HHAeXchange handles your EVV. What handles everything else?
HHAeXchange is the state-mandated EVV aggregator in 20+ states. It does EVV reasonably well. It is not an EHR — not OASIS, not 485s, not PDGM episode management, not claims, not BH charting. Most HHC agencies end up paying HHAeX plus a separate EHR plus a clearinghouse — three logins, three contracts, three places EVV-to-claim reconciliation can break.
AgenciesForge ships OASIS-E + PDGM + 485 + Stedi clearinghouse + AI Forge in one platform — and reconciles EVV to claims for you.
Where HHAeXchange stops, AgenciesForge starts
| Capability | HHAeXchange | AgenciesForge |
|---|---|---|
| EVV (Electronic Visit Verification) | Yes (state aggregator in 20+ states) | Yes · GPS + Sandata/HHAeX/state-direct adapters |
| EVV ↔ claim reconciliation | Manual / spreadsheet | Automatic · loop #18 flags drift before submission |
| OASIS-E assessments (SOC/ROC/Recert/DC) | Not built in | Full M-item set · AI narrative drafting |
| PDGM episode tracking + LUPA alerts | None | Loop #11 · LUPA proximity warnings |
| 485 Plan of Care generation | None | Auto-drafted from OASIS · physician-signature ready |
| NOA (Notice of Admission) submission | None | Built in · 5-day-window tracking |
| Behavioral health charting (SOAP/BIRP/DAP) | None | 4 narrative formats · AI dictation |
| Stedi 837P / 270 / 271 / 835 (real claims) | Limited — exports for separate billing | Bundled · managed Stedi |
| 15-point AI claim pre-submit audit | None | Catches denials before wire fees |
| AI denial appeal drafting | None | Payer-specific letter templates |
| AI session-note drafting from voice | None | AI Forge · 23 AI tools |
| WENO ePrescribing (EPCS + PDMP) | None | Integrated |
| Telehealth (HIPAA-compliant) | None | Self-hosted LiveKit included |
| Inbound fax routing + AI classification | None | iFax bundled + AI auto-route |
| Pricing | State-mandated tier + premium add-ons | Capacity-tiered · unlimited users |
What HHAeXchange does that we don't (yet)
State-payer EVV aggregator status:In states where HHAeXchange is the official EVV vendor (NY, NJ, IL, others), you can't fully replace it — it's the data destination your state Medicaid program reads from. We operate alongside it and reconcile your visits up to their aggregator. In open-model states (Ohio, Florida, etc.) we can be your direct EVV provider.
Battle-tested aide scheduling:HHAeXchange has years of investment in aide scheduling, rotating shifts, holiday rules, overtime calculation. Our scheduling is solid for visit-based workflows but lighter on complex rotation patterns. If you have 50+ aides on rotating schedules, expect to keep using HHAeXchange's scheduler for that piece — everything else (clinical, billing, AI) moves to AgenciesForge.
Payroll integrations:HHAeXchange has direct connectors to ADP/Paychex/Paylocity for aide payroll. We export to those formats but don't push directly today.
How HHC agencies typically migrate
- Keep HHAeXchange for state EVV submission (if your state mandates it). We configure the aggregator handoff.
- Import patient + episode + 485 history into AgenciesForge via CSV. ~10 minutes for typical 50-patient census.
- Move OASIS + 485s into AgenciesForge first — this is where the AI value is highest. Clinicians learn the chart in 30 minutes.
- Cut billing on a fresh PDGM episode boundary. New episodes bill through Stedi; legacy episodes finish out on the old path.
- Downgrade your old EHR to read-only retention. Most agencies save $400-1,200/mo per the capacity-tier comparison.
Common questions
Can we keep our HHAeXchange visits flowing during a migration?
Yes. If your state mandates HHAeXchange as the EVV aggregator, you keep it as the data-receiver — AgenciesForge can be configured in open-model states to feed visits up to HHAeXchange, or to operate alongside it. We don't fight your state Medicaid mandate; we replace the broken EHR/clinical/billing stack you're using next to it.
Does AgenciesForge handle OASIS-E and PDGM?
Yes. OASIS-E assessments (SOC/ROC/Recert/Discharge), full M-item set with AI-guided narrative drafting from the assessment. PDGM episode tracking with LUPA proximity alerts (loop #11 fires when an episode is approaching the LUPA threshold so you can avoid the cut). 485 plan-of-care generation, signed and ready for the physician.
What about aide scheduling and payroll?
Honest answer: aide scheduling is in our roadmap but lighter today than HHAeXchange's purpose-built scheduler. We handle visit-based scheduling and EVV-confirmed time tracking, with a payroll export. If you have 50+ aides on complex rotating schedules, HHAeXchange's scheduling is more battle-tested. If you have <30 aides or use a separate scheduling tool, AgenciesForge fits well.
How does pricing compare?
HHAeXchange pricing varies wildly — state-mandated free tier in some states, $X-per-visit aggregator fees in others, plus their full platform tier. AgenciesForge is capacity-tiered ($199/$499/$1,099 by active patient count) and bundles Stedi clearinghouse for claims so you stop paying $0.20-0.50 per claim externally.
Are denials really lower with the AI claim audit?
The audit runs 15 pre-submit checks (auth alignment, modifier match, dx-procedure coherence, EVV reconciliation, place-of-service consistency, etc.). Agencies on the platform report a 40-60% reduction in first-pass denials — claims that would have bounced for trivial reasons get caught and fixed before the wire fee. We can show you the audit report on one of your live claims during the walkthrough.
See it side-by-side with your HHAeXchange login
Book a 30-minute walkthrough — bring your HHAeX EVV view, we'll show you the OASIS-E + 485 + PDGM + claim path that lives next to it in AgenciesForge. If reconciliation friction isn't costing you real money today, we'll say so.