Start a Home Hospice Agency

Opportunities for Success are Abundant!

The dramatic growth in our geriatric population along with improved Medicare reimbursement guidelines have skyrocketed the need for hospice care. With our hospice business knowledge and experience, we can assure your ability to obtain a hospice business license and Medicare accreditation. We are the experts in clinical and operational requirements needed to maximize your organization’s performance. Let us help you open your home hospice agency. Call and talk with one of our fully qualified hospice consultants today.

Make a Difference with a Rewarding Career you Love

Starting a hospice agency is not only a rewarding investment but it also provides a multitude of benefits – both professional and personal. Along with the clinical aspects of care, a hospice agency reaches out to patients and families during their most challenging time of need. A hospice agency provides compassionate assistance for patients and families in need of psycho-social and spiritual support. As an owner of your hospice business, you’ll provide the comfort and loving care for people in need.

Why choose 21st Century Health Care Consultants to help you open a successful Hospice Home Care Agency?

We have more than 100 years of combined experience establishing hospice home care agencies throughout the country. With this experience we provide our clients with the knowledge that enables them to operate a successful, compliant home hospice agency. As a result, all of our agencies have successfully completed their Medicare accreditation surveys.

We Teach You EVERYTHING you Need to Build Your Hospice Business

This type of intensive care requires highly developed skills. For this reason, a sustainable business model within a positive organizational culture is essential. In addition, developing an effective relationship with your clients is a critical component for your agency’s success.

We ensure our clients fully understand all home hospice care requirements. This includes the following:

  • Completion of required state licensing applications and federal Medicare applications

  • State specific customized policy and procedure manuals plus all operational materials

  • Hands-on assistance with completion of accrediting body’s self-study or preliminary evidence report

  • Assistance with office set-up and staff selection

  • Complete orientation and competency program

  • Contract templates and guidance with securing required contracts

  • Development of quality assurance – including tools for monitoring and tracking

  • Bereavement and volunteer development programs

  • On-site visits for pre-licensure survey and accreditation survey preparation

  • Four full days of intense, off-site training. This includes Hospice 101, Day to Day Operations, Leadership Training, Clinical Documentation, Medicare Accreditation, Coding/Billing, and more

  • Experienced resources needed for agency operations

  • Strategic financial planning -including education on Cap allowance & calculations

  • Understanding capitalization reports, P&L reports, staff utilization, and cost reports

  • Strategic Marketing

  • Personal account manager and clinical liaison available as needed for consultation and coaching

  • Lifetime Access to our A Heart for Hospice Conference.

  • Advanced education resources; including access to our exclusive hospice portal and educational videos

Contact Us

Do you Have a for Hospice?

Knowing you have passion for providing support to patients and families during their final stage of life, you need to attend our seminar, “A Heart for Hospice”. This is an intensive 4-day interactive workshop designed to teach you all you need to know to start and operate a successful home hospice agency.

Why Hospice Accreditation is Important

Hospice Accreditation is mandatory to your ability to bill Medicare. Using one of the selected accrediting organizations, Accreditation Commission for Health Care (ACHC), Community Health Accreditation Partners (CHAP),  or The Joint Commission (JCAHO) will be a key benchmark for measuring the quality of your Home Hospice Agency, along with its products and services. 21st Century Home Health Care Consultants is recognized as the consulting expert in the hospice accreditation area.

Work with an Established Leader in the Hospice Business Industry

Founded in 1995, 21st Century Health Care Consultants has helped establish over 3,000 agencies. Included in this number we have provided successful turn-key hospice business startup and ongoing consulting programs. Call and talk with one of our fully qualified hospice consultants today.

Below is a detailed overview of our tools, resources, in-depth hospice care training, and comprehensive hospice care consultant services necessary for your home care business to achieve success.

  • Setup of your Incorporation or LLC, Tax ID and NPI Number for your hospice care business (you choose your hospice care business name. We are not a hospice care franchise, this is your hospice care business!)

  • Civil Rights Package Development

  • Completion of your customized, state specific hospice care policy and procedure manuals, in compliance with state and CHAP Accrediting Body standards as well as all of the forms and documents required for your new hospice care business startup including Administrative Policies, Infection Control Policies, Patient Care Policies, Safety Management Policies, Personnel Policies, Emergency Disaster Policies, Financial Management Policies, Bio-Waste Polices, Job Descriptions, Quality Assurance Improvement Plan, Committee Minutes, Performance Evaluations, Comprehensive Emergency Management Plan, Patient Admission Packet, Patient Information Booklet, Admission Forms, Advanced Directives, Human Resource Documents, Personnel File Sections, 24 Hospice Care In-Services, and any other policies your state requires (hospice care policies are state specific).

