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 agencies 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 agencies 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 22 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
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
Lifetime Training Program
Startup Agency Boot Camp at our Corporate Headquarters
Click here for our
upcoming training dates!
Advanced Marketing and Business Development Training Course
Coding and Oasis Training Course
dscn3094  dscn3310
Click here for a description and schedule of our Boot Camp training courses and advanced training seminars.
boot camp group picture 8212-2
Why Accreditation is important for New and Existing Agencies
chaplogo goldsealfinal4c-1- achc12
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.
Contact Us
Form input instructions...
*First Name:  
*Last Name:  
Street Address:  
*Interested in:  

Clinical Speaking…

Companionship Services Lawsuit Advances

The National Association of Home Care (NAHC) lawsuit challenging the US Department of Labor rule that virtually eliminates the Fair Labor Standards Act (FLSA) exemptions for “companionship services” and “live-in domestic services” was presented to federal US District Judge Richard J. Leon on Wednesday, November 19, 2014. Judge Leon heard oral arguments on the pending cross-motions for summary judgment. The judge indicated that he intends to issue a ruling in December, prior to the January 1, 2015 effective date of the new rules.

At issue in the lawsuit is whether the US Department of Labor acted beyond the scope of its authority when it issued the rule that eliminates the application of both exemptions where the worker is employed by a home care agency or other entity rather than directly and exclusively by the consumer of services or someone in their household. In addition, the lawsuit challenges the redefinition of “companionship services” in a manner that obliterates any application to the personal care services usually provided by home care companies.

At the hearing, NAHC argued that the Labor Department (DoL) rule is equivalent to an “administrative fiat” in that is turns around a nearly 40 year standard on the overtime exemptions, contrary to the plain language of the FLSA, in contravention to express congressional intent, and in conflict with the US 2007 Supreme Court decision in Long Island Care at Home v. Coke. Of late, the White House has been under fire on a number of fronts for usurping the power of Congress and using rule changes to get a policy change that Congress does not support.  A big part of the NAHC argument is that Congress had the chance three times to change the FLSA to do what the Department of Labor is doing in its rule change, but rejected those changes. Such is a significant indication of congressional intent – especially when such actions occur after a Supreme Court upheld the original exemption rules.

It was also pointed out to the Court that DoL is taking the position that it has the power to carve out a class of employers from the application of an FLSA exemption. That action is unprecedented in the FLSA history and, if upheld by the court, would mean that DoL could discriminate against certain employer types in any or all of the other FLSA exemptions without congressional approval. 

The government’s response, presented by the US Department of Justice, was that DoL has broad powers to “define and delimit” the FLSA exemptions. That power, Justice claims, must be respected unless it has been used in an arbitrary and capricious manner. Justice also argued that the court must give great deference to its interpretation of the laws. Justice stated that the Coke case supports the DoL position that the exemption law is ambiguous, necessitating “gap filling” by DoL on the meaning and application of the exemptions.

Judge Leon pressed both parties on their legal positions in the case. However, the judge expressed concerns about the DoL reliance on the Coke decision and questioned whether there was any expressed legislative intent to exclude third-party employers. The court had the Justice attorney admit that DoL determined that at least 90% of the workers engaged in personal care services worked for a home care company rather than directly employed by the consumer of the services. In doing so, the court exposed the reality of the new rules as effectively eliminating the exemptions.

At the close of the hearing, Judge Leon explained that he intends to issue a decision in December, prior to the effective date of the new rules.  If the judge issues a decision favorable to NAHC, it can be expected that the DoL will appeal it. Further, it can be expected that DoL would ask that the court stay any adverse judgment. In such case, we believe that the judge would not grant a stay because it would permit the rule to go into effect. Since DoL itself intends to not enforce the new rules for 6 months, NAHC would explain to the court that a stay would allow for private attorneys to enforce the rules against vulnerable state Medicaid programs, Agencies on Aging, Independent Living Centers, as well as home care companies.   

All of this translates to a “wait and see” what the court decides next month. NAHC is hopeful there will be a favorable ruling.

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