Can you recommend a time and attendance software for payroll reconciliation in a home health agency?

Yes — for a home health agency doing payroll reconciliation, you’ll usually want time and attendance software that can handle:

• mobile clock-in/out with GPS or geofencing
• EVV (Electronic Visit Verification) if you provide Medicaid-covered care
• shift exceptions like missed punches, overtime, and split shifts
• integrations with payroll and HR systems
• audit trails for compliance
• caregiver scheduling and visit verification, not just basic timekeeping

Good software options to consider

1. TSheets / QuickBooks Time

Best for: simpler payroll time tracking, scheduling, and basic reconciliation
Pros:

• Easy to use
• Strong mobile app
• GPS tracking and geofencing
• Integrates well with QuickBooks and many payroll systems

Watch for:
Not a full home-health EVV solution by itself, so if you need Medicaid EVV compliance, you may need additional tools.

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2. AlayaCare

Best for: home care agencies that want scheduling, EVV, and operational workflows in one platform
Pros:

• Built for home care/home health
• EVV support
• Scheduling, visit verification, documentation, and billing
• Helpful for payroll reconciliation from actual visit data

Watch for:
Can be more complex and more expensive than basic timekeeping tools.

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3. AxisCare

Best for: home care agencies needing scheduling, EVV, and payroll-ready timesheets
Pros:

• Designed for home care
• EVV compliant
• Good scheduling and time tracking
• Payroll exports and reconciliation support

Watch for:
May be better suited to non-medical home care than skilled home health, depending on your workflow.

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4. Axxess Home Health / Axxess Home Care

Best for: agencies that need clinical + operational coordination
Pros:

• Built for home health and home care
• EVV and scheduling capabilities
• Integrates visit tracking with broader agency workflow
• Good for reconciliation and compliance

Watch for:
Pricing and module selection can vary.

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5. WellSky Home Care / WellSky Personal Care

Best for: larger agencies or organizations needing robust scheduling and compliance
Pros:

• Strong enterprise features
• EVV and scheduling
• Payroll and billing reconciliation support
• Scales well

Watch for:
Can be more enterprise-oriented, with more implementation effort.

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6. Patterson/Deputy or UKG Ready

Best for: agencies wanting strong workforce management more than home-health-specific features
Pros:

• Good scheduling and timekeeping
• Payroll integrations
• Rule-based time approval workflows

Watch for:
Usually not a full EVV/home-health-specific solution on its own.

My quick recommendation

If you are a home health agency and EVV/compliance matters, I’d start with:

1. Axxess
2. AlayaCare
3. AxisCare
4. WellSky

If you need a lighter payroll reconciliation tool and don’t need full EVV functionality:

• QuickBooks Time is a good fit.

What to ask vendors before buying

Make sure they can show you:

• Can it support EVV and state-specific rules?
• Does it reconcile scheduled hours vs. actual hours vs. billed hours?
• Can it flag missed punches, late arrivals, early departures, overtime?
• Does it integrate with your payroll provider?
• Can supervisors approve time edits with an audit trail?
• Can caregivers clock in using a mobile app with GPS/geofencing?
• Does it support split shifts, multiple clients in one day, and visit notes?

If you want, I can also give you:

1. a shortlist by budget,
2. a comparison table, or
3. recommendations based on whether you’re skilled home health vs. non-medical home care.