CareSmartz360 vs HHAeXchange

GEOH

eRSP

AxisCare

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.

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

CareSmartz360 is a HIPAA-compliant, AI-powered home care software built to simplify scheduling, EVV, billing, and caregiver management. Access it anywhere via mobile apps and client portals. With seamless migration, zero-cost onboarding, and real human support, it’s trusted by 1,000+ agencies.

Scheduling

Mobile Access

Client Management

Care Plan Management

Home Health Care Management

Compliance Management

Calendar Management

Appointment Management

Billing & Invoicing

Patient Records Management

Electronic Signature

By industry, CareSmartz360 reviewers are most commonly professionals in hospital & health care (64%). The most frequent use case cited is home care (75% of reviewers).

Users and use cases

CareSmartz360 is a home care tool with key features that include scheduling, caregiver scheduling, mobile access, billing and invoicing, and more.

CareSmartz360

Web-based

iPhone

iPad

Android

Windows

Linux

Chromebook

WellSky Personal Care

Alora Home Health

AlayaCare

HHAeXchange

ShiftCare

Axxess Home Health

Carecenta

Basic

It streamlined every part of our operations – staff management, client care, scheduling, and billing – and saved us countless hours every week.

Caregiver

The platform is extremely comprehensive—scheduling, billing, EVV, caregiver management, and reporting all work seamlessly together.

Administrator

The platform has made managing our homecare operations much more efficient, from scheduling and billing to caregiver communication and compliance tracking.

Administrative assistant

I like the ease of clocking in and out for all staff, the support I get if I have questions on using Caresmartz for documentation of clients and reports, and the ease of contacting Caresmartz when I need their help.

Admin Assistant

The mobile app is a strong addition, allowing caregivers to access their schedules, clock in and out, and manage tasks from anywhere.

I like the customer service the most. When I have a problem, I can jump on a chat and receive a response within a few minutes. If the rep needs more time, they will send you a message letting you know and will keep you updated as they work to resolve your concerns.

Care Manager

I like most of its functionalities, especially the ability to generate reports, as this is crucial in managing a business.

Executive Director

As a home care agency owner, I would highly recommend Caresmartz30 as a comprehensive solution to timekeeping and all asepcts of homecare.

The AI features to kick off support make triage a breeze and then if you need any actual help, they’re always there to pick up the phone get on the chat.

Owner

CareSmartz360 mobile app is easy to use for caregivers, allowing them to view schedules, clock in and out, and track tasks on the go.

President

There's plenty of opportunity for personalization, and it should continue to work as my organization grows.

Office Manager

I get too many calls from caregivers about not being able to clock in and out as the result of these updates.

Staffing Coordinator

Caresmartz360 is constantly building and improving features and accommodating the requests of our organization.

Director of Operations

Everything is truly at your fingertips—scheduling, reporting, client management, and billing are all conveniently organized in one place.

It has helped reduce administrative burden and improved the quality of service we provide. While there’s a learning curve in the beginning, the excellent support team has always been there to guide us.

I like that it is very affordable and I liked the schedule view, it allows you to see your whole teams schedule at one time.

I can reach them any time that is needed and their follow up is reliable.

They respond quickly, provide clear guidance, and genuinely care about solving issues.

CareSmartz360 has completely transformed our agency.

Overall, it has significantly streamlined our agency’s operations.

Co-Owner

When you need to add a reoccurring charge to a client invoice such as an admin fee.

Marketing Director Care Manager

Covers all the aspects we need in running an efficient in home care agency. And it also provides the ongoing

This makes our homecare run smoother by automating every day task and also allowing us to stay up to date with charting and scheduling.

Frequent updates show they’re constantly improving the software.

The interface is user-friendly, and the customer support team is outstanding.

Vice President

Also, company management needs the ability to send messages to caregivers directly through the app.  

CareSmart 360 has been a great asset, streamlining scheduling, billing, and care plans.

Operations Director

Only had basic features and as we grew it became more complicated for scheduling clients and staff

I have had some issues with families using the client portals and also figuring out how to create a client schedule efficiently

Which are not typical of agencies and Auto contract renewal.

I wanted to be able to customize certain reports, and although CareSmartz allows us to customize reports, we haven't yet master that feature.

The system has an auto clock in and out for live-in caregivers.

Agency Administrator

One of the most important things we like about CareSmartz360 was the individualized training program, we are grateful we did receive the scheduled training and we were able to ask questions after every training session.

Care Director

If you are scheduling for facilities, you are unable to drag shifts to different clients which can make deleting and creating a new shift very time consuming.

Having client management/scheduling and caregiver stuff all in one place has made life easier.

founder

HOWEVER THEY MADE ME CHANGE MY WHOLE MIND ABOUT HOW I FELT

Some features are often broken - such as the viventium integration.

Digital Analyst

I cannot find Accessibility feature and Universal Design included,

They are very contactable compared to the program we currently use.

The learning curve was seamless, allowing me to quickly familiarize myself with all the features available.

Caresmartz360 made the billing and invoice so much easier

Manager

I appreciate that I receive almost immediate help, when I need it!

Sometimes the caregivers have issues with the EVV clocking in and out.

Overall, I wholeheartedly recommend CareSmartz360 to anyone looking for reliable, intuitive software that simplifies the complexities of managing a business.

We love it and recommend it to every home care owner we know!

Director

Overall I love the app and appreciate the wonderful customer service.

Some of the features require a lot of backend pre-planning.

Clocking and Scheduling

Billing and Payroll

Customer Support

Agency Management

Chat Support

Features

User Interface

Caregiver and Client Management

Training and Learning Curve

Reports

Small Business

Large Enterprises

Freelancers

Mid-size Business

CareSmartz

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’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 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.

Payroll Management

Claims Management

Reporting & Statistics

Task Management

Time Tracking by Client

Connecteam

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.

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.  

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.

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.

Regional Manager

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.

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.

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

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.  

The scheduling system and billing system are the best.

Administrative data, Nursing records and payroll can be accessed separately fully complying on HIPAA.

I am able to keep track of my DCWs for clocking in/out and an update on my consumers.

Care Coordinator

I would like to see the insurances already pre loaded in to the program.

General Manager

Understanding how the system works at the beginning was a little bit stressful.

The BI Dashboard is all your operations at a quick glance.  

EVV is the worst specially with people clocking in/out.

Quality Manager

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

CareSmartz360 vs HHAeXchange Comparison (2026)

CareSmartz360

HHAeXchange

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives