Alora runs the visit. FileFlo runs the evidence.
This isn't FileFlo versus Alora. Keep Alora for OASIS-E, the home care service plan, EVV, and billing; it's one of the most popular EHRs for small home health and personal-care agencies. FileFlo adds the compliance document layer it was never built to be: every file mapped to its 42 CFR Part 484 citation, aide competency tracked, and the surveyor's binder assembled on demand. Keep the EHR. Add the survey-readiness binder.
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One charts the care. One proves it.
Alora is the small-agency EHR
It runs OASIS-E for skilled home health, the non-skilled home care service plan, scheduling, EVV for both visit types, and Medicare billing: most of what a 5–40 clinician agency runs day to day. Alora was built to run today's care, not to assemble the survey binder a Part 488 reviewer asks for.
FileFlo is the compliance brain
It classifies every compliance document to its 42 CFR Part 484 citation, tracks aide competency and training expirations, drives F-tag remediation, and assembles the surveyor's evidence binder on demand. The layer an EHR was never designed to be, and it works alongside Alora, not instead of it.
What a clinical EHR was never built to do.
None of these are Alora failings; they're simply outside what a clinical EHR does. They're also exactly where small home health agencies get burned during a CMS or accreditation survey.
It can't assemble the surveyor's §484 binder
Alora runs the chart and the visit, but a CMS or ACHC surveyor asks for a Part 488 evidence packet across policies, training, and competency files. Alora requires running reports across the home health, home care, and HR modules and consolidating them by hand. FileFlo pulls every document tied to a citation into one indexed PDF binder in a single click.
It can't run the §484.80 aide evidence file
Alora schedules the aide visits and the EVV ping, but §484.80 requires a documented competency evaluation, 12 hours of in-service per year, background checks, TB screening, and supervisory visits. FileFlo gives every aide a living evidence file with expiration alerts at 90 / 60 / 30 / 14 / 7 days for each requirement.
It can't drive a Part 488 F-tag remediation
When the surveyor leaves a deficiency citation, you have a window to file a Plan of Correction with evidence of remediation. Alora can export some reports, but it does not run a CAP / F-tag workflow. FileFlo tracks each F-tag, the PoC, and the evidence uploads tied to it.
It can't keep one binder across lines of business
Many small agencies run skilled HHA and non-skilled personal care side by side. Alora bills both, but if your compliance evidence is scattered across modules and HR drives, the survey binder fragments. FileFlo keeps one binder per caregiver, clinician, or patient regardless of which line of business or payor they fall under.
Feature by feature: FileFlo vs Alora.
Based on publicly available Alora Health sales pages and FileFlo product as of May 2026. Alora wins on clinical and visit depth; FileFlo wins on document-as-evidence. Most agencies run both.
| Capability | FileFlo$299/mo · unlimited users | Alora Health~$249/agency/mo + add-ons |
|---|---|---|
42 CFR Part 484 compliance mapping | Every doc tagged to a §484 citation | EHR workflow, not evidence map |
OASIS-E charting & locking | Accepts uploaded OASIS lock PDFs | Native OASIS-E form engine |
EVV (Electronic Visit Verification) | Stores EVV exception reports | Built-in EVV for skilled + non-skilled |
§484.80 aide training & competency tracking | 12-hour CEU alerts + supervisory visit log | HR module scheduling-driven |
§484.55 comprehensive assessment evidence | Assessment-cycle binder, one click | Stored in patient chart |
§484.60 care planning & coordination | POC versioning + sign-off evidence | Service-plan module |
CMS survey-readiness packet (Part 488) | One-click §484 evidence binder | Multi-report manual assembly |
Immutable HIPAA audit trail per document | Every view, download, edit logged | Chart-level audit log |
AI document classification | 600+ doc types auto-tagged | Manual upload & filing |
Background check & caregiver credential tracking | Per-state renewal automation | HR module add-on |
Multi-EHR / cross-platform document storage | Lives alongside any EHR | Alora ecosystem only |
F-tag remediation workflow (Part 488) | CAP tracking + evidence upload | Not native to clinical EHR |
Non-skilled / private duty service plan tracking | Service plan + caregiver doc binder | Home care module |
Pricing model | $299/mo flat, unlimited users | ~$249/agency/mo skilled module plus add-ons |
Free trial (no sales call) | 5-day full access, no card | Demo + sales call required |
Setup time | Under 60 minutes, self-serve | Multi-week implementation |
Alora pricing varies by module (Skilled Home Health / Home Care / Hospice) and agency size. Verify directly with Alora Health for an exact quote; pricing range cited from public sales pages. FileFlo pricing is locked at getfileflo.com/pricing.
Platform definition.
FileFlo is a compliance document intelligence platform that operates as a read-only evidence layer for home health and home care agencies. It does not chart patients, lock OASIS-E, or generate visit claims. Instead, it ingests the compliance documents an agency already generates (aide competency packets, in-service rosters, background checks, TB screenings, supervisory-visit logs, plans of care, and policies) and classifies each one against the 42 CFR Part 484 Condition of Participation it satisfies, extracts expiration dates and key fields, and assembles a citation-mapped, surveyor-ready audit binder on demand.
The distinction matters because Alora is a clinical EHR built for small agencies: it is optimized for OASIS-E charting, the home care service plan, scheduling, EVV, and Medicare billing, running today's care. Alora can tell you a visit happened and store the note; it cannot tell you that an aide's §484.80 competency evaluation is overdue, that a §484.60 plan of care lacks a current physician signature, or assemble the Part 488 evidence packet a surveyor walks. FileFlo adds that compliance layer without disturbing the clinical system of record beneath it.
Why a clinical chart isn't a survey binder.
The Medicare Conditions of Participation for home health agencies, codified at 42 CFR Part 484, do not ask whether a visit was charted; they ask whether the agency can produce evidence that each Condition is met. Under 42 CFR §484.55, the comprehensive assessment must be completed within five calendar days of the start of care, updated at least every sixty days, and updated within forty-eight hours of a beneficiary's return from a hospital stay of twenty-four hours or more. Under 42 CFR §484.60, the agency must maintain an individualized plan of care, signed by the physician or allowed practitioner, with measurable goals and updates whenever the patient's status changes. Under 42 CFR §484.80, a home health aide must pass a competency evaluation, complete twelve hours of in-service training every twelve months, and receive supervisory visits at the intervals the regulation defines. A clinical EHR can hold the visit data behind every one of these and still leave the agency exposed at survey, because the chart has no concept of "evidence packet," "expired competency," or "missing in-service roster."
This is the gap FileFlo closes. When a state agency or an accreditor (ACHC, CHAP, or the Joint Commission) conducts a survey under 42 CFR Part 488 and issues a deficiency, the agency has a defined window to submit a Plan of Correction with evidence the deficiency is remediated. FileFlo maps each document to the CoP citation it satisfies, monitors expirations at 90/60/30/14/7-day intervals, and produces the F-tag remediation workflow and the indexed evidence binder a surveyor expects. Clinical records additionally carry retention obligations: agencies commonly retain patient clinical records for at least five years after discharge, and longer where state law requires.
Layered on top is the HIPAA Security Rule at 45 CFR Part 164, which governs how protected health information is stored, accessed, and logged. FileFlo runs encryption at rest and in transit, role-based access, and an immutable audit trail on every document access, download, and binder export, including the non-PHI compliance documents (training records, policies, BAAs) auditors still want evidence of. The practical result is that a small agency keeps Alora as the clinical system of record while gaining the citation-mapping, expiration tracking, and survey-export capabilities a clinical EHR does not provide. FileFlo is the compliance intelligence layer; Alora remains the chart.
Built by an operator, against the rules themselves.
