DME billing means sending insurance claims for medical equipment like wheelchairs or oxygen machines. It includes a doctor’s prescription, insurance check, coding, and claim submission to get payment from Medicare or other insurance companies.
Let’s take an example, a patient has breathing problems. The doctor gives a prescription for an oxygen machine. The billing team checks if Medicare will pay, adds the right code (E1390), and sends the claim. Medicare reviews it and pays for the machine.
DME billing is tough due to complex codes, slow coverage checks, strict documentation, and varying payer rules, causing frequent claim denials. To handle these issues healthcare practices must consider a reputable DME billing company.
A good DME billing service can help healthcare providers handle these problems and get the most payment possible. In this article, we have listed some of the best DME medical billing companies to make it easier for healthcare practices.
1. Nexus io
Nexus io is a medical billing company based in Phoenix, Arizona, offering DME billing services to providers across 30 plus USA states. Their team handles every part of the billing process, including claim submission, insurance follow-ups, and proper documentation for both rented and purchased equipment.
With a 90% collection rate and a 30% reduction in accounts receivable (A/R), they help DME providers improve cash flow and focus more on patient care. Nexus io’s services include accurate HCPCS coding, detailed claim audits, and full revenue cycle management. By following insurance company rules and reducing billing errors, they ensure faster payments and better financial results for healthcare practices.
2. Medwave
Medwave was established in 2000 and is based in Cranberry Township, PA. The company makes about $5 million in revenue, according to ZoomInfo. Medwave provides billing services for Durable Medical Equipment (DME) across the USA. Their services include certified coding, data entry, cleaning up old accounts, audit help, and custom reports.
At the same time, they make sure that billing is appropriately according to rules under Medicare, Medicaid, or private insurance. From handling the full billing process to reducing claim denials, Medwave assists DME providers to make more money and spend less time with the bills, thereby giving more time for patient care.
3. Medisys Data Solutions
Medisys Data Solutions, based in Delaware and founded in 2018, earns about $7.8 million in revenue. Medisys Data Solutions help with everything from clean claim submissions to faster payments.
Medisys Data Solutions expertly manages complex DME billing tasks, including coding for both rentals and sales of medical equipment such as wheelchairs, oxygen tanks, and hospital beds.
Their team uses correct HCPCS codes and modifiers to avoid denials. They also do regular dme billing audits, follow up with doctors, and make sure all paperwork is complete.
4. Medbill
Medbill is a Pittsburgh, Pennsylvania based DME billing company. They have been providing service since 2005. Medbill earns approximately $7.8 million according to ZoomInfo. Medbill offers billing services to DME providers across the USA for products like wheelchairs, hospital beds, and CPAP machines.
The services provided include claim filing, unpaid bill inquiries, audit assistance, and bill coding corrections. They focus on curbing errors, following Medicare guidelines, and ensuring that payments arrive promptly. DME providers proceed to care for their patients and expand their business with the time they get freed by Medbill.
5. Sunknowledge Services Inc.
Sunknowledge Services Inc., started in 2006 and based in New York, is a leading company in DME (Durable Medical Equipment) billing. They earn around $550.1 million, according to ZoomInfo. This company helps doctors and clinics get paid for medical equipment like CPAP machines, oxygen tanks, and wheelchairs. Their skilled team handles coding, sending claims to insurance, following up on payments, and helping with audits.
6. MedHeave
MedHeave is a DME billing company based in Boston, Massachusetts, founded in 2019. With $5.7 million in revenue, they specialize in Durable Medical Equipment (DME) billing services for healthcare providers across the USA.
The company has over 10 years of experience and serves all medical specialties including labs and pharmacies. They offer services like insurance verification, claim submission, and accounts receivable recovery. Medheave promises a 99.9% clean claim ratio, 30-50% fewer claim denials, and 35% increased revenue in the first month for their clients.
7. 3Gen Consulting
3Gen Consulting helps medical equipment suppliers located in Houston to get paid quickly by streamlining the paperwork for wheelchairs, oxygen tanks, and hospital beds. Since 2006, their main focus has been DME billing, which is more difficult than regular medical billing.
Their team performs insurance verification, obtains authorizations, uses proper dme billing codes, files claims, and performs follow-up to ensure that payments are made. This ensures suppliers get paid quickly so that they can spend time assisting patients rather than working with insurance companies.
8. RCM Matter
RCM Matter is a DME billing company based in Glendale, California, earning under $5 million in revenue (per ZoomInfo). They help medical equipment providers get paid quickly by doing accurate billing and coding.
Their team takes care of claims for CPAP machines, home care equipment, artificial limbs, braces, and mobility items like wheelchairs and scooters. RCM Matter works with many billing systems and offers both full and flexible billing support. Their goal is to reduce denials, speed up payments, and boost revenue for DME suppliers.
9. Medcare MSO
MedCare MSO is a medical billing company in Irvine, California, that has been helping DME (Durable Medical Equipment) providers since 2012. They make sure providers get paid faster and with fewer problems. Their trained billing team knows the right codes and rules for DME claims.
They take care of hard tasks like checking documents, getting approvals, fixing denied claims, and making sure everything is done correctly. They also use smart tools to speed up the process. With MedCare MSO’s help, DME providers can focus more on patients, make fewer mistakes, and get better cash flow. Working with them makes billing easier and more efficient.
10. MediBillMD
MediBillMD is a Dallas, Texas based DME billing company, founded in 2023. They help providers get paid faster by offering expert billing services for medical equipment like wheelchairs and hospital beds.
Their results include, claims paid in under 30 days, 10-15% revenue increase, 97% first-pass claim rate, 96% collection ratio, and 98% clean claims rate. Their certified coders handle coding, claims, denials, payments, and reports. MediBillMD uses advanced tools, follows rules, and offers low prices with a 1% promo rate in the first month. They serve providers across the USA.
Things to Consider Before Choosing the Right DME Billing Company in the USA
Medicare and Insurance Claims for DME
Before finalizing a DME billing service company, check their background in Medicare, Medicaid, and private insurance laws relating to durable medical equipment such as wheelchairs, oxygen equipment, and medical supplies.
Nursery DME Technology and Billing Software
Search for DME billing services that use state of the art EMR systems, have real-time tracking of DME claims, and maintain HIPAA-compliant management of patient- and equipment-related data.
Strong DME Denial Management and Appeals Handling
Choose DME billing agencies that have the proven experience to fix denied claims, handle prior authorization requests, and appeals, especially for those claims related to CPAP machines, mobility equipment, and other high-dollar equipment.
Transparent DME Billing Prices
Inquire about setup fees, monthly fees, and reporting methodology based on DME revenue cycle way performance.
Responsive Customer Support for DME Providers
Regardless of the support model, evaluate the turnaround times, whether DME clients are assigned dedicated account managers, the availability of training resources, and the frequency of regular reporting, all of which are crucial to supporting the growth of your medical equipment company.
Bottom Line
Finding the right DME billing company is crucial for healthcare providers who supply medical equipment like wheelchairs, oxygen machines, and CPAP devices. The best DME billing companies in the USA for 2025 offer specialized services including accurate HCPCS coding, Medicare compliance, and efficient claim submission processes.
Top performers like Nexus io, Medwave, and Medisys Data Solutions provide proven results with high collection rates and reduced claim denials. These companies handle complex DME billing challenges including prior authorizations, insurance verification, and appeals management.
We listed these best DME billing providers but take some time to do your own research before choosing one. Then pick the company that gives you the best value for your DME billing needs.
