AI vs. Offshore: The Real Cost Comparison

Full Service Revenue Cycle Management for DME Providers

GenHealth provides end-to-end revenue cycle management for DME providers. We handle everything from patient intake and eligibility verification to claims submission, follow-up, and payment posting.

Complete RCM from intake to payment

Average 95%+ first-pass claim acceptance

Reduce days in accounts receivable by 40%

EMR SystemFax ServersEMRsHealth PlansProvidersBilling SystemsEmail
Brightree
UnitedHealthcare
Cigna
Aetna
Niko Health
Epic Systems
eClinicalWorks
athenahealth
eMedNY
myCGS DME MAC
Noridian Medicare
CMS
EviCore
Gmail
Outlook
RingCentral
Faxage

Why GenHealth is Different

We combine AI automation with expert human oversight to deliver superior outcomes at a reduced cost. Our AI handles intake, order processing, medical necessity reviews, and renewals—while our dedicated DME billing team reviews and corrects any errors. This hybrid approach allows us to offer full-service RCM outsourcing at lower rates and improved accuracy when compared to traditional billing companies.

AI-First Workflow Automation

Our AI autonomously processes patient intake, order entry, eligibility verification, medical necessity documentation, prior authorizations, and resupply renewals. This eliminates 80%+ of manual data entry and repetitive administrative tasks that slow down traditional billing companies.

Human Expert Quality Control

Our dedicated DME billing specialists review every AI-processed task, catch and correct errors, handle complex exceptions, manage appeals, and ensure compliance with payer requirements. This human-in-the-loop approach guarantees accuracy while maintaining the speed and cost benefits of automation.

Reduced Cost Structure

Because AI handles the bulk of processing work, we can offer full-service DME RCM at 40-60% lower cost than traditional billing companies. You get the same comprehensive service—intake, billing, A/R management, and collections—without the premium price tag of manual labor.

Superior Accuracy & Compliance

The combination of AI precision and human expertise delivers higher accuracy than either alone. AI eliminates data entry errors and missed steps, while human reviewers catch edge cases and ensure compliance with complex payer policies. The result: 95%+ clean claim rates and fewer denials than traditional manual processes.

Comprehensive Revenue Cycle Management for DME Suppliers


End-to-end RCM solutions designed exclusively for medical equipment providers. From initial patient intake and insurance verification to final payment posting and denial appeals, GenHealth manages every aspect of your revenue cycle. Our team combines cutting-edge AI automation with deep DME billing expertise to ensure maximum reimbursement while reducing administrative burden.

Patient Intake & Verification

Streamlined intake process with automated insurance verification, eligibility checks, and authorization management. We ensure clean documentation from day one.
  • Real-time eligibility verification
  • Automated prior authorization
  • Complete documentation management

Claims & Billing

Expert claims processing with industry-leading clean claim rates. Our team handles submissions, tracking, and resolution to maximize first-pass acceptance.
  • 95%+ first-pass claim acceptance
  • Automated claim scrubbing
  • HIPAA compliant billing

A/R and Collections

Proactive accounts receivable management with intelligent follow-up workflows. We reduce your DSO and maximize collections while maintaining payer relationships.
  • 40% reduction in days in A/R
  • Denial management & appeals
  • Payment posting automation

Results That Matter

Proven outcomes for DME providers nationwide

6%

Improvment in Clean Claims

40%

Reduction in Receivable Days

25%

Reduction in Days Outstanding

10%

Lower Costs

Full Billing Support for All DME Equipment

Expert reimbursement management across all medical equipment categories
Respiratory Equipment
CPAP/BiPAP machines, masks, hoses, filters, humidifiers, oxygen concentrators, nebulizers
Mobility Equipment
Wheelchairs, scooters, walkers, canes, batteries, cushions, ramps, lift systems
Home Medical Equipment
Hospital beds, mattresses, patient lifts, commodes, bathroom safety equipment
Diabetic Supplies
Glucose meters, test strips, lancets, insulin pumps, continuous glucose monitors (CGM)
Wound Care & Compression
Wound VAC systems, compression pumps, compression garments, orthotic devices
Ostomy & Urological
Ostomy supplies, catheters, urological supplies, enteral nutrition equipment



GenHealth's full-service RCM solution handles all of your revenue cycle, allowing you to focus on patient care while we maximize your reimbursements.




Workflow

Intake

Connect to fax or upload documents from Intake to automatically extract all fields and automate entry into your internal EMR and Billing systems.
www.system.com
Document Upload
Drop your document here
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Workflow

Prior Authorization

GenHealth can automate the prior authorization workflow by leveraging AI to streamline approval processes, manage documentation, and reduce manual data entry, enhancing efficiency and accuracy.
www.priorauth.com
EMR - Patient Chart
Payer Policy
Workflow

Resupplies

GenHealth can automate resupply actions for this workflow by utilizing AI to predict inventory needs and generate timely alerts for reordering supplies.
www.resupplies.com
Patient Prescription
Resupply Schedule
January
February
Workflow

Eligibility

GenHealth can leverage AI to automate eligibility checks and notifications within the workflow, ensuring timely and accurate processing of applications.
www.healthplan.com
HealthPlan Portal
Login
Workflow

Medical Necessity

GenHealth can automate the management and processing of medical necessity workflows by leveraging AI to analyze patient data and streamline documentation requirements.
www.priorauth.com
EMR - Patient Chart
Payer Policy
Workflow

Referrals

GenHealth can automate referral tracking and follow-up actions within this workflow using AI to ensure timely communication and enhance user engagement.
www.system.com
Document Upload
Drop your document here
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