How to Streamline the HME Cash Posting Process

Learn best practices for cash posting from an HME billing expert.

Cash posting is an essential part the HME revenue cycle. Accurately applying payments, adjustments, and denials to line items in your accounts receivable (A/R) remains the key to success – one that your billing team probably knows like the back of their hand. Still, there are ways to streamline this process.

The three best practices I share below can save your team considerable time and effort.

Using a Lockbox

Are you ready to streamline your HME cash posting? A lockbox acts as a P.O. box at your bank, where mail, including checks, are sent and automatically deposited and scanned. You reclaim time once spent opening mail, depositing checks, and creating deposits for your cash posting team.

Investing in Auto-Posting

Are you still manually posting cash? HME billing systems are equipped with auto-posting, which saves you time, paper, and postage. By working with your clearinghouse and payers, you can sign up for electronic funds transfers (EFTs) and electronic remittance notices (ERNs) so that funds are directly deposited into your account via ACH and 835 remittance files are received for auto-posting.

If you are a large HME provider, you have the option to convert your paper remittance to electronic. This service, in conjunction with a lockbox, deposits your checks, scans your explanation of benefits (EOBs), and converts them into ERNs that can be auto-posted in your HME billing system.

Being Consistent and Accurate

Your revenue cycle is highly dependent upon your cash posting team. Staffing your team appropriately will ensure that backlogs do not form. After all, A/R collectors do not want to sit on hold with insurance companies only to find out that claims have been paid, but not yet posted in your HME billing system!

Training your team to take action also has benefits: They will develop a keen eye for adding secondary payers, processing adjustments and recoupments, posting denials, and recognizing under-payments.

With these three best practices, you can put your HME cash posting team – and your company as a whole – on the path to success.

If your team needs cash posting assistance, Prochant’s team of HME billing experts is available to chat. Contact us today to see if we can help you move your business in the right direction.

This article originally appeared in HME News’ Smart Talk series.


Prochant is the nation’s leading HME billing and process outsourcing company. Our highly-skilled team helps providers become more profitable by outsourcing or enhancing front- and back-office processes. We rapidly implement changes and proactively monitor metrics to ensure client success. Headquartered in Charlotte, North Carolina, we work with top medical equipment providers and health systems.