DME billing software built around your payer mix, not someone else's roadmap

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.