Why More Healthcare Providers Are Outsourcing Revenue Cycle Management in 2025

HME/DME providers rely on revenue to cover facility maintenance, medical supplies, equipment, and staff salaries. However, financial struggles can threaten these essential operations.

Outsourcing revenue cycle management (RCM) to end-to-end RCM companies like ACU-Serve boosts efficiency, accelerates payments, and reduces administrative burdens. This allows providers to streamline operations and focus on quality patient care. 

In this blog, we explore why more organizations are making the switch.

Understanding the RCM Process

RCM manages the business side of HME/DME, from order placement to receiving full payment from the patient and/or the insurer (also called the payer).

The revenue cycle includes four stages.

1. Preregistration: This stage includes verifying insurance, confirming medical necessity, and ensuring all required documentation is in place before processing an order.
2. Intake: During intake, the patient provides necessary personal and insurance details while the HME/DME provider verifies accuracy to prevent billing issues.
3. Care Delivery & Documentation: This stage involves providing medical equipment and properly documenting what was provided.
4. Billing & Collection: After delivery, the provider submits reimbursement claims to the payer and follows up on payment from both the payer and the patient.

Current Challenges in HME/DME Revenue Cycle Management

RCM has become a critical need as HME/DME providers navigate ongoing challenges.

• Labor shortages impact both clinical and administrative roles, including revenue cycle management. Retaining talent requires higher wages, squeezing profit margins.
• Evolving payer requirements add complexity. Medicare, Medicaid, and commercial payers frequently update reimbursement rules, increasing denials.
• Providers must stay compliant with changes in Medicare’s Certificate of Medical Necessity and prior authorization protocols to secure reimbursements.
• Payer audits and claim appeals demand time and expertise, requiring a dedicated approach to ensure proper documentation and timely appeals.

ACU-Serve understands the unique billing and compliance challenges of HME/DME providers. Our expertise in revenue cycle management helps you navigate workforce shortages, payer complexities, and regulatory changes, ensuring financial stability and operational efficiency.

How Outsourcing Revenue Cycle Management Improves Operational Efficiency

ACU-Serve’s RCM services streamline operations and improve financial outcomes in many ways.

• Improves Patient Engagement: HME/DME providers that outsource revenue cycle management services to us enhance patient satisfaction as we assist them with automation, financing education, and collection.
• Optimizes Revenue Cycle: We leverage automation to reduce denials, optimize A/R, and improve collections with greater accuracy.
• Streamlines Claims Management: We help accelerate payments, scrub claims of errors, and appeal denials to minimize delays and recover revenue.
• Provides Detailed Performance Reports: We deliver insights on collections and payment trends, helping providers maximize ROI and financial stability.

Benefits of Outsourcing RCM

ACU-Serve’s HME/DME revenue cycle management services have become vital to our customers’ operations due to their numerous advantages.

• Predictable Revenues: Our RCM service ensures stable cash flow, allowing providers to remain profitable despite industry downturns and external challenges.
• Increased Transaction Momentum: Our RCM experts accelerate billing and claims processing, reducing delays, improving cash flow, and ensuring faster reimbursements.
• Access to Advanced Technology: Providers gain cutting-edge tools that streamline operations, reduce errors, and enhance efficiency without large investments.
• Expert Administrative Support: Our RCM specialists handle intake, coding, billing, and collections accurately, preventing costly mistakes and improving efficiency.

Why You Should Outsource Your RCM to ACU-Serve

ACU-Serve provides true end-to-end medical revenue cycle management services specifically designed for HME/DME companies. We expertly manage patient access, claims submission, and denial recovery with efficiency, eliminating the need for multiple vendors.

Why do our customers choose us?

• Software Optimization: We optimize and enhance the performance of whatever software you are using for maximum efficiency.
• Deep HME/DME Expertise: Our specialized knowledge ensures precise revenue cycle management tailored to the unique needs of HME/DME providers.
• US-Based Manager: We understand domestic payer processes and requirements, backed by a full compliance department that conducts audits.
• Advanced Analytics-Driven Decision-Making: Our proprietary tool, ACU-Insight, provides data-driven insights to optimize performance and streamline operations.

Proven Results with ACU-Serve

Our data-driven approach and industry expertise deliver measurable results, ensuring HME/DME providers achieve outstanding revenue cycle performance.

• >77% Clean Claim Rate: Our streamlined processes ensure claims are submitted accurately the first time, reducing denials and delays.
• <15% of A/R Over 90 Days: We accelerate reimbursements and minimize aging accounts, improving cash flow and financial predictability.
• 93% Collection Rate: Our expert revenue cycle management maximizes reimbursements, ensuring providers collect the revenue they are owed.

Takeaway

HME/DME providers will continue to look at outsourcing revenue cycle management to boost efficiency and financial performance. ACU-Serve delivers advanced technology and onshore support, optimizing revenue cycles so providers can focus on patient care.

Struggling with claim denials and slow reimbursements? Schedule a free consultation with ACU-Serve to see how our end-to-end RCM solutions can improve your bottom line.