMyTeam.

Billing and Collections Manager

Our MCO uses HHAExchange for EVV integration.

Secretary

Simple. And I like the fact that they have a support chat that is available twenty 47

Biller

E- submission batches report doe no count exactly the patients amount

Some times the frustration of HHA-Exchange makes us re-think the relationship with this MCO entirely. But in the end we like them very much.

In fact it is this MCO that helped us get tickets with HHA-Exchange reviewed.

Agents do not read the entire ticket to understand the issue.

Case Manager

Schedules we have to make it day by day in the calendar, has not the facility of fill the calendar month instantly same to delete few days from calendar, have to be one by one.

Authorizations

They are always ready to assist & help if I have any issues.

RN, Admin., CEO

It has cut down in billing time and errors, easier to schedule workers, quick access to clients information including authorized hours and demographics.

Extremely easy to use, however does require a good internet connection

supervisor

THE VERIFICATION PROCESS TIME HAS NEARLY DOUBLES, MORALE IS DOWN, AND THE CLIENT'S HATE IT.

co-owner

Minnesota does not schedule - it's based upon participant choice and patients, staff and responsible parties need to see hours worked for the pay period.  

Executive Director

It takes 30 seconds or more to open notes.  

RESPITE COORDINATOR

The way we can see the visits, help to do any change in schedule and caregivers and the reports

Director Of Nursing

Overall as long as you do not need to interact with a human the software will work.  

A lackadaisical approach does not work in this case, since it is revenue and that runs the agencies business and pays the HHAeXchange bill....and their salary.

Quality Manager

We only use this for our waiver clients as it is required for billing the CHC Program in PA.  

Someone needs to explain to support that if an agency has billing problems, then this ticket takes priority and needs to be addressed or escalated.

Human Resource Manager

I love HHA and wish my company used more of its features like chats and allowing users to view their compliance.

It has a nice way of extracting report and customize them depending on the need.

Alternate Administrator

Many bugs, whether it has to do with overnight clock in issues, alternate shift issues, report issues, no matter what your issue, if you call customer support, you will get a ticket number and that will be the end of it.

THERE IS NO REDEEMING FACTORS WHEN IT COMES TO HHA.

The software is well made and easy to work with from an administration point of view.

VP of Administration

Clinical Module, Forms builder reporting on specific data.

Sometimes it's hard for the caregiver to download the app and it's hard for us to give out the mistake right away.

Billing is done fast and if there's a problem, you can run a report to catch it.

It helps us stay on top of our data and address issues immediately.

I don't like that I can't send documents or images via Connexus.

I would leave in a heartbeat if allowed to do so.  

Director of Nursing/

You can enter visits but it doesn't confirm most times so you are stuff double billing, Nothing for Nurses so we have to pay for other apps.

However I do wish we would have access to edit things for the clients info like phone #'s  or address changes when making notes in the system to update its not always done

Caregiver

I don't think I really like hhachange to much

Branch Manager

Being able to track healthcare credentials and send alerts for expiring credentials has helped operations and compliance.  

AxisCare vs HHAeXchange Comparison (2026)

AxisCare

HHAeXchange

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives