Part A and Part B are not the same job. Here is how to tell which one fits you.

We staff both, and the question we ask every therapist during onboarding is which one they actually want. Most people have not thought about it as a choice, because the industry describes both as home health and leaves it there.

Part A home health

You are working through a partner agency, under their plan of care, for patients who meet homebound criteria. Visits are shorter and more frequent. Documentation is heavier and follows the agency's requirements. Volume is driven by agency referral flow rather than by you. The clinical picture is usually more acute, often post-hospitalization, and the episode is short.

If you like a fast rhythm, clear protocols, and a defined episode with a clear discharge, this is the better fit. It also pays more per visit.

Part B outpatient in the home

You are the outpatient clinic. Sixty-minute visits, one-on-one, no homebound requirement, and a plan of care you write yourself and send to the physician. Episodes run longer. The clinical work leans toward function, balance, fall prevention, and conditioning rather than acute recovery. You will know these patients well by the end.

Doing both

Some of our therapists carry both. It works if you are organized, because the two documentation systems and billing rules do not overlap. It does not work if you are hoping one will feel like the other.

The honest version

We would rather tell you plainly in the interview that you will hate one of these than place you in it and lose you in four months. The rate difference is real but it is a bad reason to pick the wrong workflow.