Now serving Texas · Ohio · Pennsylvania
For agencies with 5 to 150 caregivers

Turn visit notes into audit-ready entries.

Markfold is the AI documentation and compliance layer built for small and mid-sized home care agencies — OASIS-E aligned, EVV-stamped, and coded for billing, so the part of the back office you fear most is the part you barely notice.

Request early accessSee how it worksOnboarding in days, $200–$500 per agency per month.
OASIS-E assessmentsEVV mandate coverageMedicaid + Medicare billing codes
Visit Note · Tue 11:42 AM
Live
Caregiver dictation

"Pt BP 142 over 88, amb unsteady again, daughter says med box still unopened from Sunday. New bruise left forearm — says she bumped the counter. Refused shower, ate half a sandwich."

Markfold structures & codes
Audit-ready entry · TX-OASIS-E#7A24-VIS-119
Vitals
BP 142/88
Ambulation
Unsteady — assist req.
Med adherence
Missed — Sun. box unopened
Skin
New bruise L forearm
ADL
Shower refused
Nutrition
~50% intake
CPT 99509 · L1
EVV verified
Awaits supervisor sign
$200–$500Per agency per month. Sized for two offices, not a national chain.
Days, not quartersAverage time from kickoff to first audit-ready entry.
5 states liveTexas · Ohio · Pennsylvania · North Carolina · Arizona.
What Markfold does

Documentation the way a real agency needs it — not a generic checkbox.

Enterprise platforms give you 200 features you'll never use. Markfold gets the three that keep you up at night right.

One dictation, every field populated.

Caregivers finish a visit, dictate or type a short note, and Markfold extracts the right data into the right field — important enough to look at and never again redone from scratch on Sunday night.

Built around OASIS-E, EVV, and your state.

Coverage is anchored to OASIS-E assessments, electronic visit verification mandates, and the Medicaid/Medicare documentation rules each state enforces — rolled out one state at a time so compliance is a feature, not a generic checkbox.

Flags problems before auditors do.

Unsigned forms, lapsed certifications, missing credentials, mismatched billing codes — surfaced before they become denied claims or last-minute audit scrambles.

Sunday night, before Markfold
3 to 5 hours
  • Re-reading 18 handwritten notes to fill out one OASIS-E
  • Tracking 11 caregiver certifications in a spreadsheet
  • Three unsigned EVV forms your billing team flagged Tuesday
  • A denied claim from last month nobody can explain
  • Auditor visit in nine days — paperwork is in three places
Tuesday morning, with Markfold
20 minutes
  • Every entry already populated, billing codes attached
  • Lapsed certifications flagged before they break a claim
  • Unsigned EVV forms surfaced as a single list to fix
  • Denied claims traced to the exact missing signature
  • Audit packet: one click to export, ready for review
How it works

Four steps from clipboard to file cabinet.

Caregivers keep doing what they already do. Supervisors keep signing what they already sign. Markfold handles the part that eats the weekend.

  1. 01

    Caregiver finishes the visit

    After every home visit, they dictate or type a short note into Markfold — the way they already do, just one place.

  2. 02

    AI drafts the documentation entry

    Markfold reads the note, pulls the right fields, attaches the right signatures, and generates the correct billing codes — aligned to your state.

  3. 03

    Supervisor reviews and signs

    A human reads it, edits if needed, and signs once. No more retyping what's already on the clipboard.

  4. 04

    Filed, billed, and audit-ready

    The entry lands where it needs to land — claim, chart, state portal — with a clean trail an auditor can follow.

Compliance, state by state

Markfold is launched, one state at a time.

Each launch gets full OASIS-E, EVV, and state-specific documentation rule coverage — not a flag. If your state is up next, request access and you'll be the first we onboard when it ships.

Live now
Texas
Ohio
Pennsylvania
North Carolina
Arizona
Launching next
Florida
Indiana
Michigan
Pricing

Sized for the agency you actually run.

Month-to-month. No implementation fee. Switch tiers whenever your caregiver count changes.

Core

For two-office agencies getting their documentation under control.

$200per agency / month
  • Up to 25 caregivers
  • Dictation-to-chart documentation
  • State ruleset compliance flags
  • Certification tracking
  • Guided agency setup
See Core details
Most agencies pick this

Pro

For growing agencies that need more caregiver capacity and audit-ready output.

$500per agency / month
  • Up to 75 caregivers
  • Everything in Core
  • Audit packet PDFs
  • Expanded state ruleset coverage
  • Priority onboarding support
See Pro details
Questions agencies actually ask

FAQ

Early access for $200–$500 agencies

Stop losing sleep over documentation.

We'll walk you through Markfold on a 30-minute call, set you up in your launched state, and be there when the first audit-ready entry lands.

Email us at markfold@polsia.app

One specialist per agency. Response within a business day.