How we make this list: we compare pricing pages, product documentation and public user reviews. Ratings come from G2, Capterra or Trustpilot, with the date we checked them.
Key takeaways
- Axxess Hospice leads for agencies that want one system for hospice clinical work, billing, and compliance.
- Alora Home Health is the only tool here with a published starting price, at 295 dollars per month.
- Seven of the eight tools sell by quote only, so ask each vendor for a written quote before you compare costs.
- Hospice-specific tools matter: look for IDG documentation, HIS reporting, bereavement tracking, and volunteer management.
What makes hospice EMR software different from a general EMR?
A general EMR tracks visits, notes, and billing for clinics and hospitals. A hospice EMR adds the workflows that the Medicare hospice benefit requires. It supports interdisciplinary group meetings, levels of care such as routine home care and general inpatient care, and the Hospice Item Set, known as HIS. It also tracks bereavement care for families after a patient dies.
A hospice EMR also handles the team around the patient. Nurses, social workers, chaplains, aides, volunteers, and physicians all chart in one record. The software keeps each discipline on the same plan of care and flags missing notes before a survey. A general EMR rarely covers volunteer hours, bereavement plans, or hospice levels of care in one place.
Which hospice EMR fits a small agency?
Small agencies need low setup effort, a clear price, and tools that work on day one. Alora Home Health fits this profile best because it publishes a starting price and prices by agency size, with unlimited users or unlimited patients. Careficient also targets smaller agencies with an all-in-one design that covers scheduling, billing, and payroll.
Large enterprise platforms can overwhelm a small team. Axxess Hospice, MatrixCare, and WellSky Hospice serve big agencies well, but their quotes depend on census, modules, and contract length. A small agency should ask for the full first-year cost in writing, including setup, training, and support, before it signs.
How does hospice EMR software handle Medicare compliance?
Hospice EMR software builds Medicare rules into daily charting. It prompts clinicians for the data that HIS and HOPE assessments require, checks visit notes for missing fields, and tracks election statements, certifications, and recertifications. Many tools also submit claims electronically and check eligibility before a claim goes out.
Survey readiness is the other half of compliance. The software stores policies, tracks quality measures, and produces the reports that CHAP or ACHC surveyors ask to see. WellSky Hospice includes a HOPE dashboard, and MatrixCare pushes HIS files to its survey portal. Ask each vendor which reports it produces for surveys and how often its compliance content is updated.
What should you check before you sign a contract?
Price comes first because most hospice EMR vendors sell by quote. Ask for the full cost in writing: licenses, setup, training, data migration, support, and renewal terms. Ask what happens to the price when your census grows by 20 percent. Ask how your data leaves the system if you cancel, and what format it comes in.
Check the contract terms as well. Ask about the length of the term, the renewal clause, and any fees for add-on modules such as analytics or e-prescribing. Ask for a demo with your own hospice workflows, not a generic tour. Talk to the vendor about offline charting, because nurses in rural areas need to document without a signal.
Quick comparison
| Tool | Best for | Starting price | Free plan |
|---|
 Axxess Hospice | Mid-sized and growing hospice agencies that want one vendor for hospice and home health | quote | No free plan; demo on request |
 MatrixCare | Large hospice providers that run home health, hospice, and palliative care together | quote | No free plan; demo on request |
 WellSky Hospice | Mid-sized to large hospice agencies that want predictive analytics and strong compliance tools | quote | No free plan; demo on request |
 Homecare Homebase | Home health and hospice agencies that want a nurse-designed EHR with strong scheduling | quote | No free plan; demo on request |
 KanTime | Small to mid-sized hospice agencies that want scheduling, billing, and payroll in one system | quote | No free plan; demo on request |
 Alora Home Health | Small hospice agencies that need a clear starting price and simple workflows | 295 dollars per month | No free plan; demo on request |
 Careficient | Small hospice and home health agencies that want an all-in-one system at a clear entry price | quote | No free plan; demo on request |
 Netsmart Homecare | Multi-service post-acute agencies that run hospice with home health, palliative care, or human services | quote | No free plan; demo on request |
Is your product missing or out of date?
We review this list regularly. Vendors can request a listing, send updated pricing or ask about featured placement.
The best hospice EMR software
#1
Axxess Hospice
Best for: Mid-sized and growing hospice agencies that want one vendor for hospice and home health
Visit axxess.com
Starting pricequote
Free planNo free plan; demo on request
Axxess Hospice is a cloud-based EMR built for home health, hospice, and palliative care agencies. It covers intake, clinical documentation, scheduling, billing, and revenue cycle work in one system. The platform supports interdisciplinary team charting and Medicare hospice billing, including election and certification tracking. Axxess also offers revenue cycle services for agencies that want billing help. Field staff can chart from mobile apps on iOS and Android. The main drawback is price transparency: the vendor publishes no price list, so every agency must request a quote.
