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Top 
5 
Reasons 
Your 
Home 
Care 
Agency 
Could 
Be 
Going 
Out 
of 
Business 
Home 
care 
agencies 
fail 
for 
numerous 
reasons. 
From 
poor 
planning 
to 
lack 
of 
funding 
to 
inadequate 
staff, 
the 
success 
rate 
in 
an 
already 
competitive 
environment 
isn’t 
very 
high. 
But 
the 
mark 
of 
a 
successful 
small 
business 
owner 
is 
the 
ability 
to 
quickly 
overcome 
those 
challenges. 
How 
healthy 
is 
your 
home 
care 
agency? 
If 
the 
future 
doesn’t 
look 
as 
bright 
as 
you 
think 
it 
should, 
the 
following 
pitfalls 
may 
be 
holding 
you 
back. 
Here’s 
how 
to 
avoid 
becoming 
another 
statistic 
of 
well 
intentioned 
but 
failed 
home 
care 
agencies. 
Reason 
1: 
The 
ICD-­‐10 
Transition 
You’ve 
known 
about 
the 
ICD-­‐10 
transition 
for 
some 
time 
now 
(we 
hope!), 
but 
if 
you’re 
still 
ignoring 
it, 
you’re 
in 
for 
a 
rude 
awakening. 
Time 
is 
running 
out 
to 
prepare 
your 
staff 
and 
billing 
practices 
for 
the 
ICD-­‐10 
transition. 
Home 
care 
agencies 
that 
have 
not 
already 
trained 
their 
staff 
and 
acquired 
the 
right 
software 
for 
the 
change 
will 
wake 
up 
on 
October 
1, 
2015, 
to 
find 
they 
can’t 
receive 
reimbursements, 
quickly 
see 
revenues 
drop 
dramatically, 
and 
maybe 
even 
go 
out 
of 
business 
altogether. 
Seemingly 
small 
changes 
like 
this 
can 
quickly 
snowball 
out 
of 
control 
to 
a 
point 
where 
you 
find 
yourself 
bankrupt 
and 
scratching 
your 
head 
about 
what 
went 
wrong. 
So, 
while 
you 
may 
think 
you 
have 
plenty 
of 
time 
until 
October 
2015, 
it 
can 
take 
at 
least 
nine 
months 
to 
adequately 
prepare 
your 
staff, 
set 
up 
a 
new 
accounting 
system, 
and 
practice 
coding. 
There’s 
no 
more 
time 
to 
waste. 
Reason 
2: 
Cash 
Flow 
Money 
is 
almost 
always 
a 
reason 
home 
care 
agencies 
fail. 
When 
you 
created 
your 
agency, 
you 
(hopefully) 
had 
a 
business 
plan 
that 
focused 
on 
financials. 
But 
if 
you 
don’t 
have 
adequate 
cash 
flow 
year-­‐round, 
you 
won’t 
be 
able 
to 
purchase 
new 
equipment, 
train 
your 
staff, 
make 
payroll,
or 
even 
pay 
daily 
operating 
costs. 
It‘s 
imperative 
that 
your 
home 
care 
agency 
finds 
a 
way 
to 
effectively 
manage 
cash 
flow. 
If 
you 
already 
have 
insufficient 
funds, 
there 
are 
things 
you 
can 
do, 
such 
as: 
• Find 
out 
where 
your 
cash 
flow 
stands 
currently. 
Then 
forecast 
where 
your 
financials 
will 
be 
in 
the 
future. 
Consider 
creating 
a 
12-­‐month 
rolling 
forecast 
to 
map 
out 
your 
financials. 
• Evaluate 
your 
payment 
terms 
and 
how 
often 
you 
are 
receiving 
payments 
from 
insurance 
agencies. 
If 
you 
have 
customers 
paying 
you 
directly, 
you 
may 
want 
to 
adjust 
your 
terms 
or 
change 
payment 
plans 
to 
ensure 
you 
keep 
a 
consistent 
cash 
flow. 
• Enforce 
your 
payments. 
Stay 
on 
top 
of 
past 
due 
invoices, 
including 
those 
from 
insurance 
agencies. 
Dedicate 
someone 
to 
contact 
insurers 
to 
discuss 
overdue 
payments. 
Reason 
3: 
Policies 
and 
Procedures 
Policies 
and 
procedures 
detail 
how 
your 
employees 
should 
operate, 
what 
is 
expected 
of 
them, 
and 
how 
to 
handle 
situations 
within 
their 
positions. 
If 
you 
don’t 
have 
a 
policy 
and 
procedure 
manual 
in 
place, 
it’s 
crucial 
that 
you 
develop 
one 
as 
soon 
as 
possible. 
Your 
manual 
is 
the 
foundation 
of 
your 
agency 
and 
guides 
you 
through 
every 
conceivable 
area 
of 
your 
business, 
including 
hiring, 
client 
acquisition, 
training, 
accounting, 
disciplinary 
actions, 
Medicare 
requirements, 
and 
much 
more. 
Start 
drafting 
your 
policies 
and 
procedures 
right 
away 
or 
consider 
choose 
a 
premade 
template 
to 
expedite 
the 
process. 
Reason 
4: 
Strategic 
Planning 
(or 
Lack 
Thereof) 
A 
strategic 
plan 
is 
critical 
for 
your 
home 
care 
agency’s 
future. 
You 
take 
a 
close 
look 
at 
the 
past, 
present, 
and 
future, 
and 
draft 
a 
plan 
that 
connects 
everything 
together 
with 
a 
focus 
on 
steady 
growth. 
Every 
home 
care 
agency 
needs 
a 
strategic 
plan. 
