DME Billing Company

The documentation decides if
a DME claim gets paid.

A DME claim can fail even when everything about the delivery went right. The equipment was needed, it arrived, the patient is using it, and the claim still gets denied because one document was missing or came too late. Our DME billing services treat documentation as the deliverable, not an afterthought.

96%avg. net collection rate across TruCare clients

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Results across TruCare clients

96%

average net collection rate across TruCare clients

>95%

clean claim rate, accepted on first submission

−37%

fewer claim rejections

−38%

days in A/R

Figures reflect TruCare client results across specialties, trailing twelve months.

Why suppliers choose our DME medical billing services

Rated 4.8 / 5

Based on 180+ client reviews

Verified client reviews

Nov 10, 2026

We stopped shipping before approval

We used to deliver first and chase the authorization after. More than one of those came back denied. Nothing goes out now until the approval is actually on file.

Harlan Voss, supplier owner

2 weeks ago

Proof of delivery stopped being a scramble

Audits used to send us digging through old paperwork for a signature from months back. Now it is captured and stored the same day, every time.

Denise Okwuosa, operations manager

Oct 03, 2026

Our resupply line finally runs on its own

Masks and tubing used to go out when a patient happened to call. Now it runs on a schedule, and nobody has to remember to start it.

Marcus Fielder, billing manager

Aug 21, 2026

The annual accreditation deadline stopped sneaking up on us

That used to be a once-every-three-years problem we forgot about until it was urgent. Now it is tracked like everything else.

Priya Vashisht, compliance lead

Jul 05, 2026

I can see every category in one place

Mobility, respiratory, diabetic supplies, and resupply, all by revenue and by denial reason. I used to pull four different reports to get that picture.

Teodor Rusu, company owner

What we handle, order to resupply

View all services

We get your company enrolled and accredited

TruCred files your Medicare supplier enrollment, keeps your accreditation on its now-annual cycle, and tracks your surety bond and licensure. Nothing lapses without warning.

Supplier enrollmentAnnual accreditationSurety bond tracking

The equipment is not the claim. The paperwork is.

In most specialties, a claim describes a service that already happened. A DME claim describes a decision made ahead of time: that this patient qualifies for this item, that someone documented why, and that an order exists proving a clinician actually prescribed it, not just that a supplier shipped something.

That sequence matters more than the item itself. An order signed after delivery instead of before it can invalidate the whole claim. An authorization filed after the item ships is often too late to matter at all. A missing delivery signature can turn a paid claim into a repayment demand months later, during an audit of something else entirely.

Then there is the second business living inside the first one: resupply. A wheelchair is a single transaction. A CPAP patient needs new supplies on a recurring schedule for years, and that schedule is easy to run well for a month and easy to let slide after that.

A billing company built for one-time medical claims will get the item right and miss the sequence around it. In DME, the sequence is the whole job.

Six places DME revenue disappears

The order was signed after the item shipped

Some categories require a written order signed before delivery, not after. Reverse that order and the claim has no foundation to stand on.

The authorization was filed too late

Items on the growing prior authorization list need approval before they go out. Filed after delivery, the claim is treated as if it never had one.

No proof the patient received it

A claim can be paid and then reversed later in an audit if there is no delivery signature behind it. The item being genuinely delivered does not help if nobody can show it.

Resupply quietly stopped

A patient’s masks and tubing are a recurring claim for as long as they use the device. Practices that stop reaching out after the first sale leave years of revenue unclaimed.

Rental billing ran past its limit

Capped rental items convert to a different billing status after a set period. Billing them the old way past that point is a routine, avoidable denial.

Accreditation lapsed without anyone noticing

What used to be a three-year deadline is now annual. A missed renewal does not just risk a fine. It can suspend billing entirely.

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Ratings shown are collected from verified client reviews.

Our service offerings

Every category your company supplies

Mobility equipment

Manual and power wheelchairs, scooters, and walkers, each with its own documentation threshold and, for several codes, its own place on the prior authorization list.

Respiratory equipment

CPAP and BiPAP devices, oxygen concentrators, nebulizers, and ventilators, with oxygen now carrying its own expanded documentation requirements.

