The most innovative organizations partner with NikoHealth
RCM Features
Through the RCM solution by NikoHealth, HME/DME providers can become more competitive in their market by maximizing revenue with better-quality care, implementing workflow automation, & decreasing administrative burden. Make a successful transition from fee-for-service to value-based reimbursement.
NikoHealth’s cloud-based platform can be accessed everywhere on any device. You can manage your inventory digitally, whether in the warehouse or on the go.
Easy-to-Use
A modern, simple, and intuitively straightforward interface will boost your productivity and reduce employees' learning curve.
Automated Workflow
RCM software will help your business automate all processes and prevent the chance of a mistake.
Real-Time Data
With real-time patient navigation, hospitals can better manage and measure success in bundled payment programs.
Reach Full Potential with RCM Software by NikoHealth
Healthcare professionals require excellent revenue cycle management software to simplify relations with patients & customer experience, manage their finances, drive profit, and boost efficiency. HME providers can find more success by adopting an integrated approach to drive revenue & efficiency.
Contract Governance
With NikoHealth's revenue cycle management software, there are no issues with contract governance or contract management. This ensures that your company is reimbursed accurately for all the services provided and identifies which claims are underpaid or denied. Measuring payer performance and understanding how payers compare is a critical component to contract governance.
Price Transparency
Once the charges are set in place, your team must utilize the data insights from the same revenue cycle platform that drives contract governance, modeling, inventory, and rate-setting to deploy a successful patient engagement strategy for pricing transparency and consumerism. In healthcare today, this means giving patients the means to price shop for healthcare services.
Payer Negotiations and Rate Setting
HME/DME RCM software will help you with payer negotiations and setting charges correctly. After establishing contract governance, this historical data can be leveraged to aggressively model payer contracts in real-time while using the same platform to develop a competitive rate-setting strategy.
Value-Based Reimbursement
In the final phase of revenue cycle maturity, the challenge is gaining a competitive advantage as the market shifts from fee-for-service to value-based reimbursement and enabling HME and DME providers to lead with a high-value and high-volume strategy by incorporating current contract governance and risk assessment.
See How We Empower Our Customers
Yvonne Sotto,,
Vice President and CEO at Prime Care HME
“It’s night and day. The NikoHealth platform is absolutely amazing. Everything just makes sense now.”
Steve Burns,,
VP Revenue Cycle Management, Thuasne USA
"The best compliment I can give is that we don’t have to think about the system. We know it works, and that allows us to focus on serving our patients."
Dr. Kathy Chandler,
President, AIM Plus Medical Supplies
“NikoHealth’s UI/UX was so much more user-friendly for our staff. I could see exactly what I was getting through demos and conversations. That gave me confidence to switch.”
Nicole Norder,,
VP of Product Operations, GEM Sleep
"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."
John Hickok,,
President & Founder, iSleep
"NikoHealth has been a real game-changer for us. If you're on the fence about switching, I’d say go full steam ahead. We haven’t looked back."
Sarah Staley,,
Strategic Advisor and Director of Billing Operations
“It really felt like NikoHealth was on the same track. We want to grow, we want to get bigger, we want to do things faster and better – and it felt like NikoHealth was on that same track.”
NikoHealth has helped transform our business by providing end-to-end visibility which enables us to control and make decisions faster and deliver better care for our patients.
I highly recommend NikoHealth to any DME business looking for a reliable and user-friendly platform to streamline their operations and improve their bottom line.
The transition from our previous software was seamless, and the benefits have been undeniable. From improved workflow to increased collections and productivity gains, NikoHealth has exceeded our expectations.
We've seen an increase in efficiency and cash flow. Collections improved significantly, with at least a 10% increase. That is a 100% bottom-line contribution margin!
Cheryl Henninger ,
MHA, RRT, Director of Operations at Geroulds Healthcare Center
NikoHealth showed a genuine interest in understanding all aspects of our business, not just DME, and their forward-thinking approach aligned with our vision for efficiency and growth.
