Home Health Care Per visit rate

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Comments (34)

Simon Levin in River Edge, New Jersey

49 months ago

Hi everyone, I am an OT student interested in working in homecare. Just curious, how many visits a day do you typically make? Thanks!

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raymond in Hayward, California

48 months ago

Does any one know how much a RN makes per visit in Homecare?

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OTR in Austin, Texas

48 months ago

Simon Levin in River Edge, New Jersey said: Hi everyone, I am an OT student interested in working in homecare. Just curious, how many visits a day do you typically make? Thanks!

The goal/productivity standard is usually 5-6 visits per day, though that can be lower on some days depending on caseload. This is for full-time/part-time positions. If you're working PRN then it's up to you. Some people just see one or two people in the afternoons after their regular jobs for extra cash. If your patients lived close together, you may be able to 7/day but I find it very taxing to get 6/day.

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jennifercoiner in Chesapeake, Virginia

39 months ago

What are hours like in home health? 9-5, 7-3, evenings, sporadic? Thanks!

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OTR East TX

34 months ago

What are the Pros and Cons in working SNF vs. Home Health???

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OTR East TX

34 months ago

What's are the pros and cons in therapy jobs in a SNF vs Home Health?

Looking to make a move.

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OT in Fremont, California

34 months ago

Home care is very stressful. There is tons of paperwork/ computer work. I've worked for current agency for 15 years and it has gotten worse. Home Care is often a 7 days a week job. You're out there by yourself and often the other staff are not team players.

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BeauShmeau in Austin, Texas

33 months ago

Help please. I'm starting in home health as a new grad, and I've been given an offer of $48/eval and $45/revisit. It comes with health and dental, reimbursed mileage, and vacation and sick time. Is this reasonable considering I don't have experience? The per visit rate seems really low. What would be considered fair?

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OTR in Austin, Texas

33 months ago

BeauShmeau,
Those rates are very low (with or without any benefits) -- I think they're taking advantage of you because you're a new grad and don't know any better. $45-48 would be a reasonable hourly rate for an OTR in a SNF but per visit will be too low considering each visit takes more than an hour when you add in drive time, scheduling, paperwork, etc. Honestly, I know COTAS in the area that make $50 to $55 a visit in home health. This company is either playing you for a fool or doesn't know which way is up. You should get at least $70 or more for an eval and $60 or more for a revisit. Without benefits, I expect at least $80 for an eval, $70 for revisits. It's best to negotiate a higher pet visit rate and go without the benefits. If you're taking benefits there's liable to be a quota of visits per day for you to meet. In this situation you'll get taken advantage of -- you'll be driving to 4 different counties and working 12 hours to meet your 6-visit quota before you know it (and only getting paid $48 a visit at that). It's a bad deal. I'm sorry if I sound harsh but this seems really out of line. Good luck to you!

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OT new to HH in Cincinnati, Ohio

33 months ago

OT in Fremont, California said: Home care is very stressful. There is tons of paperwork/ computer work. I've worked for current agency for 15 years and it has gotten worse. Home Care is often a 7 days a week job. You're out there by yourself and often the other staff are not team players.

I am thinking of switching from school OT to HH. This comment I am replying to has me worried. What do other people say? I would work PRN while my kids are in preschool. Is it really stressful? How many visits could I really get in a 5.25 hour time frame? is the paperwork really a ton?

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fernando in Hudson, Florida

29 months ago

OTR in Austin, Texas said: BeauShmeau,
Those rates are very low (with or without any benefits) -- I think they're taking advantage of you because you're a new grad and don't know any better. $45-48 would be a reasonable hourly rate for an OTR in a SNF but per visit will be too low considering each visit takes more than an hour when you add in drive time, scheduling, paperwork, etc. Honestly, I know COTAS in the area that make $50 to $55 a visit in home health . This company is either playing you for a fool or doesn't know which way is up. You should get at least $70 or more for an eval and $60 or more for a revisit. Without benefits, I expect at least $80 for an eval, $70 for revisits. It's best to negotiate a higher pet visit rate and go without the benefits. If you're taking benefits there's liable to be a quota of visits per day for you to meet. In this situation you'll get taken advantage of -- you'll be driving to 4 different counties and working 12 hours to meet your 6-visit quota before you know it (and only getting paid $48 a visit at that). It's a bad deal. I'm sorry if I sound harsh but this seems really out of line. Good luck to you!

Hi. Do you find similar rates in HH in Houston?

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OT girl

26 months ago

fernando in Hudson, Florida said: Hi. Do you find similar rates in HH in Houston?

I agree. I'm a new grad and make 96k a year with benefits and 30 patients a week. Salary.

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Leprak in Aledo, Illinois

25 months ago

OT girl said: I agree. I'm a new grad and make 96k a year with benefits and 30 patients a week. Salary.

Are you in Houston?
I am getting back into HH, and I am relocating.
Thank you.

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OT_GIRL in Houston, Texas

25 months ago

Leprak in Aledo, Illinois said: Are you in Houston?
I am getting back into HH, and I am relocating.
Thank you.

