Home Health Care Business Consultants

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

In a May 7, 2012 article, USA Today News said that the home health care business 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 health care business with newer home health care businesses 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 health care business consultants will help to assure that your home health care business startup grows to be successful. 

A home health care business offers services to the disabled and elderly population. The home health care business will go to the patient’s home to provide home care or home health care services. Our home health care business consultants will provide home health care business training to your home health care business 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 health care business versus starting a non-medical home care business. Our home health care business consultants will help you to better understand this difference and which home care business startup is right for you. Our home health care business consultants can help you start a home care business or a home health care business. 

A home health care business will administer skilled, licensed nursing and rehab therapy services under physician’s orders with strict guidelines imposed. A home health care business will require extensive home health care licensing and home health care accreditation for Private Duty or Medicare Accreditation. Our home health care business consultants will get your home health care business accrediting for CHAP Private Duty or CHAP Medicare Accreditation. Once your home health care business is CHAP Medicare Accredited your home health care business 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 health care business. If you do wish to bill medicare, please ask our home health care business consultants how your home health care business can achieve CHAP Medicare Accreditation. 

CHAP Medicare Accreditation

To remain competitive, home health care businesses must often revisit their home health care business 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 health care business. We have had the privilege of helping more than a thousand home health care businesses achieve both Private Duty and CHAP Medicare Accreditation using the CHAP accrediting body.

Start a Home Health Care Business

Our home health care business 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 health care business clients have achieved State licensure, CHAP Accreditation for CHAP Private Duty and CHAP Medicare Accreditation by allowing our home health care business consultants to consult their home health care businesses through the CHAP Medicare Accreditation process using the CHAP Accrediting Body.


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[lightbox type="image"] 2013 Accreditation Photos[/lightbox]
Click here for our 2013 Accreditation Photos
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
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Startup Agency Boot Camp at our Corporate Headquarters
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upcoming training dates!
Advanced Marketing and Business Development Training Course
Coding and Oasis Training Course
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Click here for a description and schedule of our Boot Camp training courses and advanced training seminars.
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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…

ICD 10 Coding



OCTOBER 1, 2014


On October 1, 2014, the ICD-9 code sets used to report medical diagnoses will be replaced by ICD-10 code sets.  A updated OASIS C-1 form will replace the current OASIS C form.

ICD-10 actually includes very few new concepts.  However it does allow the capture of additional diagnosis details (such as right vs left).

Accurate and complete documentation of patient health status and conditions are imperative to correct reimbursement.  Appropriate clinical documentation should capture the details needed to assign the correct ICD-10 codes.

CMS offers an ICD-9 to ICD-10 General Equivalence Mappings or GEMS (crosswalk) at:

www.cms.gov › MedicareICD-10

Questions you should be asking to ensure that your agency is ready for this change:

  • If I had to select an ICD-10 code for this patient what would it be?

  • Do I have the trained staff to code with ICD-10?

  • When will we begin training?

  • If I had to bill a claim with an ICD-10 code, how would I do it?

  • If a claim was rejected for an incorrect ICD-10 code what would I do?

Sign up for CMS ICD-10 Industry Email Updates.

Read more at our Coding website:  www.icd10homehealthcoding.com


PECOS Edit Begins Monday, January 6th

January 6, 2014 is the date for activation of the Internet-based Provider Enrollment, Chain and Ownership System (PECOS) edits that will result in denial of home health claims if the ordering physician is not enrolled in PECOS or officially opted-out of Medicare. In order to protect against non-payment by Medicare, home health agencies must verify enrollment of all ordering physicians.

Beneficiary Notification

The Centers for Medicare & Medicaid Services (CMS) clarified in their most recent communication (MLN Matters Article SE 1305) that claims denied because they failed the ordering/referring edit will not expose a Medicare beneficiary to liability. Therefore, an Advance Beneficiary Notice is not appropriate in this situation. CMS also informed HCAF and the National Association for Home Care & Hospice (NAHC) that since the beneficiary cannot be held liable for services ordered by a provider who is not registered in PECOS, no notice is to be given because the beneficiary can not be charged.

CMS’ position would prohibit the beneficiary from choosing to privately pay for services even if informed of Medicare non-payment in advance of the initiation of care. HCAF advises that home health agencies should not initiate services for beneficiaries who are unable to identify a PECOS-enrolled physician to assume ordering responsibilities for episodes of care beginning on and after January 6.

PECOS Verification Tips
1. Physicians approved to order home health services are limited to doctors of medicine, osteopathy, and podiatry.
2. The NPI must be that of the individual physician, not a group or organization.
3. Home health agencies must report the name of the physician who ordered services on the RAPs and claims – i.e. the physician who signs the plan of care.
4. The edit will compare the physicians NPI and the first four letters of the last name as they appear in PECOS.
5. Information such as middle initial, nicknames, credentials, or titles may be included on electronic claims as long as they do not appear in first or last name fields on the claims, and must never appear on paper claims.

If you have any questions please do not hesitate to contact the clinical department at 21st Century Health Care Consultants (941) 723-1100 and we will be glad to answer any questions that you have. You can also send any questions you may have to rhonda@21hhc.com.