Did you know that over 40% of DME providers face delayed payments due to missing documentation or incorrect HCPCS coding? These aren’t just clerical issues—they lead to denied claims, compliance audits, and massive cash flow disruptions that can jeopardize the entire operation.
With strict Medicare guidelines, same/similar checks, and ever-changing reimbursement rules, DME billing is one of the most complex segments in the healthcare revenue cycle. It requires precision, speed, and a deep understanding of coverage criteria and modifier usage—because even one misstep can trigger a weeks-long delay or worse, clawbacks.
That’s why working with a DME-focused billing partner isn’t just helpful—it’s mission-critical. These specialized services bring hands-on experience with CMNs, prior authorizations, rental vs purchase modifiers, and payer-specific nuances that generic billing teams often miss.
In this guide, we’ve ranked the top 10 DME medical billing companies in the U.S. for 2025—so you can find a partner that’s equipped to boost your collections, minimize denials, and help your business scale with confidence in a tightly regulated billing landscape.
What is DME Medical Billing?
DME medical billing is the process of submitting and managing insurance claims for durable medical equipment like wheelchairs, CPAP machines, orthotics, and nebulizers. It involves navigating strict payer guidelines, using precise HCPCS and ICD-10 codes, and ensuring compliance with documentation requirements to secure timely and accurate reimbursements for DME suppliers and providers.
Top 10 DME Medical Billing Companies in the USA
| Rank | Company Name | Rating | Specialization (with LSI keywords) | Unique Feature |
|---|---|---|---|---|
| 1 | Quality Healthcare Systems (QHS) | ⭐⭐⭐⭐⭐ | Full-service DME billing and revenue cycle management services | 98% clean claim rate; 97% first-pass ratio; 30% revenue increase |
| 2 | BellMedEx | ⭐⭐⭐⭐ | DME and HME billing services, including respiratory equipment claims | Medicare/Medicaid billing expertise; compliance audits |
| 3 | Medisys Data Solutions | ⭐⭐⭐⭐ | DME billing services with a focus on clean claim filing and revenue collection | Comprehensive billing services designed to maximize revenue |
| 4 | DME Billers | ⭐⭐⭐⭐ | End-to-end DME billing services | Practice management, EHR integration, flexible pricing options |
| 5 | Invensis Inc | ⭐⭐⭐⭐ | DME billing services with a focus on claims processing and RCM | High-efficiency claims processing; competitive pricing models |
| 6 | Unify Healthcare Services | ⭐⭐⭐ | DME billing and RCM services | Affordable pricing models; fast claim processing |
| 7 | Medical Billers and Coders (MBC) | ⭐⭐⭐ | Custom DME billing solutions with flexible service models | Tailored solutions for DME providers; experienced coding experts |
| 8 | Sun Knowledge | ⭐⭐⭐ | DME billing services with a focus on patient access and medical equipment | Specialized in patient access and claims support |
| 9 | Medheave | ⭐⭐⭐ | DME billing services with error-free charge entry and claim submission | Focus on accurate claim submission and A/R recovery |
| 10 | RCM Matter | ⭐⭐⭐ | DME billing solutions, specializing in CPAP & respiratory equipment | Fast claim processing; CPAP billing expertise |
| 11 | ASP RCM Solutions | ⭐⭐⭐ | DME billing services with a focus on audits and denial management | Expertise in audits and denials; strong follow-up processes |
| 12 | 24/7 Medical Billing Services | ⭐⭐⭐ | Comprehensive revenue cycle management and medical billing services | Reliable, consistent service; responsive support |
| 13 | CareCloud | ⭐⭐⭐ | DME billing services integrated with practice management solutions | Cloud-based solutions; integrated patient engagement tools |
| 14 | Infinite-O | ⭐⭐⭐ | Outsourced DME billing and coding services for healthcare providers | Strong healthcare data management focus |
| 15 | Connext Global Solutions | ⭐⭐⭐ | DME billing, coding, and healthcare administrative services | Back-office support expertise; comprehensive medical billing services |
| 16 | Promantra | ⭐⭐⭐ | Medical billing and coding services with a focus on prior authorization | Strong denial management systems; detailed reporting capabilities |
| 17 | AdvancedMD | ⭐⭐⭐ | Cloud-based medical billing platform, including DME billing solutions | Advanced billing system; integration with practice management tools |
| 18 | Kareo | ⭐⭐⭐ | Cloud-based DME billing services with practice management integration | Scalable, user-friendly interface for small and mid-size practices |
| 19 | Practolytics | ⭐⭐⭐ | DME billing solutions integrated with practice management | Helps optimize practice workflow and revenue cycles |
| 20 | MedCare MSO | ⭐⭐⭐ | Specialized in DME billing services and reimbursement optimization | Electronic claim submission and efficient follow-up processes |
1 . Quality Healthcare System (QHS)
- Years in Service: Over 15 years
- U.S. State: North Carolina
- Website: qhshealth.com
- Key Services: DME medical billing, denial management, claims follow-up, prior authorization handling, CMN processing, rental vs purchase tracking
- Pricing: Plans start from 3% to 7% of collections, based on service level and features included.
