Home Health Care Consultants Startup Process
Our home health care consultants will obtain your Tax ID and NPI Number (National Provider Identifier Number) on your behalf. The NPI Number identifies you as a healthcare provider and is used when exchanging patient information.
Our home health care consultants will provide all of the forms and documents required for agency operation.
Forms and Documents include: Patient Admission, Advanced Directives, Job Descriptions, Performance Evaluations, Employee Competency Evaluations, Employee Education and In-Services and Sample Committee Minutes as well as your Civil Rights Package.
Our home health care consultants will provide State Specific Policy and Procedure Manuals guaranteed to successfully obtain State licensure and customized to include your Agency’s logo, staff and all other agency specific detail. A crosswalk will also be provided if required by the State.
Policies and Procedures Include: Administrative, Infection Control, Patient Care, Performance Improvement, Financial Management, Safety Management, Emergency Disaster Plan, Job Descriptions, and Employee Performance Evaluations.
Our home health care consultants will complete the State license application in its entirety as well as assuring that all other State required forms and documents are included (policies, crosswalk, resumes, lease agreement, zoning letter, CPA prepared budget account, etc.) and requirements met (general and professional liability insurance, surety bond required in some States).
Our home health care consultants will send you a binder including all documents outlined in step 9. You will sign the license application and submit the binder to the State along with the State License Application Fee.
Our home health care consultants will consult you throughout the State license survey process and provide telephone consultation during the live survey if necessary. In many States, you will receive a provisional license which will require that you take on X number of patients before undergoing site survey. In other States, this is not a requirement. Although you will experience site survey and licensure in most states within 4-6 months, there are States like Texas where you can expect to receive your provisional license in just 2-3 months, and others like New York where you will experience a wait not shorter than 18 months (no other State will take this long). In Missouri and Florida, the State does not conduct a site survey. Instead, the Accrediting Body will conduct what is referred to as a pre-survey.
A plan of corrections will be submitted to the State on your behalf if any deficiencies are incurred.
Once you receive your State License, our home health care consultants will complete your 855 A Medicare Application in its entirety. You will submit the Medicare Application to the Medicare Administrative Contractor along with the Medicare application fee. 30 days after receiving your Medicare Application, the Medicare Administrative Contractor will send you a letter detailing the Medicare capitalization requirement requesting that you meet this requirement within 45 days. You will do so by providing a bank letter and bank statement stating these funds are available. The Medicare capitalization requirement varies by county and will be detailed in step 1. Your Medicare Application will be approved within 4-5 months from the time it was received by the Medicare Administrative Contractor.
Our home health care consultants will assist your home health care business with CHAP Accrediting Body enrollment. Once your Medicare Application has been approved (not required if you are not proceeding with Medicare Accreditation) and you have the required number of patients in place, our home health care consultants will contact CHAP to schedule your CHAP site survey. CHAP will conduct and unannounced site survey within 90 days for Medicare Accreditation and an announced site survey for Private Duty Accreditation. Medicare Accreditation will require you to have 10 patients, 7 must be active at time of survey, 1 will need to have a multiple discipline (i.e. PT,OT, ST). Private Duty Accreditation will require you to have 8 patients, 4 must be active during site survey. 21st Century will review your patient charts on a quarterly basis until CHAP Accreditation is achieved.
Secure a Medical Director (Physician). The Medical Director will take part in 3 of the required committees (approximately $400-$600 per year). Details will be outlined in step 1. California agencies will need a Medical Director at time of the State license survey.
Our home health care consultants will complete the CHAP required agency core and home health self-study.
OASIS Transmittal Guidance
Our home health care consultants will visit your office to walk you and your staff to conduct “Mock” site survey to prepare for the CHAP Accreditation site survey.
CHAP will arrive to conduct a 2-3 day site survey for Private Duty Accreditation and a 3 day survey for Medicare Accreditation. A consultant cannot be present but our home health care consultants will be available for immediate telephone consultation throughout the survey.
A plan of corrections will be submitted to CHAP on your behalf if any deficiencies are incurred.
Once you are CHAP Accredited, you can start taking on Medicare patients although you will not receive a Medicare billing number until 3 months after CHAP Accreditation is achieved. At this point you can back bill Medicare for any clients admitted since accreditation. You may also proceed with insurance company and Medicaid provider enrollment with insurance companies and enroll as a Medicaid provider at time of accreditation.
Our home health care consultants does not assist with this process and highly recommends you do not involve a 3rd party with the Medicaid enrollment process.
Our home health care consultants will provide lifetime training, ongoing consultation and resources to your home health care business. Call us today at 888-850-6932.