Short answer: None of the major home health EMRs (Homecare Homebase, WellSky, Axxess, Alora, KanTime, AlayaCare, Enzo Health and MatrixCare) publishes an integration with a home exercise program, based on our review of each vendor's website in October 2026. Home health physical therapists document every visit in the EMR, then build the patient's exercise program somewhere else, or hand out photocopies. With fewer therapy visits per stay than before PDGM, the exercise program is often the only therapy a patient gets between visits. That is a gap worth closing, for therapists, agencies and the EMRs themselves.
If you are a home health PT, you know the routine. You finish the OASIS or the visit note in your agency's EMR on your tablet. Then you reach for a folder of photocopied exercise sheets, or open a separate app, or tell the patient "keep doing the ones from last time." The program the patient depends on for the next five days lives outside the record that the agency, the payer and the rest of the care team see.
What we checked: home health EMRs and exercise program integrations
In October 2026 we reviewed the public product pages, integration pages and partner directories of eight widely used home health EMRs. We looked for one thing: a published integration that lets a therapist build, send or document a home exercise program from inside the EMR.
| Home health EMR | Published home exercise program integration found |
|---|---|
| Homecare Homebase (HCHB) | None found |
| WellSky Home Health | None found |
| Axxess Home Health | None found |
| Alora | None found |
| KanTime | None found |
| AlayaCare | None found |
| Enzo Health (Enzo EHR) | None found |
| MatrixCare Home Health | None found |
Some of these companies list partners for staff education, remote patient monitoring, wound care or virtual visits. Those are valuable, but none of them is a home exercise program connected to the therapy visit note. Each EMR is a strong system for what it was built to do: OASIS, scheduling, billing, compliance and clinical documentation. The exercise program simply hasn't been part of that picture yet.
If you work for one of these companies and we've missed an integration, tell us at Sales@ExerciseProLive.com and we'll update this post.
Why this matters more in home health than anywhere else
Fewer therapy visits per stay
Since the Patient-Driven Groupings Model (PDGM) took effect in 2020, therapy visits no longer drive home health payment. MedPAC's March 2026 report to Congress found that PDGM was associated with 2.4 fewer therapy visits per home health stay in 2023, about 21% fewer (8.8 visits instead of 11.2) (MedPAC, March 2026, Chapter 14). MedPAC notes that some of that drop may reflect staffing and better matching of services to needs.
Whatever the cause, the math for the therapist is the same. Fewer visits means more of the patient's recovery happens between visits, on their own or with a caregiver. The home exercise program is how therapy continues when you aren't there.
Outcomes that depend on what happens between visits
Under the expanded Home Health Value-Based Purchasing (HHVBP) Model, agencies' Medicare payments go up or down based on quality measures. In 2026, the Discharge Function Score carries 15% of the score for larger-volume agencies, and potentially preventable hospitalizations and discharge to community each carry another 15% (CMS, CY 2026 HHVBP measure set). Patient experience measures from the HHCAHPS survey make up 20%.
Function at discharge, staying out of the hospital and getting back to the community all depend partly on whether patients keep moving between visits. An exercise program can't guarantee those outcomes, but a program the patient can't follow certainly won't help them.
Patients and caregivers who need more than a photocopy
Home health patients are often older, recently hospitalized, managing several conditions, and supported by a family member or aide. A grainy photocopy with a stick figure is hard to follow. A video they can replay, in their own language, in large print or on a caregiver's phone, is far easier.
Research on home exercise programs points the same way. In a randomized trial of 80 people with musculoskeletal conditions, an app with remote support achieved better adherence than paper handouts (Lambert et al., J Physiother, 2017). In a pilot randomized trial of 56 people after stroke, a mobile video-guided program had higher three-month adherence than a paper pamphlet, 75.6% versus 55.2% (Chung et al., Hong Kong Physiotherapy Journal, 2020). Both studies tested video and app-based programs in general. For more on the evidence, see Paper vs Digital Home Exercise Programs.
