QUALITY FIRST

Durable Medical Equipment Credentialing Services

You Have The Equipment. But You're Not Credentialed to Sell It. Thousands in CPAPs, diabetic strips, and braces were denied because your credentialing file missed one field. We handle the entire DME credentialing process from Medicare DMEPOS to private payer approvals. So you can focus on growth, not guesswork.

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What Happens When Credentialing Isn't Built for DME?

Most vendors submit your forms. We build your credentialing around how you actually operate product by product, payer by payer.

Alternate Text What You See
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    Claims denied for "missing HCPCS"
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    Medicare stuck on "pending" for 6+ weeks
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    Commercial payer says "you're not enrolled"
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    Clean claims still getting rejected
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    Second location can't bill yet
Alternate Text What's Actually Broken
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    Your credentialing file doesn't list the products you bill.
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    DMEPOS submitted without supplier ID linkage.
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    Your NPI isn't tied to your product type or location.
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    You're not credentialed for the modifiers you used.
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    Credentialing wasn't expanded to include the new address.

The real damage? These aren't billing issues. They're credentialing failures in disguise.

What Our DME Credentialing Really Does

(And Yes, It's All Included)

1

Product-by-Product Credentialing Strategy

We don't just copy-paste a service list. We analyze your inventory, match it to your billing activity, and credential the SKUs that actually drive revenue.

2

MAC & Payer-Specific Application Filing

Credentialing forms, modifier rules, and product codes vary by region and payer. We handle every local nuance — so you don't get stuck in denial loops.

3

Taxonomy, NPI, and PTAN Compliance Optimization

Wrong taxonomy? Dual NPIs? DMEPOS PTANs not linked? We clean all that up. One mistake can freeze 90 days of payments. We don't let that happen.

4

Real-Time Status Tracking & Weekly Updates

No more "We're still waiting to hear back." You get updates every step of the way submitted, received, pending, approved, all tracked live.

5

Appeals & Reprocessing for Denials

Already got denials due to bad credentialing? We don't leave you hanging. We correct the root cause and reprocess the claims ourselves.

6

Inventory Approval Mapping

We tell you: what's credentialed, what's billable, and what's just sitting on shelves. You'll know what's losing money before it becomes a liability.

7

Medicare + Commercial Enrollment Management

From DMEPOS Medicare supplier enrollment to BCBS, Aetna, Cigna, and state Medicaid we manage the entire multi-payer process in sync.

8

Modular Support for Multi-State Suppliers

Expanding to a new region? We're already credentialing in that MAC zone. No learning curve. No delays.

We Meet Every DME Credentialing Requirement So You Never Miss a Payout

Getting credentialed as a DME provider isn't one form and done. It's a multi-layered process that includes

Requirement
What It Is
How HMS Helps
Medicare DMEPOS Enrollment (CMS-855S)
Mandatory application to become a Medicare-certified DME supplier.
We prepare, file, and track it — error-free.
Surety Bond ($50,000 minimum)
Required by CMS for each NPI and location.
We guide you through bonding vendors and documentation.
Licensing (State + Local)
Varies by state and product type (e.g., oxygen, diabetic supplies).
We verify state-specific licensing requirements.
Accreditation (e.g., ACHC, BOC, The Compliance Team)
Must-have for most payers and CMS.
We help coordinate documentation and survey readiness.
NPI & Taxonomy Accuracy
Incorrect NPI types cause denials.
We validate and correct all NPI and taxonomy data.
PTAN Linking
Your PTAN must match your enrollment & services.
We ensure proper linkage for every product type.
Product-Level Service Listing
Payers require specific product/service codes.
We list, code, and map every item you bill.

Your Products. Our Strategy. One Revenue-Ready Credentialing Plan.

Fill in a few details about what you sell, who you bill, and where you operate. We'll show you exactly what you're missing and how fast we can fix it.

Credentialing That Fits How You Deliver Care

Most credentialing agencies treat every DME provider the same. But you're not running a cookie-cutter operation and your approvals shouldn't be either. Whether you're delivering oxygen tanks across counties, fitting orthotic braces in your storefront, or shipping diabetic supplies through a third-party warehouse, your business model directly impacts how your credentialing should be structured.

Clinic-Based DME

Credentialing integrated with your EMR, front-desk workflows, and physician referrals.

Retail Storefronts

Walk-in patients, POS systems, and on-the-spot claims? We credential for that too.

Home Delivery Providers

Licensed across city or state lines? Your application reflects every delivery route.

Drop-Ship & Fulfillment Ops

We register your warehouses, confirm NPI locations, and prep your logistics backend for payer scrutiny.

Mobile DME Teams

Got traveling wound-care or respiratory therapists? We handle multi-provider, multi-location filings.

Your Revenue Timeline, Shortened

DIY Credentialing

90+ Days
1
CMS-855S Submission 14 days
2
Surety Bond 7 days
3
MAC-Level Review 6 weeks
First Claim Filed 90+ days

With HMS

28 Days
70+ Days Saved!
1
CMS-855S Submission 7 days
2
Surety Bond Sourcing 1 day
3
MAC-Level Review 0 delays
First Claim Filed 28 days

Why DME Providers Choose HMS

We've built a credentialing system engineered around your revenue goals, your delivery model, and your billing mix — not just compliance checkboxes.

Approval-First Process

Every credentialing path reverse-engineered from what payers approve fastest.

Flat-Fee, Full-Scope Packages

One cost, no surprises. Includes CMS-855S, surety bond support, DMEPOS enrollment, NPI linking, and more.

Real-Time Tracking

Get a live view of where your credentialing stands — submission dates, ETA, pending items, and alerts.

Multi-State Expertise

From Florida to California, we know how every MAC region plays and how to pass on the first try.

Follow-Through Guarantee

We don't stop at submission. We push every application until the payer greenlights you to bill.

What Clients Say About Us

Below, you will find feedback from some of our cherished clients. We are proud to have helped them reach their business goals, and we appreciate the kind words they have shared about our services.

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