Hospital beds and support surfaces

Beds, mattresses, and pressure-relief surfaces, billed by the specific clinical criteria that justify each level of equipment.

Orthotics and prosthetics

Custom and off-the-shelf devices, billed under their own code families with documentation requirements that differ from general DME.

Diabetic supplies

Continuous glucose monitors, insulin pumps, and test strips, almost all of it recurring and most of it billed monthly.

Wound care supplies and negative pressure devices

Dressings, supplies, and NPWT equipment, often ordered alongside a home health or wound care plan of care.

Enteral and parenteral nutrition

Formula, pumps, and supplies for patients who cannot eat by mouth, billed on a recurring schedule tied to documented need.

Resupply across every category

Masks, tubing, filters, catheters, and test strips, scheduled against each payer’s own replacement interval rather than left to whenever a patient happens to call.

What we actually bring to the operation

Billers who know the sequence, not just the codes

Your claims are handled by certified billers who work DME accounts. They know what has to happen before delivery, not just what code to use after it.

Accreditation and compliance tracked on a calendar

The move to annual accreditation changed how much attention this needs. We track renewal dates the same way we track claims, so nothing is left until it becomes urgent.

No disruption to the system you already run

We work from the software your company already uses for intake and delivery tracking. Your team does not learn a second system to get this done.

Why DME claims actually get denied

A DME denial is rarely an argument about whether the patient needed the item. It is almost always an argument about sequence: what existed, and when.

Here is what causes most of them, and how each one is prevented before it happens.

Curious what your denials are actually costing you?

Send us 90 days of claims and we will show you the pattern.

Request a billing audit

The recurring six:

Dental assistant treating a young patient in a dental chair

Order signed after delivery

If the order needed to exist before the item shipped and it does not, the claim has no basis, regardless of medical necessity.

No prior authorization on file

Items on the required list are denied automatically without an approved request attached. The list has grown twice in the past year alone.

Missing or incomplete delivery proof

Without a captured signature, a paid claim remains exposed to recovery during any later audit, on any claim.

Same-or-similar equipment already on file

A new item denied because a similar one was already provided and is still within its useful life. This requires checking history before ordering, not after billing.

Rental billed past its capped period

Continuing to bill a capped rental item the same way after it converts is a routine, preventable error.

Resupply sent without documented continued need

Recurring items still require proof the patient is using them and still needs them. Shipped without it, the claim is vulnerable even if the previous ones were paid.

What the claim has to prove

Our DME billing and coding services run on a specific sequence of documents, not just a list of codes. Getting the code right matters far less than getting the order, the authorization, and the proof in the right order, before delivery rather than after.

Walk through your documentation with us

The requirements that matter most:

The Standard Written Order

Required before delivery for a defined list of items. A verbal order followed by paperwork later does not satisfy this requirement for the categories it applies to.

Your intake and delivery software stays in place

We do not ask a DME company to change how it manages orders or deliveries. Whether your company runs on Brightree, NikoHealth, or TIMS, TruCare works from the system already tracking your intake, your inventory, and your delivery confirmations.

What changes is what gets caught before it becomes a claim problem. An order about to be signed after delivery instead of before it. An item heading toward the warehouse with no authorization request filed. A resupply cycle that is overdue. Each one surfaces while it can still be fixed.

Check for your system

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Deep integrations with all EHRs

TruCare connects seamlessly with your existing workflows — no switching required.

What 2026 changed for DME suppliers

Accreditation moved from every three years to every year

CMS finalized a shift to annual resurvey and reaccreditation for DMEPOS suppliers, a significant increase in the compliance burden compared to the previous triennial cycle.

The prior authorization list grew twice

CMS added codes to the Required Prior Authorization List in a January notice and again in April, including specific wheelchair, air-fluidized bed, and compression device codes, bringing the list to 74 items.

Oxygen joined the face-to-face requirement list

Eight oxygen-related codes were added to the list of items requiring a documented face-to-face encounter and a written order before delivery.

A real exemption now exists for compliant suppliers

CMS finalized a pathway excusing suppliers from prior authorization entirely once they demonstrate a 90 percent affirmation rate, an incentive to get the process right rather than just fast.

