Workflow: Get Ready for the Future

Originally posted on on May 9, 2023

Q. How will AI revolutionize HME billing in the next decade?    

A. The home care industry is no stranger to the transformative power of technology. The last decade has brought about major improvements to HME workflow, from mobile delivery to automated calling campaigns, and technology has been a major force behind them. As suppliers continue to grapple with the complexities of HME billing and collections, artificial intelligence (AI) promises to bring a paradigm shift in the way billing is managed, ultimately improving the patient experience and optimizing the revenue cycle. 

Enhanced accuracy in billing    

Human error in medical billing can lead to costly mistakes, resulting in claim denials and delays in reimbursement. AI-powered tools can analyze vast datasets to identify discrepancies, ensuring more accurate coding and billing. By minimizing errors, providers can experience a significant improvement in clean claim rates, reducing the need for large A/R collections departments.    

Streamlined prior authorization process    

AI can automate the prior authorization process, reducing manual work and expediting the approval of claims. By quickly processing prior authorization requests, AI can ensure patients receive timely care and minimize administrative overhead for healthcare providers.    

Intelligent workforce allocation    

AI can help optimize workforce allocation by identifying areas that require human intervention and those that can be automated. This enables medical billing professionals to focus on higher-value tasks, such as addressing complex billing issues and engaging with patients and referrals, while AI takes care of routine tasks.    

As revenue cycle evolves, embracing AI will become increasingly crucial for home care providers. By harnessing the power of AI, medical billing professionals can navigate the complexities of HME billing more effectively, leading to improved patient care, optimized revenue cycles and a more efficient health care system. 

Now is the time for industry leaders to invest in AI-driven solutions and prepare for the future of medical billing. 

Joey Graham is chief revenue officer at Prochant. Reach him at

Prochant has a proven track record of helping HME and pharmacy providers meet their financial goals. Our scalable solutions, years of experience, and advanced technology provide best-in-class results to the healthcare community. Headquartered in Charlotte, North Carolina, our client base includes national pharmacy and HME providers and health systems.