Are you tired of dealing with DME’s insurance coverage complications? Outsourcing might be your best bet for tackling billing problems! Durable medical equipment (DME) is listed under the products or supplies category and has different billing requirements, including coding and insurance coverage, than other medical services.
Unfortunately, DME billing is a primary target for fraud, with Medicare paying $7 billion annually in reimbursements. Therefore, the Centers for Medicare & Medicaid Services (CMS) constantly introduce new rules and safeguards to guarantee accurate billing. This creates additional challenges for genuine medical practices and healthcare providers, leading to high claim denial rates. Hence, partnering with the best DME billing companies has become essential for compliance and avoiding denials.
Top 10 DME Billing Companies in the USA
DMEs are a critical part of the healthcare industry, enabling patients to maintain their independence and playing a significant role in their rehabilitation and recovery. With the increasing number of chronic patients in the US, the market size of durable medical equipment is also growing at an exceptional 5.63% CAGR rate.
However, DME’s billing process can frustrate anyone, primarily due to the ever-changing insurance requirements, government regulations, and complex HCPCS coding. Successful practices know that they can avoid all of these hurdles through outsourcing. You can also resolve your problems by letting someone else handle your billing process. However, you can get overwhelmed with so many options. Therefore, we have prepared a list of the top 10 DME billing companies in the USA.
1. MediBill MD
Only a few names quickly make their mark in the field. MediBill MD is one such company. This Texas-based outsourcing business, established in 2023, has quickly become a trusted partner of countless practices in the US. Known for short turnaround, effective results, and affordable rates, MediBill MD is the number one DME billing company on our list.
So, if you want to partner with a name that truly understands your needs, choose MediBill MD. Its end-to-end DME billing services cover charge capture and entry, DME coding, claim submission, A/R follow-up, and denial management to ensure timely reimbursements. Allow MediBill MD to become an extension of your team and enjoy the following benefits:
- A/R reduction in less than 30 days
- Revenue improvement by 10 to 15%
- 97% first-pass ratio
- 96% collection ratio
- 98% clean claim rate
2. 24/7 Medical Billing Services
As the name implies, 24/7 Medical Billing Services, or 24/7 MBS for short, takes healthcare billing very seriously and offers round-the-clock support to its clients. With over 12 years of experience, this DME billing company is the second-best on our list.
The company’s unique approach to combining its industry experience with the latest changes, both in technology and regulations, guarantees compliant billing processes and maximized revenue. 24/7 MBS’ experienced coders and billers excel at DME documentation and offer error-free billing solutions, such as patient validation, obtaining prior authorizations, and applying correct codes. The company carries out your entire DME billing with remarkable diligence, offering:
- Customized solutions
- Precise and complete documentation
- Data security
3. MedCare MSO
MedCare MSO’s tagline, “Your Growth, Our Promise,” perfectly captures its commitment to your success. Founded in 2012, this DME billing company ranks third on our list because it understands that your progress is directly linked to the efficiency of your billing process. Hence, the company goes beyond traditional billing methods, offering tailored DME billing solutions that revive your revenue cycle.
MedCare MSO’s experienced team understands that the billing process for DME is quite different from other specialties, often including unique details such as coding requirements and regulatory changes. It simplifies the claims process and guarantees quick reimbursements. In short, MedCare MSO has the specialized expertise you need to tackle all the billing complexities, and offers the following solutions:
- Specific documentation for customized DMEs
- Warranty period confirmation
- DME revenue cycle management
4. Medical Billing Solutions Nationwide
Looking for an expert with a specialized focus on DME billing? Medical Billing Solutions Nationwide (MBSN) is your answer! With over 25 years of experience, this DME billing company has been a trusted name in the US. Headquartered in Florida, MBSN’s sole focus has always been simplifying the DME billing processes of its clients.
As a result, the company serves countless durable medical equipment providers throughout the country, covering everything from respiratory and mobility equipment to diabetic supplies. You can trust its qualified staff to bill and collect your claims successfully. MBSN is an ideal choice for outsourcing for the following reasons:
- Flexible processes
- Cost-effective solutions
- Detailed reports
5. Medwave
Located in Pennsylvania’s Cranberry Township, Medwave is a premier billing, credentialing, and payer contracting company. It serves many clients in numerous U.S. cities, including new or group practices. Like many other top names, Medwave is also a multi-specialty billing company and hence provides comprehensive billing solutions for DME suppliers, such as data entry, A/R cleanups, audits, custom reports, and dedicated support.
