RN homecare service startup

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Hi I am looking to start a home health business that provides NP's as independent contractors to clients. I may gear the business toward a certain population in my community but I am looking for some advice/tips on where to begin as far as licensing and certification and what this would entail. I am an RN myself with a blended experience, mostly in surgery in acute care but know that NP's work under the license of an MD. Anyone have any helpful information as I am in the beginning phases of planning? Thanks in advance!

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Specializes in ED, Family Practice, Home Health.
  • I realize you posted some time ago but I am also interested in starting my own Home Health business. I actually applied for my LLC last week. Also, FYI, NPs do not work under the license of an MD. We have and work under our own licenses. Depending on thee state they can even open and run their own clinic with no MD oversite.
  • Have you moved forward at all with your business idea?
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I too have thought of providing an RN service in my community. I think now is not an optimal time to start during a pandemic. The state website can provide many resources of Medicare requirements etc. The first step would be recognizing a population target and learning everything you can about Medicare. Insurance requirements are going to be a main concern as well and what services are going to be provided. What levels of care and costs are huge considerations. Billing software and how it works are another very important aspect of your business.

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Specializes in ED, Family Practice, Home Health.

I actually want to provide service to DOL certified patients. Those who used to work in uranium mines or at Los Alamos and have radiation exposure. There is no billing through Medicare, just the Department of Labor. After we get our Tax ID # the next step is to register with the state.

I have to disagree with it not being the time to start....this is one of the few industries that will continue to need employees. People don't stop needing help/services just because of the pandemic. In fact, they are probably more in need than usual because so many of the accessory industries aren't able to provide backup. For instance the oxygen company is no longer delivering oxygen (can you believe that!?) so nurses have been having to retrieve them for homebound patients.

It's a bit overwhelming as my business partner and I don't even know what we don't know at this point. We actually already have patients who are approved by the DOL and are willing to move to our company when we start it......just what exactly we need to do to get to that place is unknown.

I'd encourage you to move forward with your plans. With the elderly not being able to, or not wanting to, leave their homes I feel the market for having an NP do home visits is really not right now. You've actually just given me an idea as I am an NP myself.

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