Home health agency software

The visit you delivered should bill itself.

Splicea joins hiring, scheduling, visit verification, clinical documentation and billing into one record. A caregiver you hire on Monday can be scheduled Tuesday, verified at the door Wednesday, and billed for on Friday — without anyone retyping a thing.

Book a demoSee how it fits together

Built for home health and home care agencies. Currently onboarding a small number of founding agencies.

A staffing problem becomes a revenue problem in five steps.

Every agency knows this sequence. What makes it expensive is that most software only sees one link of it — the scheduler cannot see the credential, the biller cannot see the visit, and nobody sees the chain until the denial arrives.

  1. A caregiver quits

    Turnover in home care has run near 75–80% for years.

  2. A shift goes unfilled

    Coordinators start the day backfilling instead of managing care.

  3. A visit is missed or late

    The EVV record does not match the authorization.

  4. The claim is denied

    States have moved to hard edits — mismatches deny automatically.

  5. Margin disappears

    The work was delivered. The revenue was not collected.

The platform

One record, followed all the way through.

These are the six stages a person and a visit pass through in your agency. Splicea covers each of them in the same system, so the information entered at one stage is the information used at the next.

01

Hire

An application becomes an employee record

Post a job in Splicea and it appears on your hosted careers page — marked up and listed in our sitemap, so it is eligible to surface on Google's job search. That is two jobs most small agencies never get done on their own site. Applications arrive into a review pipeline, and when you hire someone, their name, address, license number, references and signed application become the employee record — nobody retypes it.

  • Hosted job board and careers page, or a one-line embed
  • Postings marked up and submitted to Google — eligible to appear, automatically
  • Accepted applicant prefills the employee record
02

Staff

Credentials that raise their hand before they expire

Licenses, certifications and training carry expiry dates, and the system watches them. Documents live on the employee record with review status, so an audit request is a filter, not an archaeology project.

  • Credential and training expiry tracking
  • Employee documents with approval workflow
  • Role-based access across nine staff roles
03

Schedule

A calendar that refuses to double-book

Recurring visits, conflict detection that rejects overlapping assignments outright, and an open-shift board caregivers can claim from their phones — so an unfilled shift finds a taker without a phone tree.

  • Recurring visits with per-occurrence visit IDs
  • Overlap conflict detection at assignment
  • Open shifts caregivers claim from the app
04

Visit

Verified at the door, even with no signal

Caregivers clock in and out with GPS, inside a geofence you configure, within the time windows you set. Client and caregiver both sign on the device. If there is no connection, the visit is held encrypted on the phone and syncs when there is.

  • GPS clock in/out with distance from the client address
  • Configurable geofence and clock-in windows
  • Offline queue with dual signature capture
05

Document

The clinical record, checked as it is written

Care plans, assessments, medications and allergies on one client record — with drug-interaction screening built in, so a risky combination surfaces while you are entering it rather than after.

  • Care plans, assessments, ICD-10 lookup
  • Medication list with interaction screening
  • Incident reporting and case management
06

Bill

Visits that carry their own evidence

Claims are built from the visits that actually happened, with the verification attached. Validation runs before a batch is prepared, so the errors surface on your screen instead of in a payer rejection.

  • Claim preparation from verified visits
  • Batch validation before submission
  • Authorization tracking with unit balances

Why Splicea

Four things we do differently, and can show you on a screen.

Interaction screening inside the chart

Most home health systems store a medication list. Splicea screens it — a deterministic engine that flags interacting pairs with the mechanism and a traceable source, at the moment a medication is added. No guesswork, no black box.

A caregiver app built for basements and back roads

The most consistent complaint about every major platform is the mobile app. Splicea assumes the signal drops: visits are captured offline, encrypted on the device, and synced when the phone reconnects — the caregiver never loses a visit they completed.

One record from applicant to invoice

Hiring, scheduling, visits, clinical notes and billing are the same system, not five products bolted together after acquisition. A caregiver hired on Monday can be scheduled on Tuesday and billed for on Friday without leaving the record.