In fact, it is a leading name in this sector. This DME billing company excels at filing successful claims. Its team of experts has the knowledge and experience to tackle the ever-changing insurance policies, including Medicaid, Medicare, and all the commercial payers, and their regulations. In short, Medwave can be your one-stop destination for all DME billing needs, offering:
- Negotiation services
- Tailored solutions
- Proper documentation
6. NewTech IT and RCM Solutions
This Tennessee-based DME billing company has over 10 years of experience in resolving claim denials. With a specialized focus on DME medical billing, revenue cycle management, and healthcare outsourcing, NewTech IT and RCM Solutions is a leading name for optimizing cash flows.
This company prioritizes personalized support and develops a customized DME billing strategy after thoroughly analyzing your practice’s needs. Its comprehensive billing solutions are powered by the latest technology to maximize your reimbursements. In short, by outsourcing your billing process to NewTech IT and RCM Solutions, you can:
- Save your time and money
- Access professional guidance
- Improve billing and coding accuracy
7. Sunknowledge Services, Inc.
This American-owned and operated DME billing company, based in New York, is a leading outsourcing name in the country’s healthcare landscape. Founded in 2007, Sunknowledge serves both payers and providers in a variety of ways, including document management, claim adjudication, data analysis, full-scale RCM and practice management, and more.
This dual experience is why many practices trust Sunknowledge with their billing issues. The company has an experienced team of DME billing experts who successfully bill a wide range of devices, from oxygen equipment to blood testing strips. In short, Sunknowledge plays a critical role in maintaining the accuracy of your claims. By choosing this company, you can enjoy:
- Faster financial reimbursements
- Rapid processing of your DME claims
8. Practolytics
Are you looking for a partner to improve your profitability? That’s Practolytics‘ mission! Headquartered in South Carolina, this DME billing company reduces your overheads and improves your efficiency. With an infrastructure built on data security and connectivity, Practolytics is the answer to your compliance issues.
The company simplifies DME billing by following a strict procedure right from the intake process. Its team stays up-to-date with the changes in reimbursement and HCPCS coding guidelines and monitors every detail to maintain proper documentation. Practolytics is an ideal choice to grow your practice for the following reasons:
- Successful track record of submitting more than 200,000 claims every month
- Free RCM audit
- Over 20 years of experience
- Trusted partner of over 180 practices across 31 states
9. Invensis
Sometimes, an offshore company can be the best partner for your practice. With over 24 years of experience and 5,000 professionals, Invensis is a premier BPO company and a preferred choice of many DME providers in the US. It provides expert assistance to resolve your unique billing challenges, including regulatory compliance and insurance coverage issues.
This DME billing company covers everything efficiently, from compiling necessary documentation to prove the medical necessity of a device to claims follow-up and A/R management. Home to experienced certified coders and billers, Invensis helps you receive faster payments with fewer billing errors and less than 8% claim denials. It is known for:
- Standardized patient information recording procedures
- 100% coding accuracy
- Regulatory and insurance compliance
10. Medisys Data Solutions
Based in Wilmington, Delaware’s most populated city, Medisys Data Solutions (Medisys) is the final name on our list. This DME billing company aims to become the most reliable billing and coding partner of healthcare providers by providing tailor-made solutions. Medisys employs and trains certified coders and billers to accurately code and file claims for the sales and rentals of durable medical equipment.
The company simplifies DME billing for small and mid-sized practices in all 50 states. Medisys strives to achieve 100% accuracy and offers live support throughout your working hours. Need more reasons? Here is why you should choose Medisys for your DME billing:
- End-to-end RCM solutions
- High-quality billing processes
- Guaranteed patient data protection
- Quicker turnaround
How to Choose the Best DME Billing Company in the USA?
We have given you the names. It is up to you now to make the right choice. But how do you choose the best option to outsource medical billing? Let us share a small secret! Consider several factors like industry experience (especially a proven track record), technology (software), scalability, data security, transparency (both in pricing and communication), and customer reviews when comparing the best DME billing companies.
Don’t just take any company’s claims at face value. Do your own research before signing up with anyone. Read reviews and testimonials from other providers and then hand over your billing process to the option that offers the most value.
