DME billing from the order to documented delivery.
An equipment claim needs more than a product code. The order, supporting medical record, item supplied and delivery information must fit the applicable requirements. We help suppliers organize those records and follow claims through rental, purchase or supply workflows within the agreed scope.
- ClaimsDocumentation review
- A/RPayer follow-up
- ReportsClear next actions
Three ways DMEPOS claims quietly lose value
Review these issues against the documentation, remittance and policy that applied on the date of service. They can appear as denials or underpayments.
- The order or supporting record is incomplete
Required documentation varies by item and payer. We identify missing records rather than treating a delivery receipt as a substitute for the clinical documentation.
- The supplier arrangement is not confirmed
Enrollment, benefit and item-specific requirements can affect a claim. We review those details before assuming the supplier may bill.
- Rental or refill history is inconsistent
Dates and prior billing matter for recurring items. We reconcile the history and flag unsupported repeats or gaps.
What we bill for DMEPOS suppliers
If something you do is not on this list, ask. We will tell you honestly whether we have the depth for it.
How DMEPOS accounts are actually run
The worklist connects each claim to its documentation, payer requirements and next follow-up date.
- Identify the items and supplier scope
We review the equipment categories, payers and billing responsibilities involved.
- Match orders, records and delivery
Available documentation is checked against the item actually supplied.
- Review recurring billing history
Rental or supply claims are reconciled with prior submissions and the applicable requirements.
- Follow requests and reconcile payments
The supplier can see which accounts need documents, corrections or payer action.
Included for DMEPOS suppliers
- Charge review against the clinical record
- Eligibility and benefit checks within the agreed scope
- Submission and rejection follow-up
- Payer denial review and supported appeals
- Payment posting and balance reconciliation
- Aged receivable review
- Specific documentation queries for your team
- Reporting on outstanding work and next actions
These describe how we run the service. They are commitments about our process, not a guaranteed outcome on any individual claim.
We work inside the system you already use
We agree user permissions, claim queues, reporting access and escalation contacts in your current system before work begins.
Durable Medical Equipment (DME/DMEPOS) billing across the country
These state guides explain local Medicaid programs and payer administration. They cover general billing requirements, rather than a separate DMEPOS service in each state.
Arizona payer guideAHCCCS and 7+ plans
Washington payer guideApple Health and 7+ plans
Texas payer guideTexas Medicaid and 8+ plans
New York payer guideNY Medicaid and 8+ plans
California payer guideMedi-Cal and 8+ plans
Ohio payer guideOhio Medicaid and 8+ plans
Florida payer guideFlorida Medicaid and 8+ plansWhat DMEPOS suppliers ask
What does DMEPOS mean?
It stands for durable medical equipment, prosthetics, orthotics and supplies. The billing requirements depend on the item and supplier arrangement.
Is a prescription always enough for payment?
No. Additional supporting records, delivery evidence or other requirements may apply.
Can you create missing clinical documentation?
No. We identify what is missing and request it from the appropriate source. We do not invent orders or clinical findings.
Let’s review your DMEPOS billing
Tell us your specialty and the billing issue you want reviewed. We will agree the scope and arrange a secure way to share any records needed.