HME/DME business process acceleration for order management, fulfilment, drop shipping, delivery and billing.
Eliminate manual touchpoints and human error to manage the entire revenue cycle process. Focus your team on more strategic work without the need to invest staff time in repetitive tasks.
Easily manage claims, payments, denials and authorizations with automation. Manage complex payer requirements and ensure claims are clean and error free.
Increase collections from the initial order processing with automated insurance verifications, patient estimates and auto-payment functionality.
Access our cloud-based platform from anywhere. With SSO and two-factor authentication your team can work securely wherever they are.
Boost your teams productivity with a modern, simple and intuitively straightforward interface while reducing the learning curve for staff.
Reduce repetitive tasks and reduce human error while improving your workflow.
Gain visibility into your most important data and stay in control of your business to make decisions quickly.
With NikoHealth HME/DME billing software, you will be able to easily manage all your claims, payments, denials, and authorizations with automation on time. Our software will help you ensure that every claim is clean and error-free before it is submitted and automatically post payer remittances, bill patient responsibility, submit recurring rental invoices, and reduce manual touch.
The best HME/DME billing software will help you customize complex payer requirements, including compliance and frequency guidelines, payer-specific CMN, and documentation workflows. This way, you will be assured that all documents are clean and error-free before they are submitted.
This feature will help you manage payer fee schedules with robust price option configuration capabilities and identify discrepancies in payer allowable in real-time. You have no more delayed payments.
You will efficiently and quickly access the benefit information you need from commercial and government payers to determine eligibility, patient responsibility, and coverage guidelines. Save time on checking a patient's eligibility before order fulfillment and claim submission to prevent denials and write-offs.
The software will help you personalize and automate the patients' financial experience with easy-to-understand estimates of patient responsibility. Receive integrated patient pay e-statements and collections and seamlessly collect patient payments, including credit card transactions in person, over the phone, or in the field with our HME/DME billing software.
The DME billing software automatically generates recurring rental invoices based on Medicare’s capped rental periods and payer-specific rules. It tracks rental histories, manages, and transitions equipment to patient ownership when appropriate.
The system automatically identifies denied claims and categorizes denial reasons for appropriate follow-up action. Workflow tools guide staff through tracking deadlines.
NikoHealth maintains payer-specific fee schedules with contract rates and allowable amounts. The system identifies payment discrepancies in real-time, flagging underpayments and overpayments for review and potential recovery action.
NikoHealth DME medical billing software automates claim creation, validation, submission, and follow-up processes. The system eliminates manual data entry through automated workflows, reducing human error and freeing staff to focus on exception handling and patient care activities.
NikoHealth automatically processes Electronic Remittance Advice (ERA) files from payers, posting payments and adjustments to patient accounts. The DME billing system reconciles payments against submitted claims and identifies discrepancies for review, reducing manual posting time and errors.
The system efficiently accesses benefit information from commercial and government payers to determine eligibility, patient responsibility, and coverage guidelines. This verification happens before order fulfillment and claim submission to prevent denials and write-offs.
Yes, the system handles credit card transactions in person, over the phone, and in the field through integrated payment processing.
NikoHealth offers comprehensive billing reports including aging summaries, collection reports, denial analysis, and payer performance metrics. Reports can be customized by date range, payer type, equipment category, and location for detailed financial analysis.
DME billing is the specialized process of submitting claims and managing revenue for durable medical equipment providers. Unlike standard medical billing, DME billing involves complex rental periods, equipment ownership transfers, and strict payer frequency limits. The process includes managing 13-month capped rental periods, tracking equipment serial numbers, handling prior authorizations, and navigating payer-specific documentation requirements for items like wheelchairs, oxygen equipment, and hospital beds.
NikoHealth stands out as the best DME billing software through its comprehensive automation capabilities and proven results. Client testimonials show 10-20% collection improvements with faster payment processing. The platform automatically validates claims before submission, manages complex payer requirements, and handles recurring rental billing seamlessly. Unlike generic medical billing software, NikoHealth is purpose-built for DME operations, integrating rental management, equipment tracking, and delivery workflows in a single cloud-based platform.
DME billing differs significantly from standard medical billing through its unique rental-based revenue model and equipment-specific requirements. While standard medical billing focuses on one-time service claims, DME billing manages ongoing rental invoices, capped rental periods, and equipment ownership transfers. DME medical billing requires specialized HCPCS coding, Medicare frequency limit tracking, and complex documentation.
DME billing software streamlines the complex processes unique to equipment providers that standard medical billing software cannot handle. Specialized DME medical billing software automates recurring rental invoices, and manages equipment serial numbers automatically. The automation reduces manual errors, accelerates claim submission, and ensures compliance with Medicare frequency limits, ultimately improving cash flow and reducing administrative burden compared to manual billing processes.
DME medical billing encompasses the complete revenue cycle management for durable medical equipment providers, from initial patient eligibility verification through final payment collection. This specialized billing process handles rental agreements, purchase transactions, insurance authorizations, and ongoing patient responsibility billing. DME medical billing software manages the complexities of equipment-specific coding, payer contract rates, and regulatory compliance requirements that are unique to the medical equipment industry.
Medical billing software is designed for general healthcare practices managing one-time service claims, while DME medical billing software specifically addresses the unique needs of equipment providers. Standard medical billing software lacks capabilities for rental period tracking, equipment serial number management, and Medicare frequency limit monitoring. DME billing software includes specialized features like automated recurring invoices, capped rental calculations, and equipment ownership transfer workflows that general medical billing platforms cannot provide effectively.
