Healthcare Business 101: Getting Started with Your Home Healthcare Business
Healthcare Business 101 introduces you to the fundamentals of starting your own home healthcare business. This course covers the key steps from business formation to state registration, helping you understand licensing requirements, business structures, and startup essentials. Participants will learn how to create a strong foundation for long-term success in the healthcare industry.
Topics include:
Business formation and registration
Developing business plans and policies
Understanding compliance and regulatory requirements
Preparing for your initial setup and operations
By the end of this course, you will have a clear roadmap for launching your healthcare business successfully.
Healthcare Business 102: HCO Licensing and Site Visit Preparation
Healthcare Business 102 focuses on the process of applying for your Home Care Organization (HCO) license with the Virginia Department of Health. Participants will learn how to prepare the necessary documentation, policies, and procedures required for approval and site survey. The course also explains the roles and responsibilities of key staff members and what to expect during the site visit.
Topics include:
Applying for your HCO license
Preparing policies and procedures for survey approval
Understanding the site visit process
Defining staff roles and responsibilities
By the end of this course, you will be prepared for your site visit and equipped to meet all state requirements for licensing.
Healthcare Business 103: Insurance Credentialing and Operational Systems
Healthcare Business 103 provides step-by-step instruction on how to become credentialed with major insurance providers, private insurance plans, and private pay options. This course helps healthcare business owners establish partnerships with payer networks to begin billing and receiving reimbursements for services.
Participants will also learn how to set up and manage essential business systems, including the Electronic Visit Verification (EVV) system and payroll systems for staff management and compliance.
Topics include:
Completing insurance and private pay credentialing applications
Establishing contracts with insurance companies and case managers
Setting up and managing EVV systems
Implementing payroll systems for accurate record keeping
By the end of this course, you will be fully equipped to manage the credentialing process and maintain smooth operations.
Healthcare Business 104: Billing and Authorization
Healthcare Business 104 focuses on the essential processes of billing, authorizations, and reimbursements for healthcare organizations. Participants will learn how to correctly bill insurance companies, manage authorizations, and ensure timely payment for services rendered.
This course provides practical guidance on setting up billing systems, managing denials, and maintaining compliance with payer and state requirements.
Topics include:
Setting up and managing billing systems
Submitting claims and handling reimbursements
Understanding authorizations and documentation requirements
Managing denied claims and resubmissions
Maintaining compliance with payer and state regulations
By the end of this course, you will have the tools and confidence to manage billing and authorizations effectively and ensure smooth financial operations.