FileFlo vs. Alora Health:
Together, Not Versus
for Small-Agency Home Health
Alora runs the chart, the visit, and the EVV. FileFlo runs the compliance evidence binder. Here is an honest side-by-side on 42 CFR Part 484 coverage, OASIS-E, EVV, pricing, and survey readiness.
I get this question almost every week from small-agency HHA administrators: "We already have Alora. Why would we also need FileFlo?" The short answer is that Alora is an EHR built for small home health and home care agencies, and FileFlo is a compliance document platform — both are required to actually survive a CMS or accreditation survey under 42 CFR Part 488, but they cover different evidence categories. Alora holds the clinical record, the visit, and the EVV ping. FileFlo holds the operational, training, and policy evidence required by 42 CFR Part 484 — the Conditions of Participation for home health agencies.
This page is not a takedown. Alora is one of the most popular EHRs for small-agency HHA and personal care providers — its skilled-home-health, home care, and hospice modules cover most of what a 5–40 clinician agency runs day to day. If you are evaluating FileFlo and Alora head to head, you almost certainly need both. The comparison below is honest about where each system wins, where they overlap, and where FileFlo is the only one of the two that does the job.
Quick Verdict
- CMS / ACHC / CHAP survey-readiness binders
- 42 CFR §484.80 aide competency & training evidence
- F-tag remediation workflow under 42 CFR Part 488
- Cross-EHR document storage (you keep Alora)
- HIPAA audit trail on every document access
- Flat $299/mo unlimited users — no per-module add-ons
- OASIS-E form engine and lock workflows
- EVV for both skilled and non-skilled visits
- Medicare PDGM claims billing inside the EHR
- Clinician + caregiver mobile app at point-of-care
- Combined skilled-home-health + home care + hospice
- Single-vendor end-to-end small-agency HHA EHR
The honest answer for most small HHA agencies: keep Alora for clinical and EVV, add FileFlo for compliance evidence.
Feature-by-Feature Comparison
Based on publicly available Alora Health sales pages and FileFlo product as of May 2026.
| Feature | 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 + 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.
Where Each Tool Sits Inside 42 CFR Part 484
The Conditions of Participation map cleanly onto the right system. Here is who handles what.
§484.50 — Patient rights & notices
Patient rights acknowledgments, advance directive documentation, and grievance log records. Alora stores the signed admission packet inside the patient chart. FileFlo stores the policy itself, version history, staff training records on patient rights, and the grievance log evidence binder surveyors ask for during a Part 488 visit.
§484.55 — Comprehensive assessment & OASIS-E
Alora wins here cleanly — OASIS-E is a clinical form, a clinical workflow, and a clinical lock. FileFlo accepts the locked OASIS PDF for the evidence binder but does not author the form. If you do not have Alora (or another OASIS-E engine), FileFlo cannot replace it.
§484.60 — Care planning, coordination & quality of care
§484.60 requires a written individualized plan of care, signed by the physician or allowed practitioner, with measurable goals and updated whenever the patient status changes. Alora generates the POC and tracks signatures inside the chart. FileFlo versions the POC, attaches the physician signature evidence, and keeps the document history surveyors ask for when they reconstruct the care-planning timeline.
§484.80 — Home health aide qualifications & training
This is the regulation that catches the most small agencies during a survey. §484.80 requires documented competency evaluation, 12 hours per year of in-service training, background checks, TB screening, and supervisory visits every 14 days for aides on the case. FileFlo wins here — every aide gets a living evidence file with expiration alerts at 90 / 60 / 30 / 14 / 7 days for each requirement. Alora tracks the visits and EVV inside scheduling; FileFlo tracks the underlying qualification documents.
Part 488 — Survey, certification & F-tag remediation
When the surveyor leaves with a deficiency citation, you have a window to file a Plan of Correction (PoC) with evidence the deficiency is remediated. FileFlo wins here — F-tag tracking, PoC workflow, and evidence upload are native. Alora can export some reports but does not run a CAP / remediation workflow. Most small agencies that fail a survey re-survey on Alora data but with a FileFlo evidence binder.
45 CFR Part 164 — HIPAA Security Rule
Both tools meet 45 CFR Part 164 obligations for PHI handling. The difference is scope: Alora's audit trail covers chart access and EVV ping logs; FileFlo's audit trail covers every document access, download, edit, and binder export — including the non-PHI compliance docs (training records, policies) that auditors still want evidence of.
Real Pricing Comparison
FileFlo is one flat price. Alora is a per-agency base plus per-module add-ons. The math depends on how many modules you actually need.
* Pricing range based on public Alora Health sales pages and customer reports. Contact Alora for exact quote.
The pricing comparison is not apples-to-apples. Alora is a full small-agency EHR; FileFlo is the compliance layer. The right comparison is “Alora + FileFlo” vs “Alora + spreadsheets + shared drives + paper binders”.
When to Pick Each
Add FileFlo if you...
- Already have Alora but your survey-readiness binder lives in spreadsheets
- Just failed a CMS or accreditation survey and need a CAP / F-tag workflow
- Run skilled HHA and non-skilled home care side-by-side under one umbrella
- Want unlimited user seats without per-module license inflation
- Have multiple branches that need unified compliance evidence
- Cannot find your last in-service training rosters when surveyors ask
- Want AI to auto-classify uploaded documents — no manual filing
Keep / start Alora if you...
- Need OASIS-E charting and lock workflow
- Need EVV for both skilled and non-skilled visits
- Need PDGM Medicare claims billing inside the EHR
- Need clinician + caregiver mobile point-of-care apps
- Want a single vendor for clinical + scheduling + billing
- Are launching a small HHA / home care agency from day one
"We Added FileFlo on Top of Alora Because..."
Real workflows small-agency HHA administrators describe after layering FileFlo onto an existing Alora install.
"Alora handles our OASIS and our EVV pings. Our §484.80 aide files lived in a folder share. The surveyor asked for 12-hour in-service rosters and I had to dig — that is why we added FileFlo."
"We got two F-tags on our last ACHC survey. FileFlo gave us a CAP workflow with evidence uploads tied to the deficiency citations. Alora does not do that — it tracks visits and PDGM, not remediation."
"We run skilled HHA and personal care side-by-side. Alora bills both, but our compliance evidence was scattered across HR drives. FileFlo gives us one binder per caregiver, regardless of which line of business."
Frequently Asked Questions
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.
Authored by Chad Griffith, Founder of FileFlo. Last reviewed 2026-05-29. References: 42 CFR Part 484, 42 CFR Part 488, 45 CFR Part 164.
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