White Bear Lake, MN
2022
At-Home Sleep Apnea Testing,
CPAP / Auto-CPAP machine bundles and accessories
Nationwide
"When we came across Niko, it really ended up being a good fit for us. It was built with an API-first mentality that matched our fully virtual model."
GEM Sleep is a fully virtual sleep apnea company delivering diagnosis, treatment, and support to patients in all 50 states. By removing the need for brick-and-mortar clinics, GEM makes care more convenient and accessible, while working with major insurance providers to expand patient reach and coverage.
“We knew we needed a RCM Tool that was going to be able to scale with our business, as well as keep the patient experience front and center.“
Nicole Norder,
VP of Product Operations, GEM Sleep
As a digital-first sleep clinic, GEM needed DME software that could:
– Scale quickly with its business model
– Deliver seamless patient experiences virtually
– Support critical workflows such as real-time eligibility, ordering, and invoicing – that was tailored to a DME product offering.
– Provide flexibility to connect multiple systems and automate processes
GEM Sleep selected NikoHealth for its API-first design and comprehensive workflow support. Unlike traditional systems, NikoHealth provided the flexibility to integrate eligibility, ordering, invoicing, and future resupply workflows into a single platform.
“When we came across Niko, it really ended up being a good fit for us. It was built with an API-first mentality that matched our fully virtual model.“
Nicole Norder,
VP of Product Operations, GEM Sleep
Real-time eligibility data through integrations with Change Healthcare and Availity ensures patients know their coverage upfront. “Eligibility is a big intake point for us. Niko makes it seamless to check benefits and coverage in real time, get cost information, and easily tell the patient their options.”
Automating eligibility and order processes reduced manual lookups, phone calls, and potential errors. “It was a huge time savings. We’ve really reduced manual touches and created smooth feedback loops for patients.”
Direct integration with VGM allows for faster shipping, receiving, and delivery updates. “We’ve created streamlined processes that give patients real-time updates on their orders, improving the entire experience.”
One system houses patient records, payer rules, catalogs, and workflow statuses, eliminating the need for multiple tools. “Historically, you’d need a system for each area. With Niko, it’s comprehensive — one system where the team can see everything in one view.”
Staff embraced the platform’s intuitive UI and automation capabilities. “The team loves that it’s easy to use, clear, and customizable. Adoption has been great across the board.”
GEM plans to expand into resupply and rental management workflows, leveraging new API functionality. “Our next focus is resupply and rental management. Niko keeps adding functionality, and we’re excited to keep building together.”