With over 15 years of experience in revenue cycle management, Quality Healthcare Systems (QHS) has earned a reputation as the most reliable DME billing company in the United States. Specializing in Durable Medical Equipment billing, QHS helps suppliers navigate complex HCPCS coding, Medicare compliance, and documentation-heavy claims with precision and speed.
QHS delivers fully tailored billing workflows for DME providers, home medical equipment companies, and rehab equipment suppliers. Their deep expertise in handling CMNs, same/similar denials, rental-to-purchase transitions, and strict payer audits positions them as a strategic partner—not just a billing vendor. If you’re looking to reduce denials, accelerate reimbursements, and stay audit-ready, QHS offers the focused support and scalable solutions DME businesses need to grow with confidence.
| Aspect | Pros/Cons |
|---|---|
| Proven Expertise | ✅ 15+ years of specialized DME billing and denial management experience. |
| Tailored Solutions | ✅ Customized billing strategies for each DME client’s unique needs. |
| Advanced Technology | ✅ Cutting-edge technology for fast denial identification and streamlined claim processing. |
| Comprehensive Service | ✅ Full-service DME billing management, from claim submission to follow-up. |
| Faster Resolution | ✅ Quick claim resolutions that significantly improve cash flow and reduce payment delays. |
| Proactive Prevention | ✅ Identifies billing trends to prevent future denials and ensure continuous revenue flow. |
| Implementation Time | ❌ Initial setup may require a learning curve for full integration with existing systems. |
| Requires Collaboration | ❌ Customization requires active involvement from clients to ensure seamless integration. |
2. DME Billers
Location: New York
Specialty: End-to-end DME billing services
Top Services: Practice management, EHR integration, billing solutions
DME Billers is a specialized DME billing company that provides end-to-end services designed to streamline billing operations for healthcare providers. Operating out of New York, DME Billers focuses on assisting DME suppliers, home healthcare providers, and other stakeholders within the industry.
They offer comprehensive practice management solutions, integrate Electronic Health Records (EHR), and provide billing services to ensure smooth operations.
DME Billers also prioritize compliance with HIPAA and other healthcare regulations to protect client data while ensuring the efficient flow of payments.
| Pros | Cons |
|---|---|
| ✅ Comprehensive end-to-end services | ❌ May not support small-scale providers |
| ✅ Efficient claim handling | ❌ High pricing for small businesses |
| ❌ Limited industry-specific services | |
| ❌ May require training for new users |
3. MedCare MSO
Location: Illinois
Specialty: DME billing services
Top Services: Electronic claim submission, insurance follow-up, reimbursement optimization
MedCare MSO, based in Illinois, specializes in providing a range of DME billing services with a strong focus on revenue cycle management for durable medical equipment providers. Their core offerings include electronic claim submission, insurance follow-ups, and reimbursement optimization.
MedCare MSO provides these services to ensure that DME suppliers can focus on their core business operations while their billing issues are handled by experts.
| Pros | Cons |
|---|---|
| ✅ Optimized claims submissions | ❌ Limited regional service coverage |
| ✅ Reimbursement maximization | ❌ Can be expensive for smaller clients |
| ❌ Customer support may be slow | |
| ❌ Service scalability issues |
4. Invensis Inc
Location: Texas
Specialty: DME billing services
Top Services: Claims processing, revenue cycle management
Invensis Inc is a well-established DME billing service provider that specializes in claims processing and revenue cycle management. Their advanced systems ensure timely payments for durable medical equipment providers, minimizing claim errors and delays.
| Pros | Cons |
|---|---|
| ✅ Specialized DME billing services | ❌ May not offer custom solutions |
| ✅ Fast claims processing | ❌ Could be complex for new clients |
| ❌ High setup costs | |
| ❌ Limited customer support availability |
5. Unify Healthcare Services
Location: Texas
Specialty: DME billing and RCM services
Top Services: Comprehensive DME billing, competitive pricing models
Unify Healthcare Services offers competitive DME billing services and comprehensive revenue cycle management. Their approach ensures that DME suppliers maximize reimbursement and streamline their billing process through tailored pricing models.
