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DME Billing Services That Fit Your Existing Workflow
DME billing involves more than coding and submitting claims. Equipment orders, supporting documentation, payer requirements, rental cycles, and recurring supplies need to be coordinated throughout the billing process.
OneMed Billing provides outsourced DME billing services for DME and HME suppliers. We handle eligibility checks, prior authorizations, coding, claim submission, rental billing, payment posting, and denial follow-up within your existing billing platform.
Whether you need support with selected tasks or the full billing process, we agree on responsibilities before work begins. Your team knows what OneMed handles, what requires your input, and how to monitor unpaid claims and outstanding balances.
What You Can Expect From OneMed
Choosing a billing partner means trusting another team with an important part of your business. Here’s how OneMed approaches that responsibility and what you can expect when working with us.
Support within your existing platform
Keep your current billing system while OneMed manages the agreed billing tasks within your existing platform and workflows.
Attention to documentation before submission
Review orders and supporting records to identify gaps that need your team’s attention.
Rental and recurring billing support
Manage the billing work associated with ongoing equipment rentals and recurring supplies.
Claim follow-up and reporting
Track unpaid claims, investigate denials, and review billing performance through agreed reports.
What Our DME & HME Billing Service Covers
DME billing depends on more than getting a claim out the door. We manage the billing work around coverage, documentation, coding, rentals, denials, and follow-up so issues are caught before they turn into unpaid equipment or aging balances.
Eligibility & Same/Similar
We verify active coverage, benefit requirements, and same-or-similar equipment history before billing so avoidable conflicts are found early.
Prior Authorization
We check whether authorization is required, gather the needed documentation, submit requests, and track pending cases so approval delays do not hold up billing.
Documentation Compliance
We review written orders, medical-necessity support, face-to-face documentation, proof of delivery, and continued-need requirements before they become denial or audit problems.
HCPCS Coding & Modifiers
We review HCPCS codes, units, and DME-specific modifiers so the claim matches the equipment supplied and the payer’s billing rules.
Rental & Capped-Rental Billing
We track recurring rental months, capped-rental requirements, continued-need documentation, and billing timelines so expected rental revenue does not stop without follow-up.
Denials, A/R & Audit Response
We work rejected and denied claims, follow aging A/R, respond to payer documentation requests, and handle corrected claims or appeals until there is a clear resolution.
How We Handle DME Billing, Step by Step
A structured DMEPOS billing workflow that keeps documentation, coding, rentals, and payer follow-up aligned at every step.
Order & documentation intake
Standard written order, face-to-face, and medical-necessity documents reviewed for completeness before anything ships.
Eligibility & prior authorization
Coverage, same/similar, and any required prior authorizations confirmed ahead of delivery.
Coding & modifier assignment
We apply correct HCPCS codes and rental versus purchase modifiers according to payer rules.
Claim submission
Clean claims transmitted to the DME MAC or commercial payer with proof of delivery attached.
Rental & recurring billing
Monthly rental cycles and recertifications billed on time, every cycle, so recurring revenue never stalls.
Denial & audit response
Denials and documentation requests worked and appealed promptly, with a full audit trail.
Payment posting & reporting
Payments reconciled by product line and payer, with clear reporting to your leadership.
Why DME Claims Get Denied Even When Coding Is Correct
A DME claim can be coded correctly and still be denied or recouped. Payment depends on the order, medical-necessity documentation, proof of delivery, payer rules, and the correct rental or purchase path all lining up before the claim goes out. These are the gaps we check for, and each one is preventable..
Missing proof of delivery
Without valid proof of delivery on file, an otherwise clean claim can be denied or recouped on audit.
Invalid or missing written order
An incomplete or unsigned standard written order (SWO) can invalidate the claim, no matter how appropriate the equipment is.
Weak medical-necessity documentation
Clinical notes that don't support the item billed are one of the most common reasons DME claims fail on audit.
Wrong rental vs. purchase modifier
A missing or incorrect RR, NU, UE, or KX modifier can stop payment or trigger takebacks.
Same or similar equipment on file
Billing for an item the patient already has on record can lead to an automatic denial.
Missed recertification
Recurring rentals lapse when continued-need documentation isn't renewed on schedule.
DME Billing Reports & Dashboard
See what is happening across your DME billing without waiting for month-end reports. Your dashboard gives you a clear view of claims, payments, denials, A/R, and billing activity so you can quickly spot what is moving and what needs attention.
- A complete documentation trail on every claim
- Timely ADR and additional-documentation-request responses
- TPE and prepayment-review support
- Appeals backed by clinical documentation
- Recoupment defense when payments are challenged
DME & HME Suppliers We Serve
We handle billing for DME and HME suppliers, including equipment sales, rentals, and recurring supplies.
HME & Mobility Equipment Suppliers
We provide billing services for suppliers of manual and power wheelchairs, mobility scooters, walkers, rollators, canes, and crutches.
Respiratory, Oxygen & Sleep Providers
We support suppliers of oxygen equipment, CPAP and BiPAP machines, nebulizers, and ventilators, including rental billing, recurring supplies, and supporting documentation.
Complex Rehab Technology Providers
We support power mobility and custom-seating providers with prior authorizations, detailed documentation, coding, and follow-up on complex equipment claims.
Homecare, Recovery & Patient Safety Suppliers
We provide billing support for suppliers offering hospital beds, pressure-relief mattresses, patient lifts, commode chairs, shower chairs, and related homecare equipment.
Monitoring & Therapy Equipment Providers
We manage billing for suppliers of blood glucose monitors, testing supplies, infusion pumps, and chest therapy equipment, including claim submission and payment follow-up.
Resupply & Recurring Supply Providers
We support providers billing recurring supplies, with attention to eligibility, refill timing, documentation, and follow-up on unpaid claims.
