For HME providers, revenue cycle management is more than a billing function. It plays a central role in financial stability, operational efficiency and long-term growth. Yet many providers are losing revenue every day due to inefficiencies that often go unnoticed.
In a recent episode of HME News in 10, Prochant CEO Joey Graham joins Liz Beaulieu to discuss what he calls the “silent killers” of the revenue cycle. These include manual intake processes, inconsistent eligibility checks and stalled prior authorizations. While each issue may seem small on its own, together they can significantly erode margins. Joey outlines practical strategies for addressing these challenges through clear payer workflows, performance tracking and improved team accountability.
The conversation also covers the role of technology in helping providers work more efficiently. Tools like automation and artificial intelligence can reduce repetitive tasks, improve accuracy and help teams focus on the right priorities. However, technology alone is not enough. Success comes from combining the right tools with strong processes and a team that is prepared to evolve with the industry.
Key Takeaways from the Podcast
- Many revenue leaks begin with manual and inconsistent intake processes, such as eligibility checks and prior authorizations.
- Silent issues like stalled orders and lack of proactive follow-up can compound over time and cause costly denials.
- Implementing documented payer-specific workflows and using scorecards to track performance increases accountability and efficiency.
- Technology, including AI and automation, plays a critical role in reducing manual work and guiding staff toward higher-value tasks.
- Future challenges will come from increasing patient volumes, tighter compliance requirements and the shift toward value-based care.
- Providers that invest in flexible systems and foster a learning culture will be better equipped to adapt and sustain growth.
Revenue cycle management is a powerful lever for HME providers to boost margins, improve cash flow and build a sustainable business. Recognizing the hidden inefficiencies in your processes and addressing them with clear strategies and smart technology can make a significant difference. Joey Graham’s insights provide a practical roadmap for providers looking to plug revenue leaks and future-proof their operations.
If you want to learn more about how to identify and fix hidden revenue leaks in your HME operation, be sure to listen to the full episode.
Interested in uncovering your own revenue cycle opportunities?