| Pros | Cons |
|---|---|
| ✅ Competitive pricing models | ❌ Service may lack personalized touch |
| ✅ Comprehensive RCM solutions | ❌ Limited integration options |
| ❌ Slow claims processing | |
| ❌ Limited expertise in specialized equipment billing |
6. Medical Billers and Coders (MBC)
Location: New York
Specialty: Revenue Cycle Management solutions
Top Services: Customized DME billing solutions, flexible service models
Medical Billers and Coders (MBC) offers customized DME billing solutions, including flexible service models for a range of DME suppliers. Their services focus on maximizing reimbursements and minimizing denials.
| Pros | Cons |
|---|---|
| ✅ Flexible billing models | ❌ Limited support for small businesses |
| ✅ Customized DME billing services | ❌ Can be complex for startups |
| ❌ Higher service fees | |
| ❌ Service quality may vary |
7. Sun Knowledge
Location: New York
Specialty: DME billing services
Top Services: Billing procedures, patient access to medical equipment
Sun Knowledge offers comprehensive DME billing services, focusing on billing procedures and patient access to medical equipment. Their robust systems improve billing efficiency, reduce errors, and speed up the reimbursement cycle. Sun Knowledge ensures that their clients experience minimal delays while providing consistent support to DME suppliers.
| Pros | Cons |
|---|---|
| ✅ Efficient billing procedures | ❌ May require extra training for users |
| ✅ Strong customer support | ❌ Limited to specific billing systems |
| ❌ Can be costly for smaller providers | |
| ❌ Lack of highly customizable solutions |
8. Medisys Data Solutions Inc
Location: Arizona
Specialty: DME billing and coding
Top Services: Filing clean claims, revenue collection
Medisys Data Solutions provides expert DME billing and coding services, specializing in filing clean claims and revenue collection. They streamline the process with highly accurate coding practices and work diligently to recover denied claims, reducing client financial losses and improving revenue cycles for DME suppliers.
| Pros | Cons |
|---|---|
| ✅ Accurate coding and claim submission | ❌ Some clients report slower processing times |
| ✅ Effective denial recovery | ❌ Limited availability of industry-specific billing expertise |
| ❌ Can be complex for first-time clients | |
| ❌ High upfront costs |
9. ASP RCM Solutions
Location: Illinois
Specialty: DME billing services
Top Services: Claims handling, audits, denial management
ASP RCM Solutions is a proficient DME billing service provider, offering reliable claims handling, audits, and denial management services. Their expert team ensures the timely submission of claims while also working to recover denied payments. ASP RCM Solutions focuses on streamlining revenue cycle management for their DME clients.
| Pros | Cons |
|---|---|
| ✅ Reliable claims handling | ❌ Lacks highly personalized services |
| ✅ Strong denial management | ❌ Service may not cater to small businesses |
| ❌ May require extensive onboarding | |
| ❌ Limited scalability for large enterprises |
10. 24/7 Medical Billing Services
Location: Ohio
Specialty: Revenue Cycle Management
Top Services: Medical billing, coding, compliance solutions
24/7 Medical Billing Services offers a complete range of DME billing solutions, including medical billing, coding, and compliance solutions. Their round-the-clock services ensure that DME suppliers can submit claims and receive payments promptly, minimizing downtime and optimizing the reimbursement cycle.
| Pros | Cons |
|---|---|
| ✅ 24/7 support services | ❌ May not offer specialized solutions for complex needs |
| ✅ Wide range of billing solutions | ❌ High service costs for small providers |
| ❌ Limited customization of billing systems | |
| ❌ Potential delays in complex claims processing |
11. BellMedEx
Location: Pennsylvania
Specialty: DME and HME billing services
Top Services: Medicare/Medicaid billing, O&P and respiratory equipment claims, compliance audits
BellMedEx specializes in DME and HME billing services, with a focus on Medicare/Medicaid billing and respiratory equipment claims. Their expertise in O&P and respiratory equipment claims helps DME providers maintain compliance and streamline the reimbursement process with minimal errors and delays.
| Pros | Cons |
|---|---|
| ✅ Expertise in Medicare/Medicaid billing | ❌ Limited focus on other billing types |
| ✅ Specialized in respiratory equipment claims | ❌ Service quality may vary |
| ❌ Not ideal for non-respiratory DME providers | |
| ❌ Customer service can be slow at times |
12. Medheave
Location: Massachusetts
Specialty: DME billing services
Top Services: Error-free charge entry, insurance eligibility verification, claim submission and scrubbing, A/R recovery
Medheave offers a comprehensive DME billing service with a focus on error-free charge entry, insurance eligibility verification, and claim submission. Their proactive A/R recovery system ensures that DME suppliers experience fewer denied claims and faster reimbursements, streamlining the entire revenue cycle.
