There are many reasons why DME is the ideal software solution for non-emergency medical transportation providers, but in addition to the cost and organizational benefits, one of many fundamental reasons for using DME is because our platform will never integrate with any brokers, their proprietary platforms, or affiliated strategic partners.
The reason for this restriction is because integrated platforms afford brokers exclusive access to providers entire business model. Brokers can monitor clients and sources of revenue, trip dynamics, statistics, and analytics. Brokers can evaluate providers trip management processes and procedures and dispute possible milage charges.
Because the most profitable non-emergency medical transportation providers are not reliant on brokers, catering to and integrating DME with brokers is not a priority. Although this lack of integration might create an extra step in receiving and submitting trips and processing payments from brokers, the protection and preservation of our member-providers, their customers, partners and sources of revenue are paramount.
DME is designed to save our member-providers money by reducing cost while empowering dispatchers, so they remain organized, efficient and effective as possible to add to the top and bottom line.
If you are experienced in the non-emergency medical transportation industry, you know and understand the dynamics associated with brokers. If you are new to the industry, you will quickly learn - the most important thing to a broker is THEIR bottom, NOT yours!
Brokers are notorious for issuing trip approvals only to reduce reimbursement amounts when they determine you should have taken a shorter route. Other common practices designed to reduce the billable amount is to change the mode of transport after service has been rendered. For example, a provider transports a patient in their wheelchair, but because the patent had previously been transported as "ambulatory," the broker reverts the transport to "ambulatory" in an effort to reduce the rate of reimbursement.
Additional vulnerabilities are when a broker loses a contract. When providers invest in and use a dispatching platform owned or designated by brokers, when the broker loses the contract in favor of another, the transportation provider loses complete access to that platform if owned by the previous broker. Nothing could be more vulnerable and undermine the logistical operation of a transportation provider than integrating and intertwining their systems and services with brokers.
Modivcare, formerly known as Logisticare, is the nation's largest Medicaid broker and is publicly traded (MODV). Among other brokers, Modivcare is notorious for granting trip approval only to deny reimbursement for various reasons. Complaints by transportation providers and independent operators for non-payment or partial payment are common and frequent. Such vulnerabilities underscore why providers should not give brokers access to anything other than broker trips. When brokers have access to company information, client info, data and statistics, revenue, and invoicing, it undermines negotiating power and earning potential.