Payroll

The Caregivers Who Showed Up Deserve to Be Paid Correctly — and on Time.

Home care payroll is complicated. Overtime thresholds are crossed unexpectedly when call-outs get covered. Pay rates vary by patient and service type. The hours from the schedule don't always match the EVV records without a reconciliation. CareBravo connects payroll to scheduling and EVV data — so the hours that were verified are the hours that get paid, without a manual reconciliation step in between.

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Where Payroll Gets Complicated

Payroll Errors Don't Just Cost Money. They Cost You Caregivers.

Caregiver turnover is the operational crisis most home care agencies underestimate. Jackie knows this — she's worked hard to keep her caregivers because replacing them costs time she doesn't have and disrupts care continuity for her patients. Denise knows it at scale: 40 caregivers means 40 people whose pay accuracy and timeliness directly affects whether they stay. For Tasha, who is hiring her first caregiver: the agency's relationship with its caregivers starts with the first paycheck. Getting it right matters from day one — not because of the legal exposure, but because the caregivers who trust their agency are the ones who show up when it counts.

How CareBravo Delivers It

Payroll Calculated From Verified Hours. Connected to Scheduling. No Reconciliation Step.

CareBravo calculates caregiver pay from EVV-verified visit data and scheduling records — the same system that tracks the visit is the system that feeds the payroll calculation. Overtime is flagged before the pay period closes, not discovered after. Pay rate variations by patient and service type are applied automatically. CareBravo generates the payroll file in the format required by your processor — Viventium, ADP, Paychex, or others — via API integration or export. The agency's payroll platform handles disbursement. CareBravo handles the calculation accuracy that makes that disbursement right.

What arrives as completed work

Payroll calculated from EVV-verified visit hours and scheduling records. Overtime flagged before the pay period closes. Pay rate variations by patient and service type applied automatically. Payroll file generated in the format required by your processor — Viventium, ADP, Paychex, or others.

What your team does instead

Review the payroll summary before submission. Approve the file. Handle caregiver pay questions that require judgment. Focus on caregiver relationships rather than payroll calculation.

What connects to this function

Payroll connects to scheduling — caregiver hours come from verified visit records in the same system. It connects to EVV — verified visit data drives pay calculation accuracy. It connects to credentialing — caregivers with lapsed credentials are flagged in scheduling, which affects which hours are included in payroll.

What this looks like at your stage

At 30 patients: Jackie is calculating caregiver pay manually, cross-referencing EVV records and the schedule. At 90 patients: Denise has 40 caregivers across multiple payer rates and service types — manual payroll calculation at this scale is where errors accumulate. Pre-launch: Tasha is hiring her first caregiver. Getting payroll right from the first paycheck establishes the trust that keeps caregivers when the agency is still too small to compete on anything other than how it treats people.

100+ agencies. 73% average revenue growth. No added back-office hires. Caregiver retention is the operational advantage most agencies undervalue. Payroll accuracy and timeliness are the most concrete expression of how the agency treats the people delivering care. Getting it right consistently — from the first hire — is how caregiver relationships are built.

Questions

What Agency Owners Ask About Payroll

Home care payroll calculates caregiver compensation based on verified visit hours, applicable pay rates, overtime rules, and any differentials for specific visit types or patients. Because hours come from EVV-verified records and scheduling data, accurate payroll requires those systems to be connected — or a manual reconciliation process to transfer data between them. Caregiver pay disputes, overtime errors, and late payroll are among the top reasons caregivers leave home care agencies.

Home care overtime rules follow federal FLSA requirements and applicable state law — caregivers who work more than 40 hours per week must receive overtime pay at 1.5 times their regular rate. In home care, overtime is complicated by split shifts, visits across multiple patients, and weeks where call-out coverage pushes total hours above the threshold unexpectedly. Payroll systems that aren't connected to scheduling data may not catch overtime situations until after the pay period ends.

Common payroll platforms used by home care agencies include Viventium (built specifically for home care), ADP, Paychex, and Gusto. CareBravo generates complete, reconciled payroll files that integrate with these platforms via API or export — the agency's chosen payroll processor handles the actual disbursement. CareBravo does not replace payroll processors; it connects the scheduling and EVV data to produce accurate payroll inputs without manual reconciliation.

Caregiver pay for home care visits is calculated from verified visit hours (typically from EVV records), the applicable pay rate for the service type and patient, any overtime hours at the overtime rate, applicable differentials, and deductions. The calculation requires matching each caregiver's verified hours to the correct pay rate — which varies by patient, service type, and in some cases by payer contract. Manual payroll calculation across a roster of 20-40 caregivers is time-intensive and error-prone.

Incorrect caregiver payroll — underpayment, missed overtime, late payment — is one of the primary drivers of caregiver turnover in home care. Caregivers who are paid late or incorrectly are significantly more likely to leave. Beyond caregiver relations, payroll errors create liability under FLSA and state wage and hour laws. Overpayments that go undetected add direct cost. CareBravo's payroll function connects directly to verified visit data to minimize both underpayment and overpayment errors.

See Payroll Connected to the Rest of Your Operation.

The first call shows what payroll looks like when it connects to scheduling and EVV data — accurate calculations, overtime flagged before it's missed, the payroll file ready for your processor without a manual reconciliation step.

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How scheduling connects to payroll calculation → How EVV verification drives payroll accuracy → How CareBravo pricing works → What changes for a 30-patient agency →