What we like- Full hospice suite covering clinical notes, billing, scheduling, and HR
- Strong compliance tools
- Mobile apps for field staff
Watch out for- No published price, so budgeting starts with a sales call
- Implementation costs can be high for small agencies
#2
MatrixCare
Best for: Large hospice providers that run home health, hospice, and palliative care together
Visit matrixcare.com
Starting pricequote
Free planNo free plan; demo on request
MatrixCare is a ResMed company and one of the largest post-acute EHR vendors in the United States. Its hospice product covers point-of-care charting, IDG coordination, medication reconciliation, and revenue cycle work. The system pushes HIS and quality files to a survey portal and supports hospice inpatient units, which many rivals do not. Clinicians can work offline on the mobile app and use speech-to-text for notes. MatrixCare took over the home health and hospice offerings of Brightree, so agencies on Brightree hospice now sit on the MatrixCare platform. Pricing is by enterprise quote only.
What we like- Deep hospice features including IDG tools, HIS file reporting, and family engagement
- Strong interoperability with CommonWell and Carequality
- CHAP verified
Watch out for- Enterprise pricing with an implementation investment, which puts it out of reach for many small agencies
#3
WellSky Hospice
Best for: Mid-sized to large hospice agencies that want predictive analytics and strong compliance tools
Visit wellsky.com
Starting pricequote
Free planNo free plan; demo on request
WellSky Hospice and Palliative is a web-based EHR built only for hospice and palliative care. It covers referral intake, scheduling, clinical documentation, quality assurance, and financial reporting. The platform includes a HOPE operational dashboard, bereavement follow-up tasks, and a patient and family portal. Its CareInsights tool predicts patient outcomes such as mortality risk and revocations from existing clinical data. Clinicians can chart offline on tablets and laptops. WellSky serves more than 1.6 million home health and hospice patients a year, according to the vendor. Pricing is by custom quote.
What we like- Purpose-built hospice workflows with HOPE-compliant documentation
- Predictive insights for patient decline and revocations
- DEA-certified e-prescribing
Watch out for- No published price, so costs are hard to compare
- Enterprise focus makes it a heavy fit for very small agencies
#4Homecare Homebase
Best for: Home health and hospice agencies that want a nurse-designed EHR with strong scheduling3.7/5 on
G2 (25 reviews, checked Oct 2026)
Visit hchb.com
Starting pricequote
Free planNo free plan; demo on request
Homecare Homebase, known as HCHB, is a cloud-based EHR for home health, hospice, and personal care agencies. It was designed by home care clinicians and covers intake, documentation, scheduling, billing, and analytics. The PointCare mobile app lets field staff chart at the point of care. For hospice, HCHB supports inpatient unit care, interdisciplinary documentation, and hospice billing workflows. The vendor also sells services such as revenue cycle management and authorizations, plus extensions for intake and smart scheduling. HCHB publishes no price list, so agencies must request a written quote that lists every module included.
What we like- Nurse-designed workflows
- Smart scheduling and analytics
- Hospice inpatient unit support
- Part of the Hearst Health network
Watch out for- No published price or free trial
- Add-on modules and services are priced separately, so the first quote may not cover everything
#5KanTime
Best for: Small to mid-sized hospice agencies that want scheduling, billing, and payroll in one system3.6/5 on
G2 (16 reviews, checked Oct 2026)
Visit kantime.com
Starting pricequote
Free planNo free plan; demo on request
KanTime is a cloud-based EMR and agency management platform for home health, hospice, private duty, and palliative care. Its hospice features include IDG meeting documentation, general inpatient and respite level of care management, hospice claims billing, and bereavement program tracking. The platform adds scheduling with skill-based matching, payroll, billing, and analytics. KanTime holds CHAP and ACHC verification and HITRUST and SOC 2 certifications. Third-party price guides estimate about 2,000 dollars per month for an agency, but the vendor does not publish a price, so treat that figure as third-party reported and request a written quote.
What we like- Hospice-specific tools for IDG meetings, levels of care, and bereavement tracking
- Automated scheduler
- Strong security certifications including HITRUST and SOC 2
Watch out for- No published price
- Physician orders run through a partner rather than inside KanTime
#6
Alora Home Health
Best for: Small hospice agencies that need a clear starting price and simple workflows
Visit alorahealth.com
Starting price295 dollars per month
Free planNo free plan; demo on request
Alora Home Health is a cloud-based EMR for home health, home care, hospice, and pediatric agencies. It covers scheduling, clinical documentation, billing, payroll, and EVV in one place. For hospice, Alora supports bereavement management, interdisciplinary care coordination, and hospice billing. The vendor publishes monthly price ranges by agency size: small agencies pay 295 to 800 dollars per month, medium agencies pay 800 to 2,000 dollars per month, and large agencies pay 2,000 to 8,000 dollars per month. Pricing is based on unlimited users or unlimited patients. Alora is CHAP and ACHC certified. The main gap is that offline documentation costs extra.
