It is totally possible but incredibly daunting. I am now in the process of leaving the capsizing home health agency started in July by a coworker. Some tips: It will cost much more than you think and will and take far longer to get reimbursed than you will plan for. Please be sure to have a solid business plan first. You will have to treat patients for free at first. To be Medicare certified you have to have discharged 3 patients and have 7 on the rolls. You have to offer at least two skilled services (Nsg, PT, OT, ST, MSW). You will have to have an office separate from your home. The state Medicare surveyor might have a waiting list 2-3 months long- and that's AFTER you've built up your required caseload. No private insurance will even consider you as a provider until you have passed your initial survey and have a Medicare number.
You'll need workers comp and malpractice insurance
. You'll need policy and procedure manuals for the business (we got ours from Briggs, but they have to be finetuned, some are vague). You'll need a secure computer (hardware and software firewalls and secure access to meet HIPAA), a Level III shredder, and a hard-drive that supports whatever system the state uses to send OASIS data to them (or invest in software that meets their requirements). You'll need an Oasis manual, your state operations manual, and your local fiscal intermediary manual (all downloadable). And I suggest getting in touch with your state home care association- ours has been incredibly helpful and gives workshops on Homecare 101 for newbies, Oasis, Coding, and Billing.
I would highly suggest having home care experience before starting- there is so much more to it than taking vitals and simple dressing changes.
And last- plan, plan, plan, plan, plan, plan, plan.