What the gap costs today
Without a connected exercise program, home health therapy teams tend to see the same problems:
- Double work. The therapist documents in the EMR, then builds the program in another tool or by hand, then notes in the EMR what was given.
- No record of the actual program. The visit note says “HEP reviewed” or “HEP issued,” but the exercises, sets, reps and progressions often aren’t in the chart.
- Inconsistency across clinicians. When a PTA or another PT covers a visit, they may not know exactly what the patient was given.
- No view of what happens between visits. The therapist finds out at the next visit whether the patient did the program, and how it felt.
- Paper that doesn’t travel. Handouts get lost, aren’t in the patient’s language, and don’t go with the patient when they’re discharged to outpatient therapy or to their own routine.
What Home Health PTs can do now
You don't need to wait for your EMR. Here is a workflow that works with any home health EMR today:
- Build the program at the bedside. Use the Exercise Pro Live Engage app on your phone or tablet. Search by name, body part, or by body position and movement. Start from a saved protocol for common diagnoses such as total knee replacement, fall prevention or deconditioning.
- Deliver it the way the patient can use it. Send it to the free Exercise Now app, or by text, email or QR code, or print it in large format. Instructions are available in 130+ languages, so a caregiver or family member can follow along too.
- Get it into the visit note. Paste the program into your note, or attach it to the chart as a PDF, so the record shows exactly what the patient was given.
- Check in before the next visit. Patients log completion and report pain and difficulty, and exercise reminders prompt them to keep going. Review the compliance report before you head out, so you know what to adjust.
- Progress and hand off. Update the program as the patient improves. At discharge, the patient keeps the same program on their phone or on paper, which supports the transition to outpatient care or independent exercise.
For a full how-to on adherence, see How to Improve Home Exercise Program Adherence.
What an EMR integration should look like
Pasting and attaching PDFs works, but an integration would do more for everyone. In home health, a good exercise program integration would let a therapist:
- open the home exercise program from inside the patient’s chart or visit note, without a second login
- start with the patient’s name and contact details already filled in
- write the program (exercises, sets, reps, frequency) back into the visit note automatically
- see the patient’s completion, pain and difficulty reports in the EMR before the next visit
- let nurses, aides and covering therapists see and reinforce the same program
A note to home health EMR teams
If you build or manage a home health EMR, your therapists are already asking for this. Exercise Pro Live has served clinicians since 1995, with a library of 7,000+ professionally filmed, model-released exercise videos, a free patient app and patient instructions in 130+ languages. BioEx Systems is HIPAA compliant and signs a Business Associate Agreement. We're open to an integration with any home health EMR, and we'd like to hear from your product or partnerships team. Contact us at Sales@ExerciseProLive.com or (800) 750-2756.
How Exercise Pro Live fits home health
Exercise Pro Live for home health is built for clinicians who work in patients' homes:
- Build anywhere: the Exercise Pro Live Engage app on iPhone and Android, with AI-assisted search, search by body position and movement, default sets and reps, and saved protocols.
- Library: 7,000+ HD exercise videos, each with a line drawing, across 15+ specialties, plus patient education handouts.
- Delivery: the free Exercise Now patient app, text, email, QR code or large-format print, with instructions in 130+ languages and access for caregivers.
- Between visits: exercise reminders, pain and difficulty reporting, HIPAA-compliant in-app messaging and compliance reports.
- For agencies: standardized protocols shared across therapists, unlimited patients, no per-patient fees, and custom pricing for teams of 11 or more.
- Security: HIPAA compliant, with multi-factor authentication. BioEx Systems signs a BAA, and program links can be set to expire.
- Support: free phone and email support, Monday to Friday, 9:00 AM to 5:00 PM Central, at (800) 750-2756.