  • 1 thumb drive containing all of the Forms, Manuals, Guides and Marketing Materials necessary to start a hospice care business.

  • Detailed list of hospice care business resources.

  • Complete admission packet including patient information booklets, admission forms and advance directives.

  • Complete setup of your human resource department, including personnel files, competency evaluations, job descriptions, performance evaluations, in-service education guides and all other forms required for the hospice care business to be operational.

  • Completion of your state hospice care business license application package including all required forms and documents.

  • Assistance with your state hospice care license survey (hospice care license assurance!)

  • Completion of any plan of correction required by the state resulting from their hospice care license inspection

  • Completion of your hospice care certification and hospice care accreditation if required (accreditation assurance!)

  • Personalized website for your new hospice care business startup to thrive on the world wide web and reach an infinite number of people searching for home care businesses in your community. A web presence provides a dual function providing leads for your hospice care business and assisting with branding

  • SEO (search engine optimization) Program available. This will help your hospice care business to achieve first page presence on search engines like Google, Yahoo and Bing

  • Access to our online Training Academy and Intranet Portal for your hospice care business and its employees. Includes, but is not limited to hospice care business training materials, marketing and advertising materials, interactive forum, networking (network with our entire database of existing hospice care businesses), 24 hour message board, etc

  • Access to our LIVE Hospice Care University Hospice Care Business Training. Includes three full 8 hour days of live hospice care business training. Our hospice care business training is ongoing and available to your home hospice agency employees for the lifetime of your hospice care business. This means your hospice care employees can attend as often as you would like at no additional cost

  • Weekly webinars on topics such as:

    • Preparing for your Licensing Inspection
    • HIPAA
    • Business Development
    • Choices for your Agency
    • Ethical Issues
    • Branding your business
    • Patient Care / Documentation
    • Human Resources
    • Marketing Strategies
    • Infection Control
    • Employment Protocols
    • Patient Resources
  • 1000 customized home care business cards matching your hospice care business brochure will help to assure your hospice care business and its brand are recognized (you own the design file).

  • We are proud to offer several Veterans Hospice Care Patient Resource and Support Programs. Our agencies have access to this patient resource opportunity for veterans and their surviving spouses. Approximately 1 out of 3 seniors across the nation will qualify. This program is available through the Department of Veteran Affairs.  Benefits are paid for assistance with activities of daily living. An estimated two million wartime veterans or their widows are eligible for the “Aid & Attendance” pension to help pay for hospice care. We’ve successfully helped over a thousands of our hospice care agencies enroll in this program. Many of which have added approximately 30 veteran clients per year by enrolling in our veteran’s program. The VA values our commitment in partnership and our pledge to care for those who have served our country. We have several support and service options designed with your agency’s ability to provide hospice services in mind.

  • Marketing Programs and Presentations for Patient Resources designed to gain client leads quickly after you start your hospice care business. These programs and presentations target patient resource source opportunities that are not often sought after by hospice care agencies. They include the following:

    • Hospital Discharge Planners
    • Neurology Offices
    • Assisted Living Facilities
    • Oncology Offices
    • Cardiology Offices
    • Discharge Planners
    • Gastroenterology Offices
  • Quickbooks Training & access to low cost technical support for your new hospice care business

  • Access to the same home care business software used by most home care franchise companies at less than half of the retail cost. State-of-the-art cloud based software system to run your entire agency from your iphone, ipad, computer referral tracking, caregiver HR, client scheduling, client profile, caregiver time tracking via GPS on smart phone app, family portal (so family can login and see what has been going on in the home each day), send texts to all caregivers regarding new jobs with one click, and much more! Save countless hours and reduce the need for a lot of office staff.

  • Billing guidance for your new hospice care business

  • Lifetime hospice care business training means that anytime you need hospice care consulting, have questions or have staff that require training, we are available to assist you at no additional cost. We will review the all clinical aspects of your agency. Admitting patients, review policies, referrals. We cover all bases. 21st Century’s Home Hospice Business Startup Process trains you and your staff to understand how to obtain new clients, marketing, medical and emergency scenarios and many other topics

John Dapello


All members of 21st Century’s Home Care remain actively involved in professional associations, hospice care policy development, and engagement with current providers of service. We are in the business of hospice care consulting, home hospice care consulting and hospice business startup consulting. This lets us provide the very best education, hospice care training and support services for all of our hospice care agencies. It not only assures that a hospice care agency gets its certification. It also insures that the hospice care agency is well-prepared to operate and be completely successful in the ever-changing hospice care arena.

If you are considering opening a Home Hospice Agency, look no further.

Call us for a no obligation consultation: