AlayaCare runs day-to-day home care and home health operations: scheduling, electronic visit verification, clinical documentation, billing, and family communication. Its Visit Approval screen lets an authorized office user approve a visit to its scheduled or clocked time, enter a specific approved-hours quantity, and override billing and payroll amounts separately — but AlayaCare’s own documentation does not describe a second approver distinct from that same user who made the edit. Keito is the layer in between: AI-drafted time entries a staff member confirms, reviewed and approved by someone else, before the hours become a paycheck or a bill.
Illustrative review queue
Illustrative pay period
Hours reviewed
Entries confirmed
58
Staff reviewed
19
Shifts covered
4
Hours tied to each shift
Office staff member or caregiver, role, and shift on every entry
Reviewed before payroll runs
A separate reviewer confirms hours before the batch closes
Evidence behind payroll and billing
Reviewed hours back the payroll run and the payer or client bill
AlayaCare’s Visit Approval screen lets an authorized office user approve a visit to its scheduled time or its clocked time with a single click, enter a specific quantity in Approved Hours (which also approves the visit), and override the billing and payroll quantities separately — approving, editing, or rejecting visits individually or in batches. AlayaCare’s own documentation describes that approval action and the resulting approval status, but it does not describe a second approver distinct from the same user who chose the time, edited the hours, or applied the override. Keito answers the question that leaves open: did a reviewer distinct from whoever can edit and approve the visit actually confirm each person’s hours before they became a paycheck or a bill.
Set up office staff, caregivers, and reviewers in Keito in days — AlayaCare keeps running scheduling, electronic visit verification, clinical documentation, and billing exactly as it does today.
Keito drafts a time entry from the shift worked, so staff confirm hours instead of routing them through a Visit Approval screen where the same user can both edit and approve with no documented second approver.
A separate reviewer approves payroll and billing status before the period closes, then hands the approved hours to payroll and billing as evidence.
Visit approval inside home care software, not an independent payroll gate
AlayaCare is published as home care and home health software: scheduling, electronic visit verification, clinical documentation, billing, and family communication, marketed to agencies managing Medicaid, VA, and private-pay programs. Its Visit Approval screen — reachable from billing, payroll, and scheduling views — lets an authorized user approve a visit to its scheduled duration or its clocked duration, type a specific number into Approved Hours (which also approves the visit), and override the billing and payroll quantities separately, approving or rejecting visits one at a time or in batches. What AlayaCare’s own documentation does not describe is a second approver distinct from that same user, or a review step performed by someone other than whoever made the edit. Keito’s argument is not that home care agencies need a new scheduling, visit-verification, or clinical-documentation platform — AlayaCare already publishes all of that, and Keito makes no claim to electronic visit verification, clinical charting, or care compliance of any kind. It is that the hours behind a paycheck or a bill deserve a reviewer distinct from whoever can edit and approve them, not a single-user approval screen with no established second reviewer of its own. Keito drafts a time entry from the shift worked, the staff member confirms it, and a separate reviewer settles payroll and billing status before the hours become evidence. The boundary is deliberate: Keito has no scheduling, visit-verification, clinical-documentation, or care-compliance tools, and it claims no native AlayaCare integration, automatic import, or synchronisation. AlayaCare keeps running the agency; Keito is where the hours behind it get an independent, second review.
Choose AlayaCare when the agency needs scheduling, electronic visit verification, clinical documentation, billing, and family communication running from one platform
Choose Keito when the problem is that AlayaCare’s Visit Approval screen has no documented second approver distinct from the same user who edits and approves hours
Prove it in one pay period: Keito runs alongside AlayaCare, reviewing hours without touching scheduling, EVV, or clinical documentation
Workflow fit
Keito keeps AlayaCare alternative connected to client, project, billable status, approval, and invoice context before the work reaches finance.
Choose AlayaCare when the agency needs scheduling, electronic visit verification, clinical documentation, billing, and family communication running from one platform
Choose Keito when the problem is that AlayaCare’s Visit Approval screen has no documented second approver distinct from the same user who edits and approves hours
Prove it in one pay period: Keito runs alongside AlayaCare, reviewing hours without touching scheduling, EVV, or clinical documentation
Keito drafts a time entry from the shift a staff member worked; they confirm and correct it instead of routing hours through a Visit Approval screen where the same user can both edit and approve with no documented second reviewer.