A great value when margins are thin
Home health margins are tight. MedPAC estimates that home health agencies' all-payer margin was 5.0% in 2024, about five cents on each dollar of revenue (MedPAC, December 2025). Medicare Advantage plans, which cover a growing share of patients, generally pay agencies less than traditional Medicare. Every new tool has to earn its place.
Exercise Pro Live costs $134 per year for one therapist ($99 the first year), $89 per user per year for 2 to 5 users and $79 per user per year for 6 to 10 users, with custom pricing for agencies with 11 or more therapists. For example, a therapist who makes 20 visits a week for 50 weeks a year sees about 1,000 visits. At $79 to $134 per year, that works out to roughly 8 to 13 cents per visit, with unlimited patients and no per-patient fees. That has very little effect on an agency's margin, and it gives every patient a program they can follow between visits.
See the Features page and Pricing page for details.
Frequently Asked Questions
Does Homecare Homebase (HCHB) have a home exercise program integration?
We did not find a published home exercise program integration for Homecare Homebase when we reviewed its website and partner page in October 2026. HCHB therapists can still use a dedicated exercise program such as Exercise Pro Live alongside it, and paste the program into the visit note or attach it as a PDF.
Does WellSky Home Health include a home exercise program?
We did not find a home exercise program or a published exercise program integration on WellSky's home health product pages in October 2026. WellSky therapists can use Exercise Pro Live alongside it and add the program to the visit note by pasting it or attaching a PDF.
Do Axxess, KanTime, Alora, AlayaCare, Enzo Health or MatrixCare integrate with a home exercise program?
As of October 2026, none of these home health EMRs publishes an integration with a home exercise program on its website or partner pages. Products change, so check with your EMR vendor. Exercise Pro Live works alongside any of them today and is open to a direct integration.
How do I add a home exercise program to a home health visit note?
Build the program in your exercise software, then paste the program text into your visit note or attach the program to the chart as a PDF. That way the record shows exactly which exercises, sets, reps and frequency the patient was given, not just "HEP issued."
Is there a free trial of Exercise Pro Live?
Yes, Exercise Pro Live offers a free, full-featured two-week trial with no credit card required.
Why do home exercise programs matter more under PDGM?
Since PDGM began in 2020, home health stays have included fewer therapy visits. MedPAC found about 2.4 fewer therapy visits per stay in 2023. With fewer visits, more of a patient's recovery depends on the exercise program they follow between visits.
Can caregivers and family members see the patient's exercise program?
Yes. With Exercise Pro Live, a caregiver can view the program on a phone, tablet or computer, follow the videos, or use a printed copy. Instructions are available in 130+ languages, so family members who speak another language can help too.
What if my home health patient doesn't have a smartphone?
Exercise Pro Live programs can be printed in large format with photos or line drawings, and they can also be sent by email or text to a family member. Patients don't need the app to follow their program.
Is Exercise Pro Live HIPAA compliant for home health agencies?
Yes. Exercise Pro Live is HIPAA compliant and includes multi-factor authentication and secure in-app messaging. BioEx Systems, the company behind Exercise Pro Live, signs a Business Associate Agreement.
How much does Exercise Pro Live cost for a home health agency?
Annual plans cost $134 per year for one clinician ($99 the first year), $89 per user per year for 2 to 5 users ($69 the first year) and $79 per user per year for 6 to 10 users ($65 the first year). Agencies with 11 or more therapists get custom pricing. Every plan includes every feature and unlimited patients, with no per-patient fees. For a therapist making about 1,000 visits a year, that is roughly 8 to 13 cents per visit, which has very little effect on agency margins. See the Pricing page.
We build a home health EMR. How do we integrate with Exercise Pro Live?
Contact BioEx Systems at Sales@ExerciseProLive.com or (800) 750-2756. Exercise Pro Live already integrates with EMRs including Epic, NetHealth Therapy and Raintree, and builds custom integrations.
Try it on your next home visit
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