Tenant isolation enforced by the database

Every agency's data is separated by row-level security policies in Postgres itself, not by a filter in application code that someone can forget. An unscoped query returns nothing rather than someone else's patients.

Where we actually are.

Splicea is new. We are onboarding a small number of founding agencies rather than claiming a customer list we do not have, and you will not find invented statistics or borrowed logos on this page.

What that buys you: direct access to the people building the software, a roadmap you have real influence over, and pricing that does not climb every time you hire. What it costs you: we are not the safe choice for an agency that needs OASIS submission or state EVV aggregator filing this quarter. Both are on the roadmap; neither is finished, and we would rather say so here than in your third week of implementation.

The question to ask every vendor

“Which state aggregator do you submit to for my state, and can I see it working today?” About thirty-five states run closed EVV models with a single contracted aggregator, and the answer separates real integrations from roadmap slides — including ours. Ask us; we will show you exactly where we stand.

Built for the audit you hope never comes.

Splicea is designed to support HIPAA compliance and operates as a Business Associate under a signed agreement. No software can make an agency compliant on its own — but it can refuse to be the weak link.

  • Isolation the database enforces

    Row-level security policies in Postgres, so an unscoped query returns nothing rather than another agency's patients.

  • Patient documents cannot leave unlogged

    Every export and download is written to the audit trail before the file is released — if the log fails, the download does not happen.

  • Encryption in transit and at rest

    Traffic is encrypted end to end and the database is encrypted at rest.

  • Access that expires

    Role-based permissions, idle and absolute session timeouts, and emergency access that requires a typed reason and logs every use.

Questions worth asking.

Does Splicea submit EVV data to my state aggregator?
Not yet, and you should ask every vendor this question precisely. Splicea captures GPS-verified visits with geofencing, time windows, offline capture and dual signatures, and stores the complete verification record. Direct submission to state aggregators — Sandata, HHAeXchange, Tellus, CareBridge and the rest — is in development, and we will name the states we support as each one goes live rather than implying blanket coverage.
Is Splicea HIPAA compliant?
No software is "HIPAA compliant" on its own — HIPAA has no certification body, and compliance is a property of your agency's whole operation. Splicea is designed to support HIPAA compliance and operates as a Business Associate under a signed BAA: database-enforced tenant isolation, audit logging, fail-closed logging of every document export, encryption in transit and at rest, role-based access, session timeouts and emergency access that logs every use. We are happy to walk through the architecture in detail — including what we are still hardening.
What does it cost?
The pricing model the category runs on — per user, per module, renegotiated as you grow — is the second most common complaint about every incumbent. We price by how many clients you are actively caring for, so hiring another aide costs nothing, and every feature is in every tier. The numbers are on the pricing page rather than behind a sales call.
How long does implementation take, and who moves our data?
Implementations slipping past the promised date is a recurring theme in reviews of every large platform. We work with a small number of agencies at a time specifically so that does not happen, and we do the data migration with you rather than handing you an import template.
Do you support OASIS?
No. Splicea is built for home health and home care operations — scheduling, visit verification, clinical documentation, HR and billing. If your agency requires OASIS submission today, Splicea is not the right system for you yet, and we would rather tell you now than in month three.
What does Splicea run on?
Google Cloud, with a managed Postgres database, per-service credentials held in a secrets manager, and an audit trail of privileged access. Every organization's data sits behind row-level security policies enforced by the database engine itself.
Can our job postings appear on Google?
They are eligible to. Every job you post publishes to your hosted careers page carrying JobPosting structured data — the markup Google's job search reads — generated from what you typed: the role, the city and state, the pay range, and the date it stops accepting applications, so a filled job drops out instead of lingering. Each posting is also listed in our sitemap, which is how Google finds it in the first place. Where a state or DC requires the pay range to appear in the posting, we will not let you publish without one. Whether a given posting then appears is Google's decision, not ours or yours, which is why we say eligible rather than guaranteed. What we can say plainly: without this a posting cannot appear at all, and it is not something most small agencies can arrange on their own website.

See it with your own visits in it.

A working demo, not a slide deck — bring a real week of your schedule and we will walk it through hiring, scheduling, verification and billing.

Book a demo