What we like- Published starting price with ranges by agency size
- Unlimited users or unlimited patients
- Offline documentation
- CHAP and ACHC certified
Watch out for- Offline documentation is sold as an add-on
- Final price still needs a demo and a sales discussion
#7
Careficient
Best for: Small hospice and home health agencies that want an all-in-one system at a clear entry price
Visit careficient.com
Starting pricequote
Free planNo free plan; demo on request
Careficient is a cloud-based EMR built for home health, hospice, home care, and palliative care agencies. It covers intake, referrals, scheduling, point-of-care documentation, billing, payroll, and compliance in one system. Hospice teams get bereavement management, physician portal access, and automated scheduling that matches caregivers by skill and location. Careficient is a CHAP and ACHC certified EMR, which helps with survey readiness. Third-party price guides report a starting price of about 995 dollars per month, but the vendor does not publish a price list, so treat that figure as third-party reported and ask for a written quote.
What we like- All-in-one design covering scheduling, charting, billing, and payroll
- CHAP and ACHC certified
- Mobile access works online and offline
Watch out for- The vendor publishes no price list, so the starting price must come from a quote
- Setup can be rough for some agencies
#8
Netsmart Homecare
Best for: Multi-service post-acute agencies that run hospice with home health, palliative care, or human services
Visit ntst.com
Starting pricequote
Free planNo free plan; demo on request
Netsmart Homecare is part of the myUnity platform from Netsmart, a large enterprise health IT vendor. It covers patient intake, documentation, scheduling, billing, and mobile charting for home health, hospice, and private duty lines. The platform adds AI-assisted documentation, speech recognition for vitals at the point of care, and quality oversight tools. Hospice agencies benefit from the shared record across service lines, which helps when patients move between home health and hospice. Third-party price guides report a starting price of about 500 dollars per month, but Netsmart publishes no rate card, so treat that figure as third-party reported and request a written quote.
What we like- Unified myUnity platform spans hospice, home health, and behavioral health
- AI-assisted documentation and speech recognition
- Strong interoperability
Watch out for- Enterprise quote pricing with no published rate card
- Implementations for large agencies can run long
Frequently asked questions
What is the best hospice EMR software for a small agency?
Alora Home Health is the best pick for a small agency because it publishes a starting price of 295 dollars per month and prices by agency size. Careficient is a strong second choice with an all-in-one design that covers scheduling, billing, and payroll. Both are CHAP and ACHC certified, which helps with survey readiness. Get a written quote from each before you decide.
How much does hospice EMR software cost?
Most hospice EMR vendors sell by quote, so there is no standard price. Alora Home Health starts at 295 dollars per month for small agencies. Third-party price guides report about 995 dollars per month for Careficient, about 500 dollars per month for Netsmart, and about 2,000 dollars per month for KanTime and MatrixCare, but none of those vendors publish a price. Ask each vendor for a full written quote.
Does hospice EMR software handle HIS reporting?
Yes, hospice EMR software is built to handle HIS reporting. The tools prompt clinicians for the data that HIS assessments require and flag missing fields before submission. MatrixCare pushes HIS and quality files to a survey portal automatically. WellSky Hospice includes a HOPE dashboard that tracks the newer HOPE assessment data. Ask each vendor which reports it produces and how it handles HOPE.
Can hospice EMR software track bereavement care?
Yes, most hospice EMR tools include bereavement tracking. WellSky Hospice manages bereavement follow-up tasks from the same record as clinical care. KanTime includes bereavement program tracking as a hospice-specific feature. Alora and Careficient also list bereavement management. Check that the tool tracks the 13-month bereavement period that Medicare requires and that it supports volunteer and counselor assignments.
Do these tools work offline at the point of care?
Most of them do. MatrixCare, WellSky Hospice, and Careficient all support offline charting on mobile devices, which matters for nurses in areas with weak signals. Alora sells offline documentation as an add-on, so confirm the cost before you buy. Ask each vendor how notes sync when the device reconnects and what happens if two staff members edit the same record offline.
Sources we checked (8)
- https://www.axxess.com
- https://www.matrixcare.com/hospice-software
- https://wellsky.com/hospice-software/
- https://www.hchb.com
- https://www.kantime.com
- https://www.alorahealth.com
- https://www.careficient.com
- https://www.ntst.com
Is your product missing or out of date?
We review this list regularly. Vendors can request a listing, send updated pricing or ask about featured placement.
Shihab Mia · Founder, Rankite
Shihab has 5+ years in B2B and SaaS SEO. He writes Rankite's software buying guides from pricing pages, documentation and public user reviews. More about Shihab.