Chad Griffith, Founder & CEO of FileFlo, built FileFlo's rule packs against the actual surveyor, inspector, and safety-investigator protocols, not against a generic "compliance" abstraction. Each regulator's taxonomy maps documents to the exact CFR section that demands them, which is why FileFlo can sit alongside a clinical EHR like Alora and still speak the language a CMS or accreditation surveyor uses. FileFlo's connectors are read-only by design: the platform reads what you already have and never becomes a place your team has to migrate into.
Quick answers.
Last reviewed June 4, 2026.
Does FileFlo replace Alora Health?
No. Alora Health is a small-agency home health and home care EHR: it runs OASIS-E for skilled HHA, non-skilled service-plan documentation for personal care, scheduling, EVV, and billing. FileFlo is the compliance document layer that sits alongside Alora. Together you get clinical and visit operations (Alora) plus AI-driven document compliance, audit trail, and survey-readiness binders mapped to 42 CFR Part 484 (FileFlo). Agencies on Alora typically adopt FileFlo to replace the spreadsheets and shared drives that hold their §484.80 aide files, in-service training rosters, and CMS survey evidence packets.
How much does Alora cost vs FileFlo?
Alora publishes per-agency pricing rather than per-user pricing. Public sales pages and industry directories cite figures around $249 per agency per month for the skilled-home-health module, with separate fees for the home care module, EVV, and implementation. FileFlo is a flat $299 per month with unlimited users for the compliance document layer. The pricing comparison is not apples-to-apples: Alora is a full HHA EHR, FileFlo is the compliance evidence binder layer. Verify Alora pricing on their public sales page since it changes; FileFlo pricing is locked at getfileflo.com/pricing.
Will FileFlo cover 42 CFR §484.80 aide training and competency tracking?
Yes. FileFlo tracks aide competency evaluations, the 12 hours per year continuing education required under 42 CFR §484.80(h), background check renewals, TB tests, and supervisory visits as discrete documents with expiration alerts. Alora tracks aide schedules, visit notes, and electronic visit verification inside its EHR. The two systems sit on opposite sides of the same regulation: FileFlo holds the evidence trail surveyors ask for under §484.80 during a CMS or accreditation survey; Alora holds the day-of clinical and visit record.
Can FileFlo generate an audit packet faster than Alora for a CMS or ACHC survey?
FileFlo is built specifically for survey readiness. One click pulls every document tied to a clinician, patient, or regulation citation into a single PDF binder with an immutable audit trail. Alora can export individual reports inside the EHR, but assembling a full Part 484 / Part 488 evidence binder requires running multiple reports across the home health, home care, and HR modules and consolidating them manually. Survey-binder assembly is the workflow where FileFlo measurably outperforms an EHR like Alora, because document-as-evidence is FileFlo's whole job.
Does FileFlo integrate with Alora for OASIS-E and EVV data?
Today, FileFlo does not write OASIS-E forms or generate EVV claims; those stay in Alora. FileFlo accepts uploaded OASIS lock confirmations, EVV exception reports, and visit-mismatch logs, then classifies them, attaches audit trail, and alerts on expiration or missing-signature events. A native two-way Alora sync is on the FileFlo Q4 2026 roadmap. Until then, the integration pattern is: export from Alora, upload to FileFlo, AI classify, audit-ready binder under 42 CFR §484.60.
Is FileFlo HIPAA compliant for HHA records?
Yes. FileFlo runs encrypted-at-rest and encrypted-in-transit storage, role-based access controls, immutable audit logs for every document access or download, and a 45 CFR Part 164 HIPAA-compatible BAA on request. FileFlo does not store PHI inside OASIS-E charts; it stores compliance documents (training certs, background checks, policy acknowledgments, survey reports) that may contain PHI, and treats them with the same Security Rule controls Alora applies to its clinical records.
Keep Alora. Add the binder.
Build your first 42 CFR Part 484 evidence binder today, and keep Alora for clinical and EVV. 5-day free trial, no credit card, no sales call.
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