Pricing That Scales With Your Census
You pay for the patients you actually serve — a simple rate per active patient, per month. Every plan includes unlimited staff users, a Business Associate Agreement, and guided onboarding. No setup fees, no per-claim charges.
Home Care
For personal care, private-duty, and Medicaid personal care agencies.
- Home care service line & patient charts
- Comprehensive assessment, ADL & visit documentation
- Scheduling, GPS visit verification & EVV export
- NC Medicaid 837P billing, prior-auth & claim scrubber
- Payroll (W-2 & 1099), invoicing & patient portal
- Web, iPhone & Android — unlimited staff users
Home Health
For Medicare-certified home health agencies running the full clinical & revenue cycle.
- The complete Medicare-certified clinical platform
- OASIS-E1, CMS-485, discipline evaluations & visit notes
- PDGM grouping & Medicare 837I billing
- Full CMS Reporting hub — OASIS, NOA, QRP, HHVBP & more
- Denial management, LUPA early-warning & eligibility checks
- QA review, physician e-signature & AI assistance
- Payroll, invoicing, patient portal & priority support
Enterprise
For larger and multi-site organizations — volume pricing as your census grows.
- Discounted per-patient rates at higher census
- Multiple branches & consolidated reporting
- Additional state Medicaid & payroll-tax support
- Data-migration assistance from your current system
- A dedicated account manager
- Custom onboarding & training plan
Running both service lines? No problem — each patient is simply billed at their own service line's rate, on one combined monthly invoice. You're never charged twice for the same agency.
Pricing You Can Estimate in Your Head
Your bill follows your active census — the patients you served that month. Add as many clinicians, schedulers, and administrators as you need at no extra cost.
Small Home Care Agency
40 active clients
40 × $9 — above the $199 minimum
Growing Home Health Agency
50 active patients
50 × $30 — above the $499 minimum
Established Agency
120 active patients
120 × $30 — ask about volume rates at 150+
Rates shown in USD per active patient, per month. Save the equivalent of one month when billed annually. A monthly minimum applies per service line so very small or seasonal agencies have a predictable floor.
Included With Every LEMR Subscription
Business Associate Agreement
A signed BAA is included with every account — at no extra cost.
Unlimited Staff Users
Every clinician, scheduler, and admin — no per-seat charges.
Guided Onboarding
Workspace setup and team training are part of every plan.
Updates & Every Device
New features, annual CMS data updates, web and mobile apps.
What to Know Before You Sign Up
What counts as an "active patient"?
An active patient is a patient on your census who received care during the billing month. Pre-admit referrals, discharged patients, and inactive records are not billed. Your monthly invoice reflects the patients you actually served — nothing more.
Why per patient instead of per user?
Because it keeps your cost aligned with your revenue. Every patient on census is a billable episode, so your software cost rises and falls with your business. It also means you can add every clinician, scheduler, and administrator your agency needs without paying for another seat — staff users are unlimited on every plan.
Is there a monthly minimum?
Yes — a monthly minimum applies per service line ($199 for Home Care, $499 for Home Health). This gives very small, new, or seasonal agencies a predictable floor. Once your census grows past the minimum, you simply pay the per-patient rate.
What if our census changes from month to month?
Billing follows your census automatically. A slower month costs less; a busier month costs more. You're never locked into paying for capacity you aren't using.
Are there setup fees or per-claim charges?
No. Onboarding and your Business Associate Agreement are included in the subscription, and LEMR does not charge per claim, per OASIS, or per visit. Payment processing for patient invoices is handled by Stripe at their standard rates.
We run both home health and home care — how does that work?
Each patient is billed at their own service line's rate, combined on a single monthly invoice. You get both service lines in one platform without paying two subscriptions.
Is there a contract or long-term commitment?
LEMR is offered on a month-to-month subscription with no long-term lock-in. Annual billing is available at a discount for agencies that prefer it.
Which states and payers are supported?
Medicare home health is supported nationwide, and NC Medicaid billing is supported today. Additional state Medicaid and payroll-tax support is added as agencies onboard — the Enterprise plan includes this work. Tell us your state and payers and we'll confirm fit on a demo call.
Get an Exact Quote for Your Agency
Tell us your service lines and current census and we'll give you a precise monthly number on a short demo call.