You 
should 
set 
goals 
and 
include 
specific 
dates 
on 
which 
those 
goals 
should 
be 
accomplished. 
It’s 
never 
too 
late 
to 
create 
a 
strategic 
plan—and 
you 
don’t 
have 
to 
wait 
until 
the 
first 
of 
the 
year 
to 
make 
one. 
If 
you’re 
too 
busy 
or 
you 
don’t 
have 
the 
resources 
to 
create 
your 
plan, 
a 
professional 
home 
care 
consultant 
can 
help. 
Reason 
5: 
Training 
The 
home 
care 
industry 
is 
constantly 
changing. 
The 
demands 
of 
your 
clients 
and 
future 
clients 
will 
change 
along 
with 
it. 
Your 
agency 
needs 
to 
continually 
train 
your 
staff, 
including 
specific 
training 
for 
specialty 
home 
care 
services 
you 
may 
offer 
(such 
as 
Alzheimer’s 
care 
or 
diabetes 
care). 
Also, 
remember 
that 
tighter 
restrictions 
for 
the 
home 
care 
industry 
are 
coming, 
which 
means 
you 
need 
to 
train 
your 
staff 
and 
be 
prepared.
Kenyon 
HomeCare 
Consulting 
can 
help 
you 
avoid 
these 
five 
pitfalls 
and 
create 
a 
unique 
strategy 
based 
on 
your 
agency’s 
unique 
risks 
and 
challenges. 
From 
creating 
a 
policy 
and 
procedure 
manual 
to 
establishing 
an 
aide 
training 
program, 
Kenyon 
HomeCare 
Consulting 
can 
help 
you 
keep 
your 
doors 
open 
for 
years 
to 
come. 
Schedule 
a 
consultation 
at 
www.KenyonHCC.com 
today 
to 
begin 
planning 
for 
your 
agency’s 
future.

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Top 5 Reasons Your Home Care Agency Could Be Going Out of Business

  • 1. Top 5 Reasons Your Home Care Agency Could Be Going Out of Business Home care agencies fail for numerous reasons. From poor planning to lack of funding to inadequate staff, the success rate in an already competitive environment isn’t very high. But the mark of a successful small business owner is the ability to quickly overcome those challenges. How healthy is your home care agency? If the future doesn’t look as bright as you think it should, the following pitfalls may be holding you back. Here’s how to avoid becoming another statistic of well intentioned but failed home care agencies. Reason 1: The ICD-­‐10 Transition You’ve known about the ICD-­‐10 transition for some time now (we hope!), but if you’re still ignoring it, you’re in for a rude awakening. Time is running out to prepare your staff and billing practices for the ICD-­‐10 transition. Home care agencies that have not already trained their staff and acquired the right software for the change will wake up on October 1, 2015, to find they can’t receive reimbursements, quickly see revenues drop dramatically, and maybe even go out of business altogether. Seemingly small changes like this can quickly snowball out of control to a point where you find yourself bankrupt and scratching your head about what went wrong. So, while you may think you have plenty of time until October 2015, it can take at least nine months to adequately prepare your staff, set up a new accounting system, and practice coding. There’s no more time to waste. Reason 2: Cash Flow Money is almost always a reason home care agencies fail. When you created your agency, you (hopefully) had a business plan that focused on financials. But if you don’t have adequate cash flow year-­‐round, you won’t be able to purchase new equipment, train your staff, make payroll,
  • 2. or even pay daily operating costs. It‘s imperative that your home care agency finds a way to effectively manage cash flow. If you already have insufficient funds, there are things you can do, such as: • Find out where your cash flow stands currently. Then forecast where your financials will be in the future. Consider creating a 12-­‐month rolling forecast to map out your financials. • Evaluate your payment terms and how often you are receiving payments from insurance agencies. If you have customers paying you directly, you may want to adjust your terms or change payment plans to ensure you keep a consistent cash flow. • Enforce your payments. Stay on top of past due invoices, including those from insurance agencies. Dedicate someone to contact insurers to discuss overdue payments. Reason 3: Policies and Procedures Policies and procedures detail how your employees should operate, what is expected of them, and how to handle situations within their positions. If you don’t have a policy and procedure manual in place, it’s crucial that you develop one as soon as possible. Your manual is the foundation of your agency and guides you through every conceivable area of your business, including hiring, client acquisition, training, accounting, disciplinary actions, Medicare requirements, and much more. Start drafting your policies and procedures right away or consider choose a premade template to expedite the process. Reason 4: Strategic Planning (or Lack Thereof) A strategic plan is critical for your home care agency’s future. You take a close look at the past, present, and future, and draft a plan that connects everything together with a focus on steady growth. Every home care agency needs a strategic plan. You should set goals and include specific dates on which those goals should be accomplished. It’s never too late to create a strategic plan—and you don’t have to wait until the first of the year to make one. If you’re too busy or you don’t have the resources to create your plan, a professional home care consultant can help. Reason 5: Training The home care industry is constantly changing. The demands of your clients and future clients will change along with it. Your agency needs to continually train your staff, including specific training for specialty home care services you may offer (such as Alzheimer’s care or diabetes care). Also, remember that tighter restrictions for the home care industry are coming, which means you need to train your staff and be prepared.
  • 3. Kenyon HomeCare Consulting can help you avoid these five pitfalls and create a unique strategy based on your agency’s unique risks and challenges. From creating a policy and procedure manual to establishing an aide training program, Kenyon HomeCare Consulting can help you keep your doors open for years to come. Schedule a consultation at www.KenyonHCC.com today to begin planning for your agency’s future.