HME Workforce

HME Workforce gives home medical equipment providers a trained back office team that works only for them. Instead of hiring and managing a full staff, a DME business can bring in people who already know intake, verification, billing and delivery scheduling, and who are reachable all day rather than stuck behind a hold queue or an email thread. For providers looking at outsourcing in the United States, this is a BPO company USA option built by people who run DME businesses themselves. The services cover the full operating side of an HME company. Patient intake and system data entry, inbound and outbound order fulfillment, resupply and repeat calls, and patient satisfaction surveys and follow ups are all handled. The team sends faxes and emails for prescriptions, letters of medical necessity and clinical notes. On the insurance side, they run e-verification, phone verification and pre-authorization requests, and work the payer portals, including Navinet, Noridian and HHA Exchange. Billing covers electronic or paper claims, redeterminations, appeals, full denial management and patient collections. Their billing department chases secondary AR as hard as primary claims. Logistics and management support are part of the package too. That includes driver scheduling, drop shipping through dealer portals, phone ordering and delivery follow up. HME Workforce also offers revenue increase consulting, team management, new technology evaluation, home modification assessments, bid submissions, and a marketing program for providers who want more market share. The staff are described as trained in Medicare and Medicaid requirements and HIPAA based medical review, and they review payer guideline changes daily. The clients are home medical equipment and DME providers, and the firm works with both the payer side and the provider side of that business. Their team is experienced with billing and operations tools such as NikoHealth (they are a NikoHealth solution partner), Bflow, Cortex, MyAbility, Change Healthcare, QuickBooks and Sure Payroll, and with supplier networks like Invacare, McKesson, Drive Medical and Pride Mobility. What sets them apart is the model. Staff solutions are built for each client, so you can add as many full time or part time people as you need. Backup staff are trained in your business, which keeps coverage steady when someone is out. HME Workforce started by applying these services in its own DME business, and says it saw two successful years before offering them to other providers. If you want back office help from a team that already knows HME, reach out to request a quote.