Overview

Durable medical equipment (DME) and home medical equipment (HME) providers face unique challenges in revenue cycle management, primarily due to complex coding and billing requirements. Navigating inconsistent payer policies regarding medical necessity creates further complications in the claims process, resulting in a time-consuming appeals process that demands extensive documentation. Furthermore, ensuring regulatory compliance and verifying patient eligibility for DME and HME services can be cumbersome due to the variety of insurance plans and the need for real-time information.

AGS Health can help address these challenges and help optimize RCM processes to improve the overall financial health for DME and HME providers.

DME HME Overview

SERVICES AND SOLUTIONS PROVIDED

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We have a seamless process that follows the patient journey from scheduling and pre-service collections, ensuring benefits/insurance eligibility and prior authorizations are obtained in a timely manner.

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AGS Health offers deep expertise in denial management and appeals writing to ensure our customers can capture every possible dollar of revenue owed. We also provide the insights needed to identify the root cause of denials so your organization can take corrective action in advance.

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AGS Health provides retrospective, concurrent, and prospective reviews of clinical documentation. We will help you identify missing information, place physician queries, and recommend improvement opportunities to ensure your documentation is optimized.

Interested in learning more?

solutions made for you

Patient Access

Start your revenue cycle strong by ensuring that critical, and accurate, patient information is in place before patient visits begin.

Health Information Management

Our team of coding experts, with a deep understanding of the healthcare industry and its specialties, paired with smart technology creates a tangible, positive impact on cash flow.

Extended Business Office

AGS Health provides a comprehensive suite of RCM services that are customized for each customer. Our experienced team of experts serves as an extension of your business office.

Analytics and Reporting 

Obtain answers to critical questions related to performance benchmarking, root cause analysis, predictive analytics, and operational improvements.

Resources

Dig deeper into Revenue Cycle Management for Radiology and Infusion Centers

Most Improved Services Solution - 2024 Best in KLAS Awards
AGS Health’s Double-Digit Customer Satisfaction Improvement Earns ‘Most Improved Services Solution’ Recognition in 2024 Best in KLAS Awards

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Let’s transform your revenue cycle today

When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.

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