Proof of Delivery Podcast: What's Driving HME Revenue Cycle

Proof of Delivery: The HME Mid-Year Pulse Check: What’s Changing & What's Next

Welcome to Proof of Delivery, a podcast dedicated to unpacking the complexities of revenue cycle management in the Home Medical Equipment (HME) industry. From navigating intake and documentation to overcoming billing challenges and payer requirements, each episode explores the real issues providers face every day. Join industry leaders and experts as they share perspectives on emerging trends, regulatory changes and operational strategies, offering practical insights to help you drive stronger outcomes.  The HME industry continues to evolve at a rapid pace, with new regulatory requirements, technology advancements and reimbursement pressures reshaping how providers operate. In Episode 2 of Proof of Delivery, hosts Joey Graham and Ronda Buhrmester take a closer look at the developments currently impacting suppliers and discuss what organizations should be doing now to prepare for what's ahead.  From the realities of implementing AI to major competitive bidding updates, stricter accreditation standards and legislative changes that could affect reimbursement timelines, this episode delivers actionable insights for providers focused on protecting revenue, maintaining compliance and improving operational performance.  Key Takeaways  * AI is moving from a buzzword to a business strategy, forcing providers to focus on practical applications that deliver measurable value.  * Competitive bidding preparations are gaining momentum, and suppliers should begin evaluating their readiness for the next round now.  * Accreditation and compliance expectations continue to tighten, increasing the importance of proactive operational oversight.  * Payer mix shifts driven by recent legislation are creating financial challenges that providers cannot afford to ignore.  * Potential changes to Medicare timely filing limits could significantly increase pressure on revenue cycle teams to accelerate claims processing.  While each of these topics presents its own challenges, together they point to a larger trend: providers are being asked to operate with greater efficiency, visibility and accountability than ever before. Organizations that stay informed and adapt quickly will be better positioned to navigate industry changes while protecting both patient care and financial performance.  00:00 Introduction to the Podcast and Industry Overview 02:01 The Rise of AI in Healthcare 13:39 Competitive Bidding Updates and Implications 20:55 Competitive Bidding and Supplier Dynamics 22:10 Legislative Changes Impacting CGMs 23:45 Compliance and Accreditation Updates 28:03 Oxygen and Ventilator Compliance Challenges 32:21 Financial Trends and Payer Dynamics 40:38 Legislative Developments in Medicare Advantage

Medtrade 2026: AI, Policy Changes and What’s Next for HME Providers

Welcome to Proof of Delivery, a podcast dedicated to unpacking the complexities of revenue cycle management in the HME industry. From navigating intake and documentation to overcoming billing challenges and payer requirements, each episode explores the real issues providers face every day. Join industry leaders and experts as they share perspectives on emerging trends, regulatory changes and operational strategies, offering practical insights to help you drive stronger outcomes.  In this inaugural episode, hosts Joey Graham and Ronda Buhrmester come together from Prochant’s headquarters in Charlotte, NC to reflect on their experience at Medtrade and what it reveals about the current state of the industry.   Drawing on conversations across the exhibit floor, sessions and networking events, Joey and Ronda break down the most talked-about themes shaping HME today, from the rapid evolution of AI to significant regulatory developments, such as competitive bidding and the PTAN freeze. More importantly, they go beyond the headlines to explore what these changes actually mean for providers, highlighting where organizations are seeing success, where challenges remain and how to approach the road ahead with a more strategic lens.  Key Takeaways:  * AI in HME has moved from experimentation to reality, but the real differentiator now lies in how effectively providers apply it to drive meaningful outcomes.   * Simply automating existing workflows limits impact; organizations must redesign processes alongside AI adoption to truly improve efficiency and accuracy.   * The current landscape of fragmented AI tools, combined with gaps in areas like prior authorizations, billing and collections, highlights a market still in transition.   * Regulatory pressure is accelerating the need for operational flexibility, pushing providers to explore alternative models like centralized hubs and rethink traditional expansion strategies.  * As technology, regulation and operations evolve simultaneously, providers must take a focused, strategic approach, prioritizing high-impact initiatives rather than trying to solve everything at once.  At its core, this episode reinforces a clear message: the HME industry is entering a new phase where adaptability is no longer optional. Providers are navigating a landscape shaped by rapid technological advancement and increasing regulatory complexity, and success will depend on the ability to balance both. Those who take a thoughtful approach, leveraging AI where it delivers real value, reworking inefficient processes and staying ahead of policy changes, will be best positioned to compete in the years ahead.  Don’t miss this first episode of Proof of Delivery for a deeper look at the trends redefining HME revenue cycle management. Listen wherever you get your podcasts.