DME Billing Software Development
DME and HME suppliers billing wheelchairs, oxygen equipment, CPAP machines, and hospital beds to Medicare, Medicaid, and commercial payers need HCPCS-coded claims tied to CMN documentation, delivery and pickup logistics, and recertification/resupply scheduling - work a generic platform handles for the median supplier, not your specific payer mix and equipment lines. We build billing, compliance, and logistics software around how your operation actually runs.
HCPCS-coded claims and billing for Medicare, Medicaid, and commercial payers, built around your actual payer mix
CMN documentation workflows that keep every certificate of medical necessity tied to the claim it supports
Delivery, pickup, and recertification/resupply scheduling that matches how your drivers and CSRs actually work
Fixed-cost delivery, scoped up front, with source code ownership
Bring the problem, the current workflow, or the existing code. We reply with a practical next step within one business day.
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The brief
Good software decisions begin with the constraint, not a list of features or a preferred technology.
Your billing team working around a platform built for the median DME supplier, not your specific payer mix and equipment categories?
Wondering what happens to your billing platform's roadmap now that the market leader is owned by a public device company?
Plain answer
DME billing software development covers HCPCS-coded Medicare, Medicaid, and commercial claims, CMN (certificate of medical necessity) documentation workflows, delivery and pickup logistics, and recertification/resupply scheduling for durable medical equipment suppliers. RaftLabs builds this for DME/HME suppliers whose payer mix, equipment categories, or referral and EHR integrations have outgrown a generic platform. A focused billing and CMN documentation module typically runs $30,000-$70,000 over 14-18 weeks; a full platform adding delivery and resupply scheduling and payer integrations runs $70,000-$130,000 over 18-22 weeks, at a fixed cost.
What to remember
Proof
DME and HME suppliers billing Medicare, Medicaid, and commercial payers across wheelchairs, oxygen equipment, CPAP machines, and hospital beds need HCPCS-coded claims tied to CMN documentation, delivery and pickup logistics, and recertification or resupply scheduling - work that gets harder to keep clean as payer mix and equipment categories grow, not easier. We build the billing, documentation, and logistics layer around how your operation actually runs.
Capabilities
Claims generated against your actual equipment categories, submitted to Medicare, Medicaid, and commercial payers with clearinghouse integration and remittance posting.
Certificate of medical necessity tracking tied directly to the claim it supports, with recertification deadlines flagged before they lapse instead of caught after a denial.
Route scheduling and proof-of-delivery capture for drivers, tied back to the billing record so equipment status and claims never fall out of sync.
Automated scheduling for CPAP supplies, oxygen refills, and other recurring resupply items, built around payer-specific reorder windows.
Eligibility verification, claims submission, and remittance posting integrated with the clearinghouses and payer systems you already work with.
Serial and lot tracking for rented and purchased equipment across warehouses, delivery vehicles, and patient locations.
How we work
We map your payer mix, equipment categories, CMN and documentation requirements, and current billing workflow gaps. You leave with a written scope and a fixed-price quote.
We design the HCPCS claim data model, the CMN documentation structure, and the integration layer for clearinghouses, payer systems, and referral or EHR sources.
You review working software at each sprint. Billing, CMN workflows, and delivery/resupply scheduling are built and tested incrementally.
The platform runs against real claims and CMN data so your billing team can validate clean-claim accuracy before going live.
Why us
The engineers who map your payer mix and CMN workflow also build the billing and scheduling layer. No offshore handoff after the contract is signed.
We scope the work, calculate the cost, and lock it in writing before any development starts.
A track record building compliance-conscious billing platforms that handle claims, documentation, and sensitive patient data with audit trails designed in from the start.
No vendor lock-in after delivery, and no exposure to a future acquisition changing your platform's roadmap. The codebase, and everything built into it, is yours.
Claims Management Software
Claims processing and adjudication software for payers and administrators - a different side of the claim lifecycle from DME supplier billing.
EHR Integration
FHIR and HL7 integration for connecting DME billing and referral workflows to the EHR systems your referral sources run.
Healthcare Admin Automation
Automating scheduling, documentation, and administrative workflows beyond billing, for healthcare and DME operations teams.
DME billing software generates and submits HCPCS-coded claims to Medicare, Medicaid, and commercial payers for durable medical equipment - wheelchairs, oxygen equipment, CPAP machines, hospital beds, and similar categories. It ties each claim to its certificate of medical necessity (CMN), and typically covers delivery/pickup logistics and recertification or resupply scheduling as well, so billing, documentation, and equipment status stay in sync.
A focused billing and CMN documentation module typically runs $30,000-$70,000 and takes 14-18 weeks. A full platform that adds delivery/pickup logistics, resupply scheduling, and payer or clearinghouse integrations runs $70,000-$130,000 over 18-22 weeks. We scope a fixed cost after discovery.
Brightree, TIMS, and NikoHealth are established DME billing platforms, and Brightree in particular is now owned by ResMed, a large public medical device company. TIMS's own marketing has leaned on staying an independent, privately held alternative to that kind of acquisition. We're not claiming to be TIMS - we're making the same structural argument from a different angle: custom software is built around your exact payer mix, equipment categories, and workflow, and the codebase stays yours, not subject to being acquired or re-prioritized by whoever buys a vendor next. Established platforms are strong tools for suppliers whose needs fit their model; custom software makes sense once your payer mix or integration needs don't.
We build CMN tracking as a first-class part of the data model - tied directly to the claim it supports, with recertification deadlines flagged before they lapse - rather than a separate document store your billing team has to cross-check by hand. HCPCS coding is scoped to your actual equipment categories during discovery, with clearinghouse submission and remittance posting built around the payers you bill most.
Yes. Eligibility verification, claims submission, and remittance posting integrate with the clearinghouses and payer systems you already use, and referral or EHR integration is scoped during discovery based on what your referral sources actually run.
Most suppliers start with the focused billing and CMN documentation module and add delivery/pickup logistics and resupply scheduling once the billing layer is live. We scope toward the smaller build first unless your current billing system is genuinely the smaller problem.
Work with us
Tell us your payer mix, equipment categories, and where your current billing platform falls short. We'll scope a fixed-cost build.