Comparison
Axxess is one of the most widely used home health platforms. But census-tiered, per-user pricing plus a setup fee adds up fast for an independent agency. Here's the feature-by-feature breakdown and the dollar math.
Estimates based on commonly observed Axxess configurations as of 2026-05. Verify your contract directly with the vendor. Run your own numbers →
| Capability | Axxess | Sothcare |
|---|---|---|
| Pricing model | Census-tiered + per-user + setup fee | $519 flat |
| OASIS-E2 native | ✓ | ✓ |
| PDGM HIPPS at point-of-care | post-hoc | ✓ live |
| 837I claim generation | ✓ | ✓ native |
| ADR auto-packaging | ✗ | ✓ 1-click |
| Survey-readiness export | ✗ | ✓ 1-click |
| Setup fee | Yes | None |
| Contract | Annual | Month-to-month |
Axxess is a strong pick if you need hospice or palliative lines, you're scaling across many states, or you want its large training/certification ecosystem. Sothcare is built for independent agencies of 1–50 clinicians who want one flat-fee platform for clinical, EVV, and billing.
See who Sothcare is built for →For most independent agencies, yes. Axxess is census-tiered with per-user charges and a setup fee; Sothcare is a flat $519/mo for skilled home health regardless of size.
Axxess implementations commonly include a setup/onboarding fee on top of recurring charges. Sothcare has no setup fee and skilled-HH founder customers run 90 days free.
Yes. Active episodes finish in Axxess while new admissions start in Sothcare; data imports via CSV. No claims lost.
25 minutes, founder-led, no deck. We'll run your Axxess numbers against Sothcare in real time.
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