Case Study: HME achieves 94% fewer adjustment errors with SunKnowledge

HME cuts adjustment errors by 94% in 8 weeks with SunKnowledge

SunKnowledge worked with a major home medical equipment (HME) provider to address recurring errors in its re-authorization order process. The client faced significant challenges, including missed credit adjustments and the use of incorrect adjustment reason codes. These errors were causing revenue leakage, compliance risks, and increased operational costs due to rework and delayed reimbursements.

To solve this, SunKnowledge implemented a comprehensive solution involving weekly data-driven audits using Brightree reports, targeted training programs, and the introduction of standardized cheat sheets. They also established daily reviews, performance monitoring plans, and leadership oversight for high-value adjustments. As a result, SunKnowledge achieved a 94% decrease in missed adjustments and a 92% reduction in the financial impact of errors, significantly enhancing the client's revenue integrity and operational accuracy.

HME