| Pros | Cons |
|---|---|
| ✅ Proactive A/R recovery | ❌ Can be complex for new users |
| ✅ Error-free charge entry | ❌ Limited scalability for large providers |
| ❌ High fees for small providers | |
| ❌ Limited customer service support |
13. RCM Matter
Location: Texas
Specialty: DME billing solutions
Top Services: Accurate coding for equipment prescriptions, fast claim processing, CPAP & respiratory equipment billing
RCM Matter specializes in DME billing solutions, offering accurate coding for equipment prescriptions and fast claim processing. Their expertise in billing CPAP and respiratory equipment makes them a preferred partner for DME suppliers looking to optimize reimbursements and reduce denials.
| Pros | Cons |
|---|---|
| ✅ Fast claim processing | ❌ Limited services for non-respiratory equipment |
| ✅ Accurate coding for prescriptions | ❌ Can be expensive for smaller businesses |
| ❌ May not cater to niche DME markets | |
| ❌ Customer support could be improved |
14. Practolytics
Location: Tennessee
Specialty: Comprehensive medical billing services
Top Services: Revenue cycle management, practice management solutions
Practolytics offers a comprehensive range of DME billing services alongside revenue cycle management and practice management solutions. Their focus is on improving overall billing efficiency, ensuring that DME providers streamline their operations while maximizing reimbursements and minimizing claim denials.
| Pros | Cons |
|---|---|
| ✅ Comprehensive revenue cycle management | ❌ Limited options for smaller clients |
| ✅ Strong practice management solutions | ❌ High fees for larger operations |
| ❌ May not suit niche DME markets | |
| ❌ Customer support response time is slow |
15. Promantra
Location: New Jersey
Specialty: Medical billing and coding services
Top Services: RCM services, prior authorization, denial management
Promantra provides professional medical billing and coding services, specializing in DME billing services and prior authorization. Their services help DME suppliers navigate complex billing processes while ensuring proper reimbursement through effective denial management.
| Pros | Cons |
|---|---|
| ✅ Specialization in DME billing | ❌ Limited customer support availability |
| ✅ Effective prior authorization services | ❌ Service costs can be high for smaller companies |
| ❌ Not ideal for large-scale DME providers | |
| ❌ Limited customization options for specific needs |
16. AdvancedMD
Location: Utah
Specialty: Cloud-based medical billing platform
Top Services: Medical billing, practice management, EHR solutions
AdvancedMD offers a cloud-based medical billing platform tailored for DME providers. Their billing solutions, combined with practice management and EHR integration, help DME suppliers optimize their revenue cycles. Their platform enhances claim accuracy and speeds up reimbursement processes for durable medical equipment suppliers.
| Pros | Cons |
|---|---|
| ✅ Cloud-based billing platform | ❌ High upfront setup costs |
| ✅ EHR integration | ❌ May not support all billing needs |
| ❌ Learning curve for new users | |
| ❌ Limited support for small providers |
17. Kareo
Location: California
Specialty: Cloud-based medical billing services
Top Services: Billing, EHR, practice management
Kareo offers a cloud-based medical billing service for DME providers, focusing on billing, EHR, and practice management solutions. Their intuitive platform helps DME suppliers streamline their processes, ensuring timely claims submission and optimized reimbursement rates.
| Pros | Cons |
|---|---|
| ✅ User-friendly cloud-based platform | ❌ Not ideal for large DME suppliers |
| ✅ Efficient billing and practice management | ❌ Can be costly for smaller operations |
| ❌ Limited customization for niche needs | |
| ❌ Some reports of slow customer service |
18. CareCloud
Location: Florida
Specialty: Healthcare software and medical billing services
Top Services: Billing, practice management, patient engagement tools
CareCloud offers innovative healthcare software and medical billing services, specializing in DME billing solutions. Their integrated system supports billing, practice management, and patient engagement tools. DME suppliers benefit from optimized reimbursement cycles and improved operational efficiency with CareCloud’s all-in-one platform.
| Pros | Cons |
|---|---|
| ✅ All-in-one platform | ❌ Expensive for small businesses |
| ✅ Integration with patient engagement tools | ❌ Limited support for very small DME providers |
| ❌ May require extensive training | |
| ❌ Some users report technical issues |
19. Infinite-O
Location: California
Specialty: Outsourcing solutions for healthcare providers
Top Services: Billing, coding, healthcare data management
Infinite-O provides outsourcing solutions for healthcare providers, specializing in DME billing services, coding, and healthcare data management. Their expertise helps DME suppliers optimize billing processes and improve claim approval rates. Infinite-O’s efficient workflow solutions ensure that their clients get the most out of their revenue cycle management.
| Pros | Cons |
|---|---|
| ✅ Specialized in healthcare data management | ❌ High cost for smaller clients |
| ✅ Focus on coding and billing | ❌ Limited flexibility for complex billing needs |
| ❌ May not support niche DME products | |
| ❌ Some clients report delayed claims processing |
20. Connext Global Solutions
Location: Hawaii