AlayaCare lets an authorized user approve a visit to its scheduled or clocked time, edit Approved Hours, and override billing and payroll quantities separately — but reviewed documentation does not describe a second approver distinct from that same user; Keito’s reviewer settles payroll and billing status for every entry before the period closes.
Reviewers approve office and caregiver hours and hand the evidence to payroll and billing for labor-cost and payer review, through exports the team designs and tests itself.
The difference is not just recording time. It is whether the record can support billing, project decisions, and client conversations.
Product shape
A standalone workspace for reviewed, payroll-ready hours and labor-cost evidence.
AlayaCare publishes home care and home health software — scheduling, electronic visit verification, clinical documentation, billing, and family communication, all in one platform.
How time is captured
AI drafts a shift-specific entry from the schedule worked; the staff member confirms it, and a separate reviewer approves before it becomes a paycheck or a bill.
AlayaCare’s Visit Approval screen lets an authorized user approve a visit to its scheduled or clocked duration, or type a specific Approved Hours quantity that also approves the visit.
Editing and approval
Every reviewed hour carries a reviewer, an approval state, and a reasoned record of any change, tracked from the first draft.
AlayaCare’s documentation describes one authorized user editing Approved Hours and overriding billing and payroll quantities, then approving or rejecting the visit — but reviewed documentation does not describe a second approver distinct from that same user.
Review before payroll and billing
A reviewer distinct from the staff member settles payroll and billing status per entry before the period closes.
Reviewed AlayaCare documentation covers scheduled-versus-clocked approval, batch approval, and billing/payroll overrides, but does not describe a required second reviewer before recorded hours are used for pay or a bill.
Pricing and adoption
Published flat team pricing and a setup measured in days, run alongside AlayaCare.
AlayaCare pricing is quote-based and available on request, scaled to agencies managing multi-state, multi-program Medicaid, VA, and private-pay operations.
Data movement
Team-designed, tested exports and API handoffs moved in deliberate stages.
AlayaCare’s own documentation does not describe a native payroll integration for Visit Approval data; connecting approved hours to outside payroll tools is not an assumed automatic sync with Keito.
It is software a home care or home health agency adopts instead of, or alongside, AlayaCare, which runs scheduling, electronic visit verification, clinical documentation, billing, and family communication. Because AlayaCare already covers that much of running an agency, an alternative rarely replaces all of it at once. Keito is the alternative for the review gap behind AlayaCare’s Visit Approval screen: AI-drafted entries a staff member confirms, approved by a separate reviewer before those hours become a paycheck or a bill.
It does both. AlayaCare’s Visit Approval screen lets an authorized office user approve a visit to its scheduled time or its clocked time, type a specific quantity into Approved Hours (which also approves the visit), and override billing and payroll quantities separately. AlayaCare’s own documentation describes that approval action and status but does not describe a second approver distinct from the same user who made the edit.
The gap is a second, independent approver, not visit approval itself. AlayaCare already lets an authorized user approve a visit to scheduled or clocked time and edit Approved Hours, but its own documentation does not describe a reviewer distinct from that same user. Keito adds that layer: it drafts a time entry from the shift worked, the staff member confirms it, and a separate reviewer settles payroll and billing status before the hours become evidence. AlayaCare still owns scheduling, electronic visit verification, clinical documentation, and billing; Keito owns the independently reviewed hours record.
Choose AlayaCare when the agency needs scheduling, electronic visit verification, clinical documentation, billing, and family communication running from one platform — it already covers all of that for home care and home health operations. Keito does not reproduce any of it: no scheduling, no EVV, no clinical documentation, no billing. It is the wrong choice if the immediate need is agency-management or visit-verification software rather than an independently reviewed record of staff hours.
Each reviewed record keeps the staff member, role, shift, duration, description, payroll status, reviewer, approval state, and pay period, tied to the specific shift worked rather than a Visit Approval entry that one user could both edit and approve with no documented second reviewer. That package backs the payroll run and the payer or client bill, and gives an office manager a reviewed answer when hours are questioned.
No. Keito claims no native AlayaCare integration, automatic import, or two-way synchronisation — AlayaCare’s own scheduling, electronic visit verification, clinical documentation, and Visit Approval workflow belong to its platform, not Keito’s. Capture in Keito is its own workflow: AI-drafted, typed, timed, and manually entered records that pass review before becoming payroll or billing evidence. An agency can keep AlayaCare for scheduling, EVV, and clinical documentation and run Keito alongside it as the independent second-review layer for staff hours, with any transfer between them designed and tested by the team.
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