Software / IT
Though HME’s transition to more automated billing and management systems started later than other corners of healthcare, providers are increasingly turning to software solutions to manage and optimize their businesses. By automating what were initially manual processes, providers can streamline workflows and, in turn, focus on more valuable tasks that increase growth and revenue. In addition to reducing time-consuming and redundant workflows, software solutions also reduce errors that result in costly and time-consuming claims denials.
HME software has become much more robust, offering comprehensive business solutions, such as delivery, automated scheduling, direct contact with patients through patient portals, and measurement with key performance indicators. Not only are operations more streamlined and automated but much of the available software serves up performance data for actionable business solutions, allowing providers to directly influence and control factors that affect their bottom line. To stay competitive as the industry changes, providers be open to integrating HME software into more and more of their business, whatever their business model may be.
From billing and management software to apps that update providers in real time, HME Business has rounded up some of the latest software updates and launches on the market:
Billing statements providers can customize the level of detail
TeamDME! XL has added simplified
customer statements that allow providers
to choose the amount of data and fields
that they print on statements. Providers
can create a summary invoice that limit
the detail or include all the details for
a claim and allow the customer to pay
their bill online. The company has also
added customizable fields in all sections
of TeamDME! XL and the ability to create
custom shipping labels. In addition,
TeamDME! has an integrated solution with
CMB Solutions to offer a turn-key solution
for patient engagement for all HME
product lines, compliance, replenishment,
reminders, adherence, and readmission risk
Resupply platform leverages AI to increase
- AI-based system uses thousands of built-in
payer rules to add or adjust payers and
policy changes, plus identifies and verifies
insurance eligibility in real-time.
- Identifies why orders might be problematic
and automatically launches the right task to
move the order along, while tracking down
missing documentation for complete and
- Providers can view their entire patient
portfolio to monitor orders, performance
and profit in real-time while using the tool’s
staff production metrics to keep employees
accountable and measurable.
SystemOne, a comprehensive,
approach to HME, now
offers a new solution for
denial management through
Waysta to easily track and
appeal denials—and prevent them from happening in the first place. SystemOne
can manage business from accounts receivable (AR) to point-of-sale, shipping,
rentals, sales, and more. It has a modular design; select only the functionality you
need, then add to it as your business grows. Avoid duplicate data entry, bill and
post payments electronically, batch recreate transactions, capture signatures electronically,
transfer Med B claims from QS/1 Pharmacy programs for billing, and
print hospice, consignment, and patient statements.
Brightree Mobile Delivery helps HMEs optimize delivery routes, track and confirm deliveries, monitor driver location, and more — all in a connected, electronic workflow from office to field. By eliminating paperwork and enabling wireless syncing to automatically schedule and track deliveries, Mobile Delivery helps HMEs optimize productivity and improve cashflow.
Brightree has made updates to its Mobile Delivery module to provide HMEs with new tools essential to doing business throughout COVID-19, including enabling contactless delivery. In accordance with CMS’ temporary regulatory waivers throughout the duration of the COVID-19 public health emergency, Brightree has updated its Mobile Delivery module with the ability to provide proof of delivery through photos rather than physical signatures to enable safe and secure contactless delivery. With this update, delivery technicians can take a photo that acts as proof of delivery, along with automatic timestamps and geocodes, and a notation on the electronic delivery documentation, noting patient signature was not available due to COVID-19. As a result, patients continue to receive their medical supplies safely, drivers remain shielded from disease risk, and HMEs continue to enjoy accelerated billing and collections.
TIMS Document Management
Aiming to fight improper documentation keeping providers from collecting revenue while helping ensure reduced denials and compliance audits by managing their patient documents more effectively TIMS Software is designed to bring the entire HME medical billing process together. If documentation is required at any point in the revenue cycle, the CSR has highly visible tools to generate and request the right forms. TIMS monitors the patient’s order and alerts the CSR when the documentation has been updated. The pre-established rules based on each payer’s specific requirements let the CSR quickly validate the forms and continue working the order toward fulfillment and billing.
TIMS Document Management helps ensure providers receive timely reimbursement and successfully pass audits. Effectively managing documents within their revenue cycle and leveraging the fully integrated and automated features saves time and money on every order resulting in increased profitability.
TIMS Software is a total revenue cycle management
solution for HME/DME providers. The
integrated billing system offers revenue-qualifying
patient intake, compliance-centric document
management, customizable workflows, and automated denial and collections
worklists. TIMS also provides low-contact mobile delivery, warehouse management,
order fulfillment and inventory control, KPI analysis with integrated business
intelligence, and more. Developed by Computers Unlimited, TIMS backs its users
with U.S.-based support, available 24 hours a day.
Infusion Pharmacy Reimbursement
Prochant, a reimbursement firm with
a dedicated focus on HME and pharmacy,
offers two billing solutions for infusion pharmacies. Full-service Billing pairs
providers with a dedicated team, including an expert account manager. By choosing
this service, pharmacy providers completely outsource their billing operations, so that
they can provide better patient care. Staff Augmentation, the second solution, is a
convenient option for providers that are not ready for complete outsourcing. As their
business grows, providers can use this option to efficiently scale their operations.
COVID-19 tracker compares staff locations to areas with rising infection rates
To provide home-based
care providers with
more information about
the spread of COVID-19, software company
WellSky has teamed up
with Qlik, a data analytics company, to launch the
WellSky COVID-19 Tracker. Qlik has donated data
analytics technology to create a heat map using
clinical staff zip code data provided by client agencies.
By comparing staff locations against confirmed
COVID-19 cases., WellSky clients can track current
hotspots, anticipate locations with rising infection
rates and distribute PPE resources to areas that
need it most.
SmartMonitor 2 PS
Portable heart monitor captures diagnostic quality waveforms
Health care professionals
about a patient’s
heart rate, respiration
Circadiance’s SmartMonitor 2 PS. The monitor
includes Masimo SET technology, memory capacity
of 4 MB, 15 hours of portable operation capability
and a bright digital readout. Healthcare providers
can capture and review diagnostic quality waveforms
with the monitor’s Synergy-E Software. An easy-to-understand
interface also incorporates universally
recognized symbols that can help reduce language
barriers. The product has a lightweight design and
hospital or homecare selectable settings.
Telehealth platform aims to increase technological capabilities, reach for providers
Through a partnership with PDI Communication Systems, a top manufacturer
of TVs for hospitals, Nautilus Medical has launched
a new telehealth platform solution for healthcare
providers, patients and senior living residents. The
platform is built with an intuitive user experience
and integrated camera/mic on hospital TV displays
that makes it easier for doctors to conduct patient
video calls. Combining hardware with Nautilus
Medical’s HIPAA-compliant TeleRay platform,
the partnership hopes to increase the reach and
capabilities of telehealth solutions for healthcare
providers, patients and their families.
Custom fitting software minimizes contact, ensures accurate fit
- Software blends digital scanning, encryption
and B2B technologies to create first fully
integrated patient measuring experience.
- Minimal contact custom fitting process
eliminates pulling and prodding of tape
measurements and is fully mobile.
- Ordering garments is made easier with 3-D
image created during consultation.
Newly designed interface connects SystemOne to delivery tracking software
A new interface has
been introduced for its
SystemOne and Point-of-Sale software solutions to
Integra’s DeliveryTrack. The
new feature will connect to
DeliveryTrack 6.1, offering an array of delivery services through a low-cost cloud
hosted version of DeliveryTrack. Combining these two platforms will streamline
the process and save costs for pharmacies, according to QS/1. Among many
features, the platform will give community pharmacies visibility and Rx level validation
of their delivery process, allowing CMS counseling messages and driver’s
license scanning for controlled prescriptions.
HME software streamlines billing, order processing and inventory management
QS/1’s SystemOne helps HME/DME businesses
and pharmacies remain relevant
and successful, according to the company.
SystemOne’s modular design lets providers
select only the functionality they need and
add as the business demands. Choose it for
processing orders, billing Medicare, Medicaid,
and third-parties, filing compliant documentation,
managing inventory, and the ability to
integrate with pharmacy, point-of-sale, and
IVR. QS/1 serves customers with nationwide
hardware support, 24/7 customer service,
regulatory updates, and ongoing product
Analytics software allows providers to double down on revenue cycle management
Prochant Analytics is a
tool from Prochant, an HME
billing and process outsourcing
company headquartered in
Charlotte, North Carolina. The
platform presents a provider’s
data using industry-standard
revenue cycle management and includes historical trending, benchmarks, and
the ability to drill down fully into the underlying data. The company also offers
full-service billing solutions to take over all insurance billing or staff augmentation
solutions to outsource some services.
A complete Revenue Cycle Management solution for HME
TIMS Software is a total revenue cycle management
solution for HME/DME providers. The integrated
billing system is entirely customizable, making it
easier for staff to request missing documentation
and set automated
tasks. It offers revenue-qualifying
patient intake, document management,
workflows, A/R collections
management, mobile delivery, business intelligence,
and much more. Developed by Computers Unlimited
in Billings, Montana, TIMS backs its users with
US-based support, available 24 hours a day.