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ComparisonThe status quo · Reviewed October 2026

Klio Care vs. Fax

Most home health orders in the United States still move by fax. It feels free and it works with every agency, which is why it survives. But every fax is a page nobody tracks: no status on the referral, no reminder on the unsigned 485, no evidence for the G0180 you could have billed, and a misdirected fax is a HIPAA breach. Klio replaces the fax pipeline with one dashboard for $100 a month.

Klio Care

Starts at$100per month

Referrals, home health and hospice order signing, monthly G0180 / G0179 report with evidence, AI tools for your agencies, and support — all included.

Contract
None · month to month
Built for
The physician office
Fax · paper, eFax, fax servers

“Free” + staff hours

An eFax line runs ~$17–$30+/month, but the real cost is the front desk and MAs: calling agencies for status, re-faxing lost pages, hunting for unsigned 485s, and scanning signed orders into the chart.

Offices on Klio typically save 2–3 hours of follow-up calls a day

Contract
None
Built for
1987

Feature by feature

Included Partial / with limits Not offered

Feature
Klio Care

Built for the physician office

Fax

1987

Pricing

Price for a physician office

Klio Care
YesFrom $100 a month, flat. Referrals, order signing, and G-code reports included.
Fax
Partial“Free” apart from an eFax line (~$17–$30+/month) — but it consumes hours of staff time every week and leaves G-code revenue undocumented.

Contract

Klio Care
YesNone. Month to month — stop any time, records stay exportable.
Fax
YesNone.

Setup / implementation fees

Klio Care
YesNone. Setup takes about 10 minutes with your Klio rep.
Fax
YesNone.
Referrals & orders

Send home health referrals

From the physician office to any agency

Klio Care
YesComplete referral packets with a completeness check, routed to the patient’s preferred agency, tracked live.
Fax
PartialFax a packet and call to confirm. No completeness check, no status, no record of patient preference.

Send hospice referrals

Klio Care
YesSame workflow for hospice — send, track acceptance, receive orders back.
Fax
PartialSame manual process.

Sign home health orders

CMS-485 plan of care, interim orders, recerts

Klio Care
YesOne-click signing on any device, automated reminders, CMS-compliant timestamped audit trail.
Fax
PartialPrint, wet-sign, scan or fax back. No reminders; unsigned 485s sit in trays.

Sign hospice orders

Certifications, face-to-face, interim orders

Klio Care
YesCertifications, face-to-face, and interim hospice orders in the same signing queue.
Fax
PartialSame manual process.
Billing & AI

Monthly G0179 / G0180 report

Sent to your billers automatically every month, evidence attached

Klio Care
YesFirst week of every month, your billers get a report of every eligible G0180 / G0179 with the evidence PDF attached.
Fax
NoNothing is tracked, so certifications go unbilled or undocumented.

AI features for home health agencies

AI intake, AI documentation, revenue intelligence

Klio Care
YesAI intake, AI documentation, and revenue intelligence for agencies on the network.
Fax
NoNone.
Agencies & setup

Invite any home health agency

One link, free for the agency to accept

Klio Care
YesSend any agency a link. They accept and start receiving your referrals and returning orders — free for them.
Fax
PartialWorks with any agency’s fax number — and gives you no visibility into anything after you press send.

Home health agency onboarding

Klio Care
YesMinutes. No implementation project, no EHR change for the agency.
Fax
·
None needed. Also no tracking, no reminders, no audit trail.

Works with any agency EHR

HCHB, Axxess, WellSky, MatrixCare, Alora…

Klio Care
YesKlio sits between organisations — the agency keeps whatever EHR it already runs.
Fax
NoAgencies retype or scan everything into their EHR.

Works alongside your practice EHR

Athena, eCW, Epic — no migration

Klio Care
YesLayers on top of Athena, eCW, Epic, or anything else. Nothing to migrate.
Fax
NoSigned orders are scanned into the chart by hand.
Support & security

Support

Klio Care
YesDedicated rep for onboarding, then real humans by phone and email — included at every price.
Fax
NoNone.

HIPAA compliant · BAA

Klio Care
YesHIPAA compliant, encrypted in transit and at rest, BAA included at onboarding.
Fax
PartialCompliant only if handled perfectly; misdirected faxes are a leading cause of HIPAA breaches.

What Fax is

The fax workflow for a physician office: the front desk assembles a referral packet and faxes it to an agency, then calls to confirm it arrived and to ask whether the patient was accepted. Days later a CMS-485 comes back by fax; it sits in a tray until the physician signs it, is faxed back, and the signed copy is scanned into the chart — if someone remembers. Recertifications repeat the cycle every 60 days.

The visible cost is small: an eFax or cloud fax line at roughly $17–$30 a month, or a fax server. The invisible cost is staff time — status calls, re-faxes, hunting for lost pages, filing — and the revenue cost of G0180 / G0179 certifications nobody documented well enough to bill. Misdirected faxes are also consistently among the most common HIPAA breach categories.

Where fax is strong

It works with literally every agency and requires nothing of them. Nobody needs training, there is no login, and the marginal cost per page is near zero. For an office that sends two referrals a year, it is fine.

Where Klio wins for physician offices

  • Status instead of phone calls. Your front desk sees whether the agency received and accepted the referral in real time. Most offices on Klio save two to three hours of follow-up calls a day.

  • Orders that chase themselves. The 485 arrives digitally, matched to the patient; the physician signs in one click from any device; automated reminders go out until it is done; the signed order returns to the agency instantly with a CMS-compliant audit trail.

  • Revenue you were leaving on the table. Every certification and recertification you sign becomes a line on a monthly G0180 / G0179 report with the evidence PDF attached, ready for your billers.

  • Still works with every agency. Invite them with a link — free for them, live in minutes, on whatever EHR they run. $100 a month, no setup fee, no contract, about ten minutes to set up.

Klio vs. Fax: frequently asked questions

Is faxing home health orders HIPAA compliant?

Fax can be HIPAA compliant when handled correctly, but misdirected faxes are consistently among the most common breach categories, and paper in trays and on scanners is unprotected PHI. Klio encrypts orders in transit and at rest, logs every action with user identity and timestamp, and includes a BAA.

What does fax actually cost a physician office?

The fax line is cheap — roughly $17–$30 a month for eFax. The real cost is staff time spent on status calls, re-faxes and filing, plus the G0180 / G0179 revenue that goes unbilled because nothing is tracked. Offices on Klio typically save two to three hours of follow-up calls a day.

Will agencies that only fax work with Klio?

Yes. You invite them with a link; accepting is free and takes minutes, and Klio provides a one-page guide and redirect materials to move them off paper. Most agencies adapt quickly because they get faster signatures out of it.

How long does it take to replace fax with Klio?

About ten minutes for your office. Your Klio rep sets up role-based access, invites your agencies, and gets the first referral sent before they leave. Plans start at $100 a month with no setup fee and no contract.

Competitor information is drawn from publicly available sources — vendor websites, help centres, third-party software listings and 2026 buyer guides — and reflects our understanding at the time of review. Pricing, features and terms change; confirm details directly with each vendor. All product names and trademarks belong to their respective owners. If something here is out of date, email hello@klio.care and we will correct it.