A Mid-Atlantic home medical equipment (HME) provider specializing in respiratory, incontinence, and urology solutions faced mounting operational pressures that threatened both efficiency and cash flow. While Prochant had long supported the provider’s Medicare billing, its in-house billing team struggled with:
- High staff turnover impacting billing expertise
- Documentation gaps leading to frequent denials
- Growing backlog of commercial payer claims delaying cash flow
To stabilize operations, the provider expanded its partnership with Prochant’s outsourced HME billing services to include commercial payers. By applying the Prochant Process, denial prevention strategies, and technology-enabled revenue cycle workflows, Prochant delivered the structure and oversight needed for scalable performance.
Solutions Delivered
- Strategic staffing with leadership oversight and added resources to clear backlog
- Front-end documentation fixes to reduce denials and rework
- Prioritized claim workflow to accelerate cash flow and reduce timely filing risks
Within three months, monthly claim volume grew 6X and commercial payer results quickly aligned with Medicare performance.
One-Year Outcomes
- 27% decrease in 90+ A/R
- 76.5% reduction in A/R backlog
👉 See the full story of how this HME provider achieved scalable revenue cycle success with Prochant. Download the case study below.
Frequently Asked Questions
1. Why do HME providers outsource billing and revenue cycle management?
A: HME providers often face staffing shortages, complex payer rules, and frequent denials. Outsourcing to a partner like Prochant brings specialized expertise, scalable staffing, and proven processes to reduce A/R backlogs and improve cash flow.
2. How does Prochant help reduce denials for home medical equipment providers?
A: Prochant applies front-end documentation fixes, payer-specific denial prevention strategies, and continuous oversight to catch errors before submission, lowering denial rates and minimizing rework.
3. What measurable results can providers expect from outsourcing HME billing?
A: Providers typically see faster claim turnaround, fewer denials, reduced backlogs, and stronger collections. In this case study, the HME provider cut A/R backlog by 76.5% and decreased 90+ A/R by 27% in one year.
4. Can outsourced billing support both Medicare and commercial payers?
A: Yes. Many providers start with Medicare but expand to commercial payers. Prochant’s team manages both effectively, aligning processes so that performance across all payer types improves.
5. What is the Prochant Process?
A: The Prochant Process is a structured approach combining expert staffing, denial prevention strategies, and technology-enabled workflows. It delivers consistent oversight, scalability, and financial results for HME and infusion providers.
