Tag: Joey Graham
Workflow: See the proof
August 9, 2023Joey Graham
Q. What are some case studies of successful AI implementations in HME RCM?
A. AI-driven solutions in HME RCM have shown promising results, with numerous providers already reaping the benefits of improved efficiency and reduced errors. We will explore three case studies that demonstrate this transformative impact.
Streamlining prior authorization
A mid-sized, sleep-focused provider faced significant challenges in managing prior authorizations, resulting in delays and increased...
Workflow: Take proactive approach
July 10, 2023Joey Graham
Q. How do I address security and compliance concerns in AI-powered systems?
A. As HME suppliers begin to adopt AI-driven solutions, ensuring data security and regulatory compliance becomes paramount. With sensitive patient information at stake, organizations must take a proactive approach to protect their data. Here are some key strategies for addressing security and compliance concerns:
Choose a compliant AI solution
When selecting an AI-driven solution, verify that it adheres...
Workflow: Navigate the transition
June 7, 2023Joey Graham
Q. How do I integrate AI solutions into my medical billing workflow?
A. The integration of artificial intelligence (AI) into medical billing presents an exciting opportunity for HME suppliers to streamline their revenue cycle management. However, transitioning to AI-driven solutions requires careful planning and execution to ensure seamless integration and optimal results. Let’s examine the key steps for successfully incorporating AI into your medical billing workflow:
Assess...
Workflow: Get ready for the future
May 9, 2023Joey Graham
Q. How will AI revolutionize HME billing in the next decade?
A. The home care industry is no stranger to the transformative power of technology. The last decade has brought about major improvements to HME workflow, from mobile delivery to automated calling campaigns, and technology has been a major force behind them. As suppliers continue to grapple with the complexities of HME billing and collections, artificial intelligence (AI) promises to bring a paradigm shift in the way billing...
Prochant earns certification
May 13, 2021HME News Staff
CHARLOTTE, N.C. - Prochant has earned HITRUST CSF Certification. HITRUST CSF Certified status means Prochant’s Revenue Cycle Services & Platform have met key regulations and industry defined requirements and are appropriately managing risk. “HME and pharmacy reimbursement firms are under immense pressure to meet complex compliance, security and privacy requirements such as NIST, ISO and COBIT,” said Joey Graham, executive vice...
Ty Bello, Joey Graham launch podcast
April 30, 2020HME News Staff
YARMOUTH, Maine - Ty Bello and Prochant's Joey Graham have teamed up on a two-part podcast on “Navigating the New Normal” that goes live today at 3 p.m. EST. Part 1 of the podcast will review managing financials, participating in education and industry events, supporting and serving a team and working from home; Part 2 will review implementing an operating system, tapping into resources, looking for opportunities and developing a strategy. Earlier this year, Bello and Graham teamed up...
Complex respiratory: It's not the product, it's the program
October 22, 2019Theresa Flaherty, Managing Editor
ATLANTA - As clinicians, respiratory therapists are more focused on patient care than profitability, but it doesn't have to be one or the other, said speaker Dave Lyman.
It's possible to build a strong complex respiratory program for invasive, non-invasive and multi-function ventilators that improves outcomes, that demonstrates the provider's value to payers and referral sources—and that pays, he told Medtrade attendees at a session Monday.
“How do you measure outcomes;...
Outsourcing: Track the right metrics
April 29, 2019Joey Graham
A. When did you last check your HME company's metrics?This task might be last on your list (and with good reason): the day-to-day challenges of patient care and billing processes probably occupy your mind. You might focus on whatever it takes to keep the lights on.Tracking too many or too few metrics (or none at all) is more common among HME providers than you might think. Making the space to track the right HME metrics is easier than you might think, too.Key Performance Indicators (KPIs) Enter key...
Outsourcing: Analyze net revenue, actual cash
April 1, 2019Joey Graham
A. HME providers are split on how best to measure and recognize revenue in their businesses. In general, measures are organized into four camps:Charge billing Charge billing is full “retail” pricing, not including payer contracts and fee schedules. For most providers, this measure inflates expected cash by 100%-200%. For example, if charge billing is $100, then the expected actual payment is $50 or less. Allowable billing Allowable billing is charge billing less the expected contractual...
Outsourcing: Streamline, automate your cash posting
February 22, 2019Joey Graham
Cash posting is an essential part the revenue cycle. Accurately applying payments, adjustments, and denials to line items in your A/R remains the key to success - one that your billing team probably knows like the back of their hand. Still, there are ways to streamline this process.The three best practices I share below can save your team considerable time and effort.Using a LockboxAre you ready to streamline your cash posting? A lockbox acts as a P.O. box at your bank, where mail, including checks,...