Tag: Artificial Intelligence (AI)
Red Sky Health launches claims management solution
April 10, 2025HME News Staff
NEW YORK – Red Sky Health has launched Daniel, a proprietary AI-solution that the company says helps health care providers recover earned revenue by identifying the root causes of claims errors, fixing them in real time and resubmitting claims. The solution also automates denials analysis by identifying the reason behind the rejection and fixes it in real time. Once corrected, the solution then automatically resubmits the remediated claim to the insurance company on behalf of the provider,...
Artificial Intelligence: Ruthlessly target bottlenecks
April 8, 2025Teresa Power
Q. What are the biggest mistakes HME leaders make when implementing AI, and how can they avoid them?
A. AI is no longer a future-state concept in the HME space—it’s here, and it’s redefining how enterprise operations scale. But as many early adopters have discovered, AI alone doesn’t deliver ROI. Success depends on strategic implementation, cross-functional alignment and clear ownership. Here’s what we’ve seen go wrong—and how to avoid it.
Measuring...
Glucotrack, OneTwo Analytics AB seek to 'revolutionize’ diabetes management
April 7, 2025HME News Staff
RUTHERFORD, N.J., and STOCKHOLM – A new agreement with OneTwo Analytics AB will allow Glucotrack to leverage next-generation artificial intelligence and machine learning-based analytics to evaluate clinical study data from its continuous blood glucose monitors. “OneTwo Analytics are experts in simplifying complex diabetes data to generate simple, clear insights empowering clinics, health care professionals, and individuals with diabetes to make better informed decisions,” said Paul...
From fax machines to machine learning: The fight for efficiency
April 4, 2025Tracy Orzel
Modernization and efficiency: Providers are adopting next-generation solutions for scalability, automation and efficiency to overcome challenges like tighter reimbursements and labor shortages.
Proactive RCM: Companies are focusing on front-end optimization to reduce denials and maximize clean claims, using tools like QuickSight for real-time analytics and reporting.
AI and data security: AI-powered solutions are transforming manual processes, while robust...
Notable Systems, flush with $12M in new funding, moves beyond order intake
April 2, 2025Liz Beaulieu, Editor
DENVER – Notable Systems plans to offer Payor Greenlight System, an AI-powered tool that provides instant pass/fail results based on reimbursement criteria, for all major payers and product categories by the end of the second quarter of this year.
For orders that fail, the system, which the company introduced at Medtrade in February, also identifies errors and provides reasons for them.
“It’s a full read out,” said Steve Johnson, CEO and co-founder,...
Forcura, Medalogix join forces
March 20, 2025HME News Staff
JACKSONVILLE, Fla., and NASHVILLE, Tenn. – Forcura, a workflow management company, and Medalogix, a clinical decision support company, have merged, creating what they say is a leading post-acute care technology platform focused on the advancement of intelligent patient care within home-based care providers and, ultimately, across the entire health care continuum. The combination of Forcura and Medalogix will allow providers to leverage one platform to streamline patient care transitions, simplify...
Artificial Intelligence: Get off the fence
March 12, 2025Teresa Power
Q. How can I scale my DME business without overworking my team or hiring more staff?
A. Scaling a DME business traditionally means hiring more intake specialists, billers and administrative staff to handle increasing order volumes. But with staffing shortages and high turnover rates, we know that’s not a sustainable option. AI-powered automation offers an alternative—allowing you to grow without overburdening your existing team or expanding payroll.
New AI tools...
Salesforce launches Agentforce for Health
March 4, 2025HME News Staff
SAN FRANCISCO – Salesforce has announced a new library of pre-built agent skills and actions called Agentforce for Health that it says will augment care teams, clinicians and service reps with agentic AI to boost operational capacity and help improve patient outcomes. Agentforce now includes prebuilt skills to streamline tasks like benefits verification, diseases surveillance and clinical trial recruitment, speeding time to treatment, the company says. “Only the deeply unified Salesforce...
NikoHealth integrates with AI platforms
February 13, 2025HME News Staff
MIDDLETOWN, New Jersey — NikoHealth, a provider of cloud-based DME/HME management software, is enabling seamless integration with AI innovators like Tennr, CompliantRx, Notable Systems, Celeritas and Synthpop, creating an ecosystem of next-generation tools that streamline workflows, enhance patient care and drive measurable growth for DME providers. By integrating directly with these AI partners, NikoHealth can enhance workflow efficiency and streamline operations, helping providers:
Automate...
Keragon receives additional funding
February 12, 2025HME News Staff
NEW YORK – Keragon, an AI-powered, HIPAA-compliant automation platform for health care, has raised $7.5 million in an oversubscribed seed funding round led by Upfront Ventures, with early investors Afore Capital, Focal, and 25m Health doubling down. This brings Keragon's total funding to $10.5 million. "Integrations are Keragon's backbone,” said Conno Christou, CEO & co-founder of Keragon. “Connecting complex systems at scale and bringing all the tools our customers...