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Speciality:

Hospice Care & DME Management

Location:

United States

Impact:

12 Hospice Facilities | 1,000+ Patients Served

Services:

EHR Development, Revenue Cycle Management

Business Challenges

  • Manual DME Order Coordination
  • Fragmented Inventory & Delivery Tracking
  • Sending Bills & Invoices to Hospice Facilities
  • Time-Consuming Insurance Verification
  • Limited Operational Visibility

Solution

  • Centralized DME Management: Unified inventory, equipment orders, and fulfillment into one platform.
  • Automated Revenue Cycle: Streamlined billing, claims, reimbursements, and appeals.
  • Insurance Verification: Automated eligibility checks to accelerate order approvals.
  • Real-Time Logistics Tracking: Enabled GPS-based delivery tracking and driver management.
  • Legacy Platform Modernization: Migrated from PHP to a scalable FastAPI architecture.

Value Delivered

  • 42% Reduction in Administrative Workload through workflow automation.
  • 58% Faster Claims Processing with integrated RCM workflows.
  • 100% Inventory & Delivery Visibility across DME operations.
  • 12 Hospice Facilities Unified on one centralized platform.
“When we started working with Thinkitive, our DME operations were heavily dependent on manual coordination between hospice facilities, logistics teams, and billing staff. Managing equipment orders, tracking deliveries, verifying insurance, and processing claims across multiple systems was creating delays, increasing administrative workload, and limiting our visibility into day-to-day operations. We needed more than just software—we needed a platform that could simplify our entire workflow while supporting future growth.
Thinkitive delivered exactly that. They developed a custom platform that unified DME management, logistics, billing, and revenue cycle operations into a single solution while successfully modernizing our legacy system. The new platform has improved operational visibility, streamlined reimbursement workflows, and significantly reduced manual effort across our organization. Their team demonstrated strong technical expertise, understood the complexities of hospice DME operations, and remained a reliable partner throughout the project. We're now better equipped to serve our hospice partners with greater efficiency, scalability, and confidence.”
Ondrej Sliva, CEO — Thinkitive client Ondrej Sliva CEO

Solutions Provided

Building a Unified EHR Platform for DME Operations & Revenue Cycle

Thinkitive designed and developed a custom Electronic Health Record (EHR) platform with integrated Durable Medical Equipment (DME) management and Revenue Cycle Management (RCM) capabilities for Resolve NXT. The platform centralized equipment inventory, order processing, logistics, insurance verification, billing, claims, and reimbursement into a single application, enabling hospice organizations to manage the complete DME lifecycle with greater efficiency.

Built on a modern, scalable architecture, the solution modernized Resolve NXT's legacy PHP application by migrating it to FastAPI and seamlessly integrating third-party services including Claim.MD, Google Maps, Twilio, and SendGrid. The unified platform streamlined operational workflows, improved delivery visibility, accelerated reimbursement processes, and reduced administrative dependency across 12 hospice facilities.

1. Custom DME & Revenue Cycle Platform:

Thinkitive developed a unified platform that centralized DME inventory, equipment ordering, logistics, billing, and reimbursement into a single system. By digitizing the complete DME lifecycle, the solution reduced manual coordination, improved operational visibility, and streamlined workflows across hospice facilities.

  • Centralized DME operations.
  • End-to-end workflow automation.
  • Unified operational platform.

2. DME Inventory & Order Management:

A comprehensive inventory and order management module was built to streamline equipment requests, inventory tracking, order fulfillment, and device lifecycle management. Providers could manage every DME order through a single interface while maintaining real-time inventory visibility.

  • Real-time inventory tracking.
  • Equipment order management.
  • Automated fulfillment workflows.

3. Revenue Cycle Management:

The platform integrated billing, insurance verification, claims processing, reimbursement tracking, patient statements, and appeals into one automated revenue cycle. This reduced administrative effort and accelerated reimbursement workflows.

  • Automated billing workflows.
  • Claims & reimbursement tracking.
  • Insurance eligibility verification.

4. Logistics & Delivery Management:

Integrated logistics capabilities enabled organizations to manage drivers, monitor deliveries, and track equipment through GPS-enabled workflows. Real-time delivery visibility improved coordination and ensured timely DME fulfillment.

  • Driver management.
  • GPS-enabled delivery tracking.
  • Route visibility.

5. Legacy Modernization & Integrations:

Thinkitive migrated the legacy PHP application to a scalable FastAPI architecture while integrating essential healthcare and communication services. The modernized platform delivered improved performance, scalability, and seamless interoperability across operational workflows.

  • FastAPI-based modernization.
  • Connected healthcare integrations.
  • Scalable platform architecture.

By unifying DME inventory, equipment ordering, logistics, insurance verification, billing, and reimbursement into a single modernized platform, Resolve NXT reduced manual coordination, accelerated its revenue cycle, and gained complete end-to-end operational visibility across 12 hospice facilities.

Resolve NXT DME revenue cycle workflow — patient and order intake, insurance verification, prior authorization, documentation and delivery, coding and billing, claim submission, payment posting, and denials and AR follow-up
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Business Value

42% Reduced Administrative Workload

Automated DME ordering, inventory, and billing workflows significantly reduced manual coordination and operational effort.

58% Faster Claims Processing

Integrated billing, insurance verification, and reimbursement workflows accelerated the revenue cycle.

100% Operational Visibility

Centralized inventory, deliveries, and claims into one platform for complete end-to-end visibility.

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