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7-Steps by Health Care Consultants

 

7 Steps To Start
Your Home Care Business

Step 1. Make a decision on the type of agency you would like to start.

There are 4 main types of agencies you can start. Some you can start quickly and easily with little or no licensing requirements while others require extensive training and involve strict licensing and accreditation.

The 4 types of agencies ranked in order of difficulty to start are as followed:

Companion Care. Non Medical.
Home Care. Non-Medical.
Home Health Care. Skilled. Basic Medical.
Hospice. Skilled. Advanced Medical.

Companion Care- Non Medical. Caregiver provides companionship and emotional
support. May assist patients with limited range of motion in daily activities. Jobs are
typically short term and paid directly by the patient.

Home Care- Non-medical care agencies who will provide personal care and
companionship for patients. Other duties may include housekeeping, shopping, basic meal
preparation, assistance in dressing and in some cases transportation.

Home Health Care- Requires licensed and skilled medical professionals. They will monitor
a patient’s condition by observing physical and mental condition, intake and output, and
exercise. Patients will require a doctor’s order for care.

Hospice- Requires licensed and skilled medical professionals who will provide care and
support to terminally ill patients. Patients will require a doctor’s order for care.

TYPES OF BUSINESS

Want to open a Companion Care Business?
A Companion care business is conserved non-medical home care. Whereby caregivers are sent into the
patient’s home to provide companionship and emotional support.

They may assist patients with limited range of motion in daily activities such as shopping,
cooking, running errands, doctors’ appointments etc. Jobs are typically short term and paid
directly by the patient. License requirements are minimal, and some states not required.

This business can open once the agency meets all healthcare regulations and state business
operational requirements. Usually within a three-month window.

Want to open a Home Care Business?
When you open a home care business you will provide care for patients with their activities of daily living. This is a combination of providing personal care and companion care services.

A home care services business may include housekeeping, shopping, basic meal preparation, assistance in dressing and in some cases transportation. License requirements are different in every state.

This business can open once the agency meets all healthcare regulations and state business operational requirements. States usually have additional documents that will need to be sent with this application for approval. It is important not to make any mistakes for it can add months on to the normal approval time.

Want to open a Home Health Care Business?
When you open a home health care business your agency can provide skilled care nursing and rehab services. The care will be provided by skilled medical professionals, such as Registered Nurses, Physical Therapists, Occupational Therapists and Speech Therapist.

They will monitor a patient’s condition by observing physical and mental condition, intake and output, and follow a Physician approved plan of care. A form of government accreditation is usually required. That could be to be approved for Medicare reimbursement or private insurance payers.

Want to open a Hospice business?
When you open a hospice business your agency can provide personal, companion and skilled nursing care for terminally ill patients. The care will be provided by Home Health Aides, Certified Nursing Assistants and Registered Nurses. You will also be providing bereavement support to the family members. Patients will
require a doctor’s order for care. A form of government accreditation is usually required. That could be to be approved for Medicare reimbursement or private insurance payers.

Step 2. Create your agency.
In this step you will need to create a business name and location.

Originate a legal business name
If you are going to stay local, you may consider using your current location as part of your business name. Be sure to check with your local county records to see if the business name you have come up with is available for use.  You can use your state’s online entity name check tool.  Go to your state’s site and search for the “Business Name Look Up”.  This is typically under the Division of Revenue and Enterprise Services or Division of Corporations.

Acquire a Business Mailing Address
You will need to have a legal mailing address. While it is ok to use your home address, we never recommend it. The main reason is that it will become a public record, it will be on all your forms, and it will be updated into databases for navigation systems (meaning people searching for your health care business will see your home address and may drive there.).
Sometimes it is easier to start with your home address for everything if you do not plan on getting commercial space.  The advantage is all your paperwork will have the same address on it and you will not have to make any updates. Talk to one of our consultants for the best plan of action for your situation
You can always rent a commercial address only, use a mail agent, or rent a private mailbox from a service like PostNet or The UPS store.
Secure a Business Practice Location Address
To have an agency, some states will not allow you to work from your home and may require that you have a commercial business address. Your location will need the ability to secure customer data and have encrypted Internet service. On the exterior, make sure the leased  location is meeting your local Accessibility Standards.

Step 3. Acquire a NPI number.

NPI is “The National Provider Identifier”. It is a 10-digit numerical identifier that identifies an individual provider or a healthcare entity. Providers are required to use their NPI when transmitting any health information in electronic form in connection with a transaction.
This is the number you will use for billing.
Some of the prerequisites of obtaining this number are- 
Business Practice Location Information
Correspondence Mailing Address
Provider Identification Numbers
The Correct Taxonomy Code

Step 4. Obtain the correct licenses and certifications for your state.

You will need to complete a license application and submit the license application to the state along with the application fee.
Policy extracts. Most states require policy extracts to be submitted with your license application.

Key personnel. A Registered Nurse for supervision of the aides is needed to oversee the Agency and general operations. All staff must be able to pass a “Level 2 Criminal Background Check”.

Submission. A home care license application with your states fee will have to be submitted to the state. Initial Licensure application review can vary. Although what we find is it usually takes up to 90 days to be approved and if corrections are needed and the approval of your license application is put on hold, there is a 1-time correction period of 21 days.

**No refunds or credits are given for state fees if the paperwork is filled out incorrectly. This will also delay the process by several weeks or months.**

Once your application is accepted, the state will visit your office to conduct a home care license inspection to get your final approval.
We are the only consulting company that can offer you a true license approval guarantee.
Call us to find out more. 888-850-6932

Step 5. Policy and Procedures

Your agency will need to have specific Policy and Procedure Manuals in place. It is up to you to have the correct and proper manuals that adhere to all State and Federal and accrediting body guidelines. Most Home Health agencies will get manuals for CHAP, ACHC, or Joint Commission.
This is an area that we suggest you may want some help with. Call us and find out how we fully customize all necessary manuals based exclusively on the services your agency provides.

We are the only company whose policy and procedure manuals have been pre-approved by the accreditation organizations. This means NO DEFICIENCIES.
Also, having access to our clinical team will ensure your policy and procedure manuals pass any Private Duty or Medicare accreditation site audits. This incredible service helps relieve the stress that comes from state and federal surveys. Call us and find out about our accreditation guarantee.

Step 6. Prepare for your state survey audit.

Unlike a home inspection, or a restaurant’s health inspection, the stakes in a home health care business survey are infinitely higher — fines, criminal penalties, or termination from Medicare and Medicaid are on the line.  We recommend you do a mock survey and understand all the laws and regulations in your state to make sure you pass and can stay open for business for the next 2-3 years until the next one.  (This step alone is why most successful home care businesses use a Home Care Consultant.) A mock survey will provide a realistic on-site experience without the risk of failing. The survey nurse will go over everything required to pass, help you plan and make corrections, and finally leave you with an action specifically related to you getting to regulatory compliance.
Ask about getting your own mock survey:

Step 7. Start your marketing to attract clients.

At this stage you will be able to create your visual branding. This will include your cards, flyers, vehicle wraps, billboards, and all digital media. In most states, you will be required to list your license numbers on all your collateral, so we recommend you hold off any design or print projects until you have this number in hand.
Basic marketing will include going to local events, setting up online directories, and creating a lead generating website.  Advanced tactics include SEM (Search engine marketing), SEO (Search engine optimization), SMM (Social media marketing), Portal marketing, and running paid ads. Once established, you can start running hybrid or full virtual events for the community.

Thank you for reading “The 7 Steps To Start Your Home Care Business This Year.”  We hope that it will help you get started.
To your future success!
P.S.- Here’s The Big Industry Secret- The most successful home care agencies in the USA are backed by dedicated home care consultants.

Why? Because, WE DO ALL THE WORK FOR YOU!

If you would like the help of the largest, most experienced home health care consultants in America, give us a call.

 

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