DME Billing Results Our Clients See
What a documentation-first DME workflow is built to deliver.
Revenue keeps improving every month.
Better coding, fewer denials, faster collections and continuous payment monitoring create measurable financial improvement.
First-pass clean claim rate
Denial rate after OneMed
Average days in A/R
ADR & documentation responses
*Representative of results across onboarded DME suppliers. Actual outcomes vary by product mix, payer mix, and baseline.
Case Study: How a 25-Location DME Supplier Recovered $1.8M.
This was a fast-growing DMEPOS supplier across respiratory, mobility, wound care, and home infusion, with 25 locations across three states and about 12,000 claims a month. Billing was decentralized, and documentation was slipping.
The challenge
- Missing proof of delivery and incomplete CMNs driving high denials.
- Prior-authorization bottlenecks for respiratory and mobility equipment.
- Inconsistent HCPCS coding and modifier usage across locations.
- Delayed charge entry between delivery teams and billing.
- Limited visibility into location-level financial performance.
What OneMed did
- We integrated into their existing DME software without replacing the system.
- Centralized the revenue cycle across all 25 locations.
- Verified proof of delivery and CMN before every claim submission.
- Standardized HCPCS coding and modifier usage enterprise-wide.
- Dedicated prior-auth team, with weekly leadership reviews and real-time KPIs.
| Revenue Cycle Metric | Before | After | Industry Benchmark |
|---|---|---|---|
| First-pass claim acceptance | 84% | 96% | 90–95% |
| Average days in A/R | 62 days | 38 days | 45–60 days |
| Overall denial rate | 18.5% | 7.2% | 5–10% |
| Prior-auth turnaround | 7 days | 2 days | 3–5 days |
| Net collection rate | 88.4% | 96.5% | 90–95% |
| Underpayments recovered | Minimal | $215,000 / yr | — |
$1.8M
in previously written-off aged A/R recovered in the first 12 months.
+ $215,000 / yr in underpayments recovered+ Denial rate cut from 18.5% to 7.2%
"Managing billing across 25 locations with varying state regulations and payer rules was becoming impossible for our internal team. OneMed centralized our revenue cycle, enforced strict documentation compliance, and completely transformed our cash flow. We finally have the operational visibility we need to scale confidently."— Vice President of Operations, National DME Supplier
Results measured over the first 12 months of engagement. Benchmark ranges are industry references. Figures reflect this client's outcomes; results vary by product mix, payer mix, and baseline.
HIPAA-Compliant DME Billing & Data Security
Patient and payer data are handled inside a controlled, auditable environment, with documentation aligned to supplier standards.
Switch Your DME Billing to OneMed Without disruption.
Whether you are leaving another biller or moving away from an in-house team, we transition in planned phases so rental revenue and claim flow do not stall.
Review Your Billing Operation
We review your product lines, payer mix, rental cycles, open A/R, and documentation workflow. Together, we identify the priorities and agree on what OneMed will manage.
Set Up Access & Responsibilities
We complete the required agreements, arrange appropriate access to your billing platform, and confirm who handles each task. Your team knows what information to provide and who to contact.
Validate the Workflow
Before expanding the handover, we check the agreed workflow—from documentation review through claim submission and payment posting. Any issues identified are reviewed with your team.
Begin the Planned Handover
We begin with the agreed product lines, payers, or billing tasks. Open claims and recurring rental accounts have clear ownership, so both teams know what remains with the existing operation.
Monitor & Refine
After go-live, we review claim status, denials, collections, and outstanding tasks. We discuss issues with your team and adjust the workflow where needed.
Schedule a Call With a DME Billing specialist.
A 15-minute, no-obligation conversation. Tell us about your product lines and payers, and we will show you where documentation gaps are causing denials and how we would close them.
- Reviewed by a senior DME specialist, not a call center
- A free claim & documentation audit of your current setup
- Medicare DME MAC, commercial, and Medicaid experience
- HIPAA-compliant, with a BAA executed before any data moves
Request received.
Thank you. A member of our team will review your information and be in touch within one business day. We look forward to showing you what your practice should be collecting.
DME Billing FAQs
How much do your DME billing services cost?
We start with a call to discuss your billing needs, claim volume, and the tasks you want our team to manage. We use an FTE (full-time equivalent) staffing model with hourly billing, with staffing based on your workload. After the discussion, we provide a written quote outlining the hourly rate, proposed staffing, and agreed service scope.
How long does onboarding take, and how is the transition managed?
Initial onboarding and system integration typically take 3–10 business days after contract execution. The full DME billing handover follows a phased process, including assessment, access setup, workflow validation, and go-live—not an immediate switch of every billing task
Can we keep our current DME billing software?
Yes. We work within existing platforms such as Brightree, Bonafide, TeamDME!, and DMEworks. OneMed provides the billing team—not replacement software—so you can retain your current system.
Can you help with our existing unpaid DME claims?
Yes. We review outstanding claims, identify payment issues, and follow up with payers. Where appropriate, we help correct claim errors, prepare appeals, and address documentation gaps. We discuss your existing A/R backlog during the initial review and confirm which accounts are included in the service scope.
Do you bill Medicare DME claims as well as commercial and Medicaid claims?
Yes. We handle Medicare DME MAC, commercial, and Medicaid claims, reviewing the supporting documentation, coding, and modifiers required for the equipment and payer involved.
What DME billing reports will we receive?
We provide a centralized dashboard so you can view claim status, payments, denials, and outstanding accounts receivable in one place. This gives you a clear overview of your billing performance and helps you identify accounts that need attention.
Stop losing DME revenue to documentation gaps
Talk to a DME billing specialist and get a free claim & documentation audit — 15 minutes, no obligation.