The fee schedule rose, but not evenly

CMS applied a 2.0 percent increase to most items, 2.8 percent for former competitive bidding items and mail-order diabetic supplies, and 2.7 percent for lymphedema compression items, effective January 1.

Competitive bidding is coming back, on its own timeline

CMS finalized a new Remote Item Delivery version of the Competitive Bidding Program, set to return January 1, 2028, with contracts expected to be awarded in 2027. It is not active yet, but suppliers should plan for it.

Someone has to track all of this before it reaches your claims

A list that grows twice a year, an accreditation cycle that just got four times as demanding, and a fee schedule that updates quarterly are a lot to carry alongside actually running a supply company. We carry it instead.

When a code moves onto the authorization list or an accreditation deadline approaches, it becomes a check in our process automatically, not something discovered when a claim bounces or a renewal notice arrives late.

In-house vs. outsourced

What a growing company cannot track by hand

One person can manage DME billing for a small, steady book of business. Growth, a longer prior authorization list, and an annual accreditation cycle change that math quickly. Outsourcing DME billing services puts the sequence checking on people who do nothing else.

The question	One in-house biller	TruCare
Order timing	Checked when a claim denies	Verified before the item ships
Prior authorization	Filed when there is time	Filed and tracked to affirmation, every time
Proof of delivery	Collected inconsistently	Captured and stored the same day
Resupply	Runs until someone forgets	Scheduled against each patient’s interval
Accreditation	A calendar reminder, if that	Tracked as part of daily operations
Same-or-similar checks	Done after a denial explains it	Checked before a new order is placed
Cost shape	Salary, benefits, training, software	A percentage of collections, so it scales with volume
Staff absence	Billing slows or stalls	Coverage is handled without disruption
Regulatory change	Noticed through a denial pattern	Built into process before it affects a claim
Visibility	A report assembled on request	Live, by category and by payer

Compare against your numbersCurious where your company actually stands? Send us 90 days of denials and aging A/R.

Hover a state to see coverage

Where we serve

DME billing in every state

We work with dedicated DME and HME companies, orthotics and prosthetics practices, and clinical practices that dispense equipment alongside patient care. As a durable medical equipment billing services provider, we handle supplier enrollment, documentation sequencing, and resupply the same way regardless of which category of equipment you supply.

Prior authorization tracking

Resupply scheduling

Annual accreditation support

Multi-category billing

Multi-state enrollment

A named account contact

Who we bill every day

Medicare Part B

Supplier standards, the authorization list, and the 2026 fee schedule changes

Medicare Advantage

Authorization rules that differ plan by plan

Medicaid and managed Medicaid

State programs and MCO plans

BCBS and Anthem

Equipment coverage policies that vary by plan

Centene family

Molina, WellCare, Amerigroup

Other

Self-pay for non-covered items and upgrades

We bill whatever plans your company is contracted with. If you are not contracted yet, TruCred handles the enrollment.

DME billing saver guide

A company collecting $1.6 million saves up to $33,220 a year by outsourcing to TruCare

	In-house billing	With TruCare	Annual saving
Dedicated billing staff	$73,060	$0	$73,060
Billing software and clearinghouse	Varies	Included	—
Training, turnover, and coverage	Varies	Included	—
TruCare fee (from 2.49% of collections)	—	$39,840	—
Total annual cost	$73,060	$39,840	$33,220

Example: a company collecting $1.6 million a year with one full-time biller, at TruCare’s starting rate of 2.49%. Biller cost uses the BLS May 2025 median wage for medical records specialists ($51,140), with benefits at 30% of total compensation. Software and training costs vary by company and are not counted. We do not replace your intake team, we take the claims and authorization work off it. Larger companies are quoted on volume rather than at the starting rate, so a bigger supplier should not scale this example up.

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The difference six months makes

“We had always treated billing as something that happened after the delivery truck left. The problem was never the equipment. It was everything that was supposed to happen before the truck left, and we were finding out about gaps in that sequence months too late, usually during an audit. Fixing the order of operations mattered more than anything else we changed.”

Harlan Voss

Supplier owner, multi-category DME company

The documentation decides ifa DME claim gets paid.