Industries · Hospice

Hospice agency startup consulting

Launch a Medicare-certified hospice agency — state licensure, CHAP/ACHC/TJC accreditation, CMS 855A enrollment, 3-patient survey readiness, and interdisciplinary team build-out.

What we deliver

Everything you need to launch and stay compliant.

  • State hospice license application + zoning
  • CHAP, ACHC, or Joint Commission accreditation roadmap
  • Medicare 855A enrollment + tie-in notice
  • Conditions of Participation (CoPs) policy manual
  • Interdisciplinary team build (MD, RN, SW, chaplain, aide, volunteer)
  • 3-patient initial survey readiness
  • EHR (Hospice Tools, MatrixCare, WellSky) implementation
  • Quality reporting (HQRP / CAHPS) program
Why owners pick PF Consulting Firm
  • Single point of accountability across state, federal, and payer workstreams.
  • Fixed-scope engagements with milestone-based delivery.
  • Ongoing compliance support after launch on retainer or as-needed.
  • Direct work product — not outsourced to overseas teams.
Launch roadmap

Realistic timeline

Phase 1 · Weeks 1–8

Foundation

  • Entity + bank
  • Lease + office
  • Medical director MOU
  • Policy manual draft
Phase 2 · Months 2–10

Licensure & Enrollment

  • State license
  • 855A submitted
  • Accreditation deeming
  • CHAP/ACHC initial survey
Phase 3 · Months 10–14

Launch

  • 3-patient survey
  • Tie-in notice
  • First billing
  • HQRP live
FAQ

Hospice Agency Startup questions

Do I need accreditation?

Required for Medicare certification by deemed status. CHAP and ACHC are most common.

What's the 3-patient survey?

After admitting 3 patients, state or accreditor surveys for compliance with CoPs.

Average time to first reimbursement?

10–14 months from kickoff is realistic. Plan working capital accordingly.

Inpatient unit?

Optional. Most agencies start with routine home care; GIP and inpatient respite added later.

Ready to start your hospice agency startup?

Book a consultation and we'll map every milestone, license, and deadline.