Yes Beaumont Texas ... Lots of jobs here

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Leprak in Aledo, Illinois

25 months ago

OT_GIRL in Houston, Texas said: Yes Beaumont Texas ... Lots of jobs here

Thank you, OT_GIRL.
That is reassuring!

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Tonia in Aurora, Colorado

24 months ago

How long are the average visits? Do assistants usually have a higher visit requirement (due to less paperwork)?

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OT girl in Georgia in Lawrenceville, Georgia

21 months ago

What is the going rate for pay for visit-evaluation, treatment visit and discharge oasis in the state of Georgia. I am starting to do HH transisting from SNF

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otmommy in Houston, Texas

20 months ago

OT girl said: I agree. I'm a new grad and make 96k a year with benefits and 30 patients a week. Salary.

Are you in Beaumont or Houston? I'm looking to make a switch as well. I'm looking for a credible company that's not shady.

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Marina in California

20 months ago

This salary sounds fantastic! I am in California and will look for something like this!

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otrstuart in Stuart, Florida

18 months ago

I am a seasoned therapist working in a SNF, looking into prn rates for OTR in HH in Martin and St Lucie counties. Is it reasonable to ask for 80/visit for evals, 90 for d/c oasis and 70 for revisits?

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Lilliana in Detroit, Michigan

18 months ago

BeauShmeau in Austin, Texas said: Help please. I'm starting in home health as a new grad, and I've been given an offer of $48/eval and $45/revisit. It comes with health and dental , reimbursed mileage, and vacation and sick time. Is this reasonable considering I don't have experience? The per visit rate seems really low. What would be considered fair?

I recently accepted a home heath care job after having an hourly job. It pays per visit- mileage is not included. I get $58 per visit/discharge and $63 for an eval. It seems competitive at first, but when you figure in your travel time (say an average of 15 minutes to get from patient to patient,) communication time (calling doctors and other disciplines, doing communication notes, etc.) and documentation time, I figure I spend an average of 2 hours on each patient/visit, so that basically works out to more like $30ish an hour... I was told you should be able to get the documentation done during your visit, but that has not been possible for me. It's just not realistic when you're engaging the client and being hands on.

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Chuck in Knoxville, Tennessee

16 months ago

I have several questions. Do these companies consider you employees (W2) or contract workers (1099)? If W2 employees, how do they track your hours for Affordable Care Act purposes or do they offer you health benefits no matter how many hours you work? If a 1099 employee, you are responsible for your own income tax and self-employment tax--this will further reduce your actual income. Additionally, I'd be interested in how they came up with the decision to classify you as a independent contractor vs an employee. This is an area the IRS is looking into very closely as many employers have miss-classified their workers in an effort to avoid paying taxes and offering benefits. Our employees are all paid via W2 and we currently pay hourly market rate (based on education, years of experience, etc.) and reimburse for mileage.

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HenrikThiberg@*****.*** in Costa Mesa, California

16 months ago

Advice to Management
Support your outstanding performers with pay that reflects the dedication and commitment displayed as a company representative in the community. Take measures to increase staff or decrease workload to retain employees. Pay attention to office morale and fix the problems identified. Solicit feedback from employees on a regular basis and address the concerns with concrete solutions. Adopt a peer interview and review process as well as other techniques used in magnet certified facilities for optimum employee job satisfaction.

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Cali in Honolulu, Hawaii

15 months ago

Hi!

What is the going rate in Los Angeles for PRN OTR home health position?

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Steven Vrchota in Fort Wayne, Indiana

14 months ago

Raya in Denver, Colorado said: Oh and I am full time , not PRN

Can I ask what company you work for?

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DFWOTR in Fort Worth, Texas

13 months ago

fernando in Hudson, Florida said: Hi. Do you find similar rates in HH in Houston?

You know what you are talking about. This would be my response exactly.

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DFWOTR in Fort Worth, Texas

13 months ago

New grad, do not accept that offer. That is crap!

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DFWOTR in Fort Worth, Texas

13 months ago

OT new to HH in Cincinnati, Ohio said: I am thinking of switching from school OT to HH. This comment I am replying to has me worried. What do other people say? I would work PRN while my kids are in preschool. Is it really stressful? How many visits could I really get in a 5.25 hour time frame? is the paperwork really a ton?

You could get about 3 patients per day in a 5 hour period. That will be challenging to make work with pt's having their own appointments (depending on what your weekly $ goal is and how far apart your patients are). You will get specific requests for morning or afternoon from patients, etc. The paperwork is time consuming but doable and not as scary as depicted. It depends on the computer system that your company uses. If they use home care home base run the other direction. Don't make the mistake though of giving yourself a cookie cutter schedule and try to make it work. It will make you crazy. If 15 visits per week is your goal then 5.25 hours per day could be okay for you.

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DFWOTR in Fort Worth, Texas

13 months ago

OTR East TX said: What's are the pros and cons in therapy jobs in a SNF vs Home Health ?

Looking to make a move.

Driving vs being in one place for work (con), logistics and appeasing pt's with scheduling in their home environment (con)(they have the control),autonomy vs having an on site boss (positive), eating in your car vs eating at a table (con), decreased exercise because always sitting in your car (con), no pay unless visits are done unlike prn (con), catering to pt schedules vs pt being in the facility and accessible (con), more money per hour but risk of injury because of being in the car/accident risk etc (pro/con), usually less lifting in home care than SNF or rehab (major pro), more paperwork in home care (con), more freedom in home care (pro). Home care requires a lot of scheduling strategy and work at communication that you don't think about. For example, if pt has an issue or fall must call doc, case manager, COTA, PT/PTA complete fall report. 60 minutes non billable burned....stuff nobody thinks about until you are in home care. Overall more money in home care, but it is hard work. You can make a lot of money, but it's not easy and not for everybody.

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Malt1170jcs@*****.*** in Cartersville, Georgia

11 months ago

fawn in Kalamazoo, Michigan said: Hi there! So I'm curious to what you settled for. I'm and OTR as well and just have been offered a contract job for a new homecare company. I will have to travel and they pay per visit. What would be a fair rate to ask for?

Thanks for your time!

fawn

I know I just left a home health company they had me driving 72 miles a day 360 a week for 20 hours a week and no mileage compensation I did home health 17 yrs ago and I was compensated for all my mileage they really thought I was going to keep on driving that far and then I sat for 2 weeks with no work because my client went on vacation with her daughter I found a 40 job and Im like im outta here that was BS 1440 miles for one month no miles paid they owe me for do that for 4 months I will never go back in home health any time you travel outside of the county like I did their suppose to compensate for miles

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LIZZA OT in Sellersville, Pennsylvania

11 months ago

OT_GIRL in Houston, Texas said: Yes Beaumont Texas ... Lots of jobs here

OT girl. What HHC company do you work for? Are they in other states?

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Malt1170jcs@*****.*** in Cartersville, Georgia

11 months ago

LIZZA OT in Sellersville, Pennsylvania said: OT girl. What HHC company do you work for? Are they in other states?

Its in Ga so your safe unless your not being paid for miles in your state. I found a 40+ hour warehouse job until I graduate school next month I make more in two weeks than I made in a month with this HH company. I don't know anyone who has to work 2 jobs in HH unless it's a choice you make all the other care givers and cna's with the same company have 45 hours a week and i was only working 20 and driving the most distance BS is what that was all about i was giving the clients no one else wanted because there to far out

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Selena16 in Brighton, Massachusetts

3 months ago

I know that this is dependent on so many variables, but I am wondering how many OT visits people are doing on average for 1 patient within a 60 day period/1 cert period?

I know very few OT’s in homecare, and hear such a wide variety of answers to this question. It’s very frustrating to do this profession when it feels like there is SO little guidance, and every group of people has entirely different motives.

Any feedback would be appreciated. Thanks

OTR in Austin, Texas said: BeauShmeau,
Those rates are very low (with or without any benefits) -- I think they're taking advantage of you because you're a new grad and don't know any better. $45-48 would be a reasonable hourly rate for an OTR in a SNF but per visit will be too low considering each visit takes more than an hour when you add in drive time, scheduling, paperwork, etc. Honestly, I know COTAS in the area that make $50 to $55 a visit in home health . This company is either playing you for a fool or doesn't know which way is up. You should get at least $70 or more for an eval and $60 or more for a revisit. Without benefits, I expect at least $80 for an eval, $70 for revisits. It's best to negotiate a higher pet visit rate and go without the benefits. If you're taking benefits there's liable to be a quota of visits per day for you to meet. In this situation you'll get taken advantage of -- you'll be driving to 4 different counties and working 12 hours to meet your 6-visit quota before you know it (and only getting paid $48 a visit at that). It's a bad deal. I'm sorry if I sound harsh but this seems really out of line. Good luck to you!

Reply

Iris in Los Angeles, California

1 month ago

raymond in Hayward, California said: Does any one know how much a RN makes per visit in Homecare?

I'm curious too..... and the start of cares/discharges.

I just started working f/t for a home health company. I've been a nurse for almost 20yrs tho never in home health, and the supervisor/director is a nightmare (but I know enough to know it's her and not my nursing, she would eat a poor new grad up esp seeing as I'm having my own 2am palpitations waking me up). I thought being paid hourly would be an advantage, and it is being new, but I'm driving massive distances and still being held to a quota, every day feels like an impossible double bind (and it is when you're given a start of care, 4 complex visits and 4 hrs of drive time to squeeze into your 8 hr day... everyday i feel like i'm going to throw up/have chronic diarrhea).
I swear to god, I'm just hoping that if i jump to per diem with another company I can make enough while doing Uber/Lyft to make the loose ends come together (in terms of nurses going per diem with companies then not getting called or also only being offered visits far away that no one wants....... just between two "bads" can I make enough of a good to pay rent)
thank you!

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