Jenae Mannie ,
Senior Vice President of Revenue Cycle Management (RCM)
Switching billing systems can be intimidating, but if you’re not happy with your current one, there is something better out there. NikoHealth has proven that it’s worth making the change.
The scalable architecture of NikoHealth was a major deciding factor. Its robust APIs make integration effortless, ensuring the platform grows with us and adapts to our evolving needs.
Yvonne Sotto,,
Vice President and CEO at Prime Care HME
“It’s night and day. The NikoHealth platform is absolutely amazing. Everything just makes sense now.”
Steve Burns,,
VP Revenue Cycle Management, Thuasne USA
"The best compliment I can give is that we don’t have to think about the system. We know it works, and that allows us to focus on serving our patients."
Dr. Kathy Chandler,
President, AIM Plus Medical Supplies
“NikoHealth’s UI/UX was so much more user-friendly for our staff. I could see exactly what I was getting through demos and conversations. That gave me confidence to switch.”
Nicole Norder,,
VP of Product Operations, GEM Sleep
"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."
John Hickok,,
President & Founder, iSleep
"NikoHealth has been a real game-changer for us. If you're on the fence about switching, I’d say go full steam ahead. We haven’t looked back."
Sarah Staley,,
Strategic Advisor and Director of Billing Operations
“It really felt like NikoHealth was on the same track. We want to grow, we want to get bigger, we want to do things faster and better – and it felt like NikoHealth was on that same track.”
Mike Austin,
President at Quality DME, Inc.
NikoHealth has helped transform our business by providing end-to-end visibility which enables us to control and make decisions faster and deliver better care for our patients.
I highly recommend NikoHealth to any DME business looking for a reliable and user-friendly platform to streamline their operations and improve their bottom line.
Founder/Co-Owner at Erickson Home Medical Equipment
The transition from our previous software was seamless, and the benefits have been undeniable. From improved workflow to increased collections and productivity gains, NikoHealth has exceeded our expectations.
We've seen an increase in efficiency and cash flow. Collections improved significantly, with at least a 10% increase. That is a 100% bottom-line contribution margin!
MHA, RRT, Director of Operations at Geroulds Healthcare Center
NikoHealth showed a genuine interest in understanding all aspects of our business, not just DME, and their forward-thinking approach aligned with our vision for efficiency and growth.
Senior Vice President of Revenue Cycle Management (RCM)
Switching billing systems can be intimidating, but if you’re not happy with your current one, there is something better out there. NikoHealth has proven that it’s worth making the change.
The scalable architecture of NikoHealth was a major deciding factor. Its robust APIs make integration effortless, ensuring the platform grows with us and adapts to our evolving needs.
Our intuitive interface will help you to perform quick onboarding and reduce time training your staff.
Frequently Asked Questions
What does “RCM software” mean in NikoHealth?
RCM covers the full revenue cycle from eligibility and documentation through claim submission, collections, payment posting, and follow-up. NikoHealth supports tools and workflows across that lifecycle.
Does NikoHealth support eligibility and authorization workflows?
Yes, we are integrated with several clearinghouses and offer full response return of eligibility, including out of pocket calculations. Our authorization verification warns you if an authorization has expired, and you can easily see all upcoming authorization expirations.
How does NikoHealth improve cash flow?
The goal is to reduce delays and errors through workflow standardization, visibility, and process controls. Your outcomes depend on current operational maturity and payer requirements.
Can we measure clean claims rate and operational KPIs?
Reporting can help track key RCM metrics. Agree on KPI definitions and dashboards during onboarding so reporting matches how leadership wants to measure success.
Does it support multiple payers and payer rules?
Yes, NikoHealth allows for extensive payor rules which can be customized by a variety of factors including the payor and plan, HCPC, or specific items.
Can our billing team work inside one system end-to-end?
We built NikoHealth with the intention of having a single system of record. However, some customers find unique external solutions that we enable them to use via our open API model.
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