Continua OS
Every shift covered. Every rule met. Every family informed.
Continua runs a home-care agency from first referral to final payment. It handles scheduling, caregivers, visit verification, claims, payroll, family communication and compliance in one system, with an AI operations manager that answers in plain English and shows its work.
A Jackson-Goos product · Built and maintained by Goos Labs
The real product, running.
Home-care agencies run on a patchwork: one system to schedule, another to verify visits, a clearinghouse to bill, a payroll vendor, a family portal nobody opens, and spreadsheets to hold it all together. Every handoff loses money. Denied claims, missed visits, caregiver turnover and compliance findings all start in the gaps between those systems. Continua closes the gaps by being the one place where the record of care actually lives.
From first step to done.
Bring your agency over
Import clients, caregivers and schedules from your current system. The Familiarity Layer keeps screens close to what your team already knows, so day one doesn't feel like day one.
Run the day from one screen
Schedules, open shifts, call-offs, authorizations and credentials surface in a single command view. Cora flags what needs you, ranked by impact.
Verify every visit
Caregivers clock in by app with GPS, or by telephony from the client's landline. Each visit is validated against your state's rules before anything is submitted.
Get paid, and pay people
Verified visits become clean claims, remittances post themselves, families pay by autopay, and caregivers get paid through embedded payroll or instant pay.
What Continua OS does.
Cora, the operations assistant
Ask “who's the best available caregiver for Mrs. Smith tomorrow?” or “why is Betty more fatigued this month?” and get answers from live agency data, each with receipts showing the facts behind it.
Scheduling and coverage
Shift matching ranks caregivers by fit, continuity, travel and cost. Open shifts and call-offs route to the right people automatically.
Electronic visit verification
Rule packs for all 50 states, a canonical federal Cures Act six-element record, and submissions to state aggregators, with corrections that can never overtake their originals.
Claims and remittance
Standards-compliant X12 837P claim files that validate themselves before they're saved, clearinghouse acknowledgements, and 835 remittance auto-posting.
Denials and receivables
Categorized rework queues, authorization burn-down, AR aging and a cash forecast. Your team works the dollars most at risk first.
Payroll and instant pay
Embedded payroll, caregiver wallets and instant pay backed by verified visits. Caregivers can access what they've earned without the agency taking the risk.
Family Hub
A secure family app with care updates, photo and voice messages, invoices and autopay, plus an urgent path that escalates straight to the office.
Caregiver app
Offline-first iOS and Android app: shifts, clock-in, care tasks, photos, shift release, live earnings and tax documents, in English, Spanish or Tagalog.
Growth engine
Referral CRM, intake and assessment, a recruiting funnel and referral ROI, so the agency knows which sources actually produce clients.
Continua is the only system that knows what actually happened in the home.
Most home-care software is scheduling and billing with compliance bolted on. Continua starts with a verified record of every visit: who was there, when, where, and what care was given. Then it builds the business on top of that record. That's why claims go out clean, payroll is right the first time, and auditors find what they need.
- Validate-then-queue: a visit that fails your state's rules never gets submitted
- Telephony EVV uses caller ID from the client's registered landline as location proof
- Printable state compliance dashboards and audit exports
Every note teaches the system something about the people in your care.
Visit notes, care logs, scribe transcripts and family messages are continuously mined into typed facts: preferences, routines, comfort measures, triggers and health signals. Every fact links back to its source. New caregivers walk in already knowing that Mr. Alvarez takes his coffee black and gets anxious after 4 p.m.
- Exactly-once extraction with source provenance on every fact
- Near-duplicate suppression keeps the profile clean
- A risk radar that flags real change without crying wolf
Money that moves, settled to the cent.
Agency billing, family autopay, embedded payroll, instant pay and an owner cash console all run inside Continua. Every money movement is caused by a named event, settled by webhook, and reconciled to the cent. No user can write a payment record directly.
- Integer-cent math everywhere, so a change and its reversal cancel exactly
- Zero direct write access to billing tables for any signed-in user
- Owner cash console and caregiver wallet
AI that shows its work, and never makes the compliance call.
Cora briefs owners, drafts family updates, ranks caregivers and explains trends. Compliance stays deterministic: state rules, claim formats and money movement run on tested rules engines, never on a language model's judgment.
- Receipts on every AI number: tap to see the underlying facts
- Approve-first actions, with every write audited
- AI usage metered on every surface, so cost stays visible
- Automations: plain-English triggers with caregiver enforcement
Built for
Owned by Jackson-Goos. Built and maintained by Goos Labs.
Trust & security
- Agency data isolated by row-level security at the database layer
- Branch walls inside an agency for multi-location operators
- An append-only audit ledger of every sensitive action
- Automatic sign-out and hardened security headers to HIPAA technical-safeguard standards
Frequently asked.
Do we have to replace everything on day one?
No. Most agencies start by importing their data and running scheduling and EVV in Continua, then move billing, payroll and the family experience over when they're ready.
Which states does Continua support?
Visit-verification rule packs are encoded for all 50 states, along with serializers for the major state aggregators.
Does the AI make compliance decisions?
No. Rules, claim formats and payments run on deterministic, tested engines. The AI explains, drafts and recommends. A person approves anything that matters.
Is there a mobile app?
Yes, three of them: Continua Command for owners and office staff, Continua Caregiver for the field, and Continua Family for families.
The AI operating system for home care.
See Continua OS for yourself, or talk to us about your team.