Home Healthcare Business Consultants

Opportunities to start a home healthcare agency continue to grow due to the elderly population and preference of most retired Americans to be cared for in their homes. Starting a home healthcare agency to meet this great demand for home care and home health care services is both rewarding and profitable. Our home healthcare agency consultants will help you start a home healthcare agency without the franchise or royalty fees. 

In a May 7, 2012 article, USA Today News said that the home healthcare agency is one of the top five most profitable businesses in the United States. The article also cited high owner satisfaction and nearly immediate returns on investments made in the home healthcare agency with newer home healthcare agencyes typically averaging 12% to 15% in net profits and an average annual revenue of $248,000. Thanks to high demand, the low overhead and respectable return on investment, home health care, specifically for senior care, is prospering. Our home healthcare agency consultants will help to assure that your home healthcare agency startup grows to be successful. 

A home healthcare agency offers services to the disabled and elderly population. The home healthcare agency will go to the patient’s home to provide home care or home health care services. Our home healthcare agency consultants will provide home healthcare agency training to your home healthcare agency and staff to help understand how to market to and care for our elderly and disabled population. 

Initially, it is very important to understand the distinction between starting a home healthcare agency versus starting a non-medical home care business. Our home healthcare agency consultants will help you to better understand this difference and which home care business startup is right for you. Our home healthcare agency consultants can help you start a home care business or a home healthcare agency. 

A home healthcare agency will administer skilled, licensed nursing and rehab therapy services under physician’s orders with strict guidelines imposed. A home healthcare agency will require extensive home health care licensing and home health care accreditation for Private Duty or Medicare Accreditation. Our home healthcare agency consultants will get your home healthcare agency accredited for CHAP Private Duty or CHAP Medicare Accreditation. Once your home healthcare agency is CHAP Medicare Accredited your home healthcare agency will be able to bill Medicare, Medicaid and private insurance companies.

A non-medical home care business will offer personal care and/or companion care services. A companion care business offers assistance with daily living activities, meal preparation, housekeeping and transportation.

A personal care business is similar to a companion care business, but the personal care business can also touch the client; changing diapers, bathing and performing other hands on activities. The home care businesses are vital for the elderly and disabled population to remain safe and comfortable in their homes. Private pay rather than 3rd party billing sources are the most common form of payment for non-medical home care business, although, a home care business may find opportunity billing Medicaid and other state programs as well as long term care insurance companies.

A non-medical home care business license will typically allow you to take part in Medicaid programs in your state. When a home care business license is not required CHAP Accreditation may be required to take part in Medicaid programs. CHAP Medicare Accreditation is not available to a non-medical home care business. A home care business is not able to bill Medicare as Medicare Accreditation only applies to the skilled nursing offered by a home healthcare agency. If you do wish to bill medicare, please ask our home healthcare agency consultants how your home healthcare agency can achieve CHAP Medicare Accreditation. 

CHAP Medicare Accreditation

To remain competitive, home healthcare agency’s must often revisit their home healthcare agency mission to improve the quality of services and maintain their fiscal viability. To do this effectively, we suggest you consider the benefits of CHAP Medicare Accreditation using the CHAP Accrediting Body for your home healthcare agency. We have had the privilege of helping more than a thousand home healthcare agencyes achieve both Private Duty and CHAP Medicare Accreditation using the CHAP accrediting body.

Start a Home Health Care Business

Our home healthcare agency consultants include a mix of 19 healthcare professionals. This includes former Senior CHAP Accreditation and JCAHO Joint Commission Accreditation site surveyors.

Ask how 100% of our home healthcare agency clients have achieved State licensure, CHAP Accreditation for CHAP Private Duty and CHAP Medicare Accreditation by allowing our home healthcare agency consultants to consult their home healthcare agency’s through the CHAP Medicare Accreditation process using the CHAP Accrediting Body.


New Agency Startups
2014 Accreditation Photos
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Thank you, 21 Century for your help and support throughout this process.  Your staff, each and everyone  has been awesome.  What a wonderful organization! We'll remember to recommend you highly to others.
Matt & Rose Omofoma
Blessed Home Health Care Agency, LLC
Lifetime Training Program
Startup Agency Boot Camp at our Corporate Headquarters
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Why Accreditation is important for New and Existing Agencies
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Home Care Certification or Medicare Certification and Accreditation using the CHAP Accrediting Body is regarded as one of the key benchmarks for measuring the quality of a Home Health Care Agency, along with its products and services. In the US, standard setting by industry leaders with peer review is widely accepted.
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Clinical Speaking…

CMS Releases Proposed Updates to Home Health Agency Conditions of Participation

Oct 13, 2014

On October 6, the Centers for Medicare and Medicaid Services (CMS) released its proposal to modernize Medicare’s Conditions of Participation (CoPs) for home health agencies. The proposed changes represent the first update to the Home Health Agency (HHA) CoPs since 1989 and respond to numerous changes in the home health industry.

According to CMS, the proposed CoPs seek to:

  • Focus on focuses on assuring the protection and promotion of patient rights;
  • Enhance the process for care planning, delivery, and coordination of services;
  • Streamline regulatory requirements; and
  • Build a foundation for ongoing, data-driven, agency-wide quality improvement.

Provisions of the Proposed Rule

A recent fact sheet by CMS summarizes the provisions found in the proposed rule. We have included a listing below.

  • Includes revisions to the Outcomes and Assessment Information Set (OASIS) requirements to update applicable electronic data transmissions to meet current federal standards.
  • Expands the current patient rights requirements to clarify the rights of each patient, the process for conducting patient rights violation investigations and the process for addressing verified violations.
  • Focuses the patient assessment requirement on each patient’s physical, mental, emotional and psycho social condition.
  • Adds a requirement that a HHA must maintain a system of communication and integration to identify patient needs, coordinate care provided by all disciplines and effectively communicate with physicians. This requirement would formalize and shape current, informal communication and coordination structures within HHAs to assure that patients receive the right care from the right discipline at the right time, with the ultimate goal of improving patient care outcomes and efficiency.
  • Incorporates a new requirement for each HHA to develop, implement and maintain an agency-wide, data-driven quality assessment and performance improvement (QAPI) program. The QAPI requirement mirrors activity already taking place in the HHA industry’s move towards a prospective quality of care approach that focuses on preemptive planning that continuously addresses quality improvement. It would be based on data already collected in the OASIS process, CMS-provided patient outcome and process reports, and numerous other industry efforts currently underway.
  • Addresses a new infection control requirement that reflects current health care practices. It would require each HHA to maintain and document a program to prevent and control infections and communicable diseases. The infection control program would follow accepted standards of practice, including standard precautions, and educate staff, patients, and caregivers about proper infection control procedures.
  • Condenses the requirements for nursing and therapy services into a single requirement that focuses on integrated patient care planning and delivery, and assures appropriate supervision of all services.
  • Reinforces the current home health aide supervision requirements by requiring additional supervision and training when an agency suspects that home health aide skills are insufficient.
  • Clarifies the management and administrative structure of HHAs by allowing the administrator to designate an individual to act in his/her absence, which may be the skilled professional that is available during all operating hours.
  • Continues to allow home health agencies to have branch offices, but eliminates “sub units.” Designating an HHA location as a “sub unit” is a vestige of the old HHA payment system. Under the current payment system, having HHA “sub units” is no longer necessary. This change allows parent agencies to have greater control over all of their offices by placing all locations under the leadership and direct management control of the parent agency. The process for requesting the addition of a branch office would remain unchanged.

The proposed update will be published in the October 8 Federal Register and can be found here. CMS will be accepting comments until December 8, 2014. For additional information on the new HHA CoPs, please visit the Home Health Center on the CMS website.

Call for a Free No Obligation Consultation, so we may provide you with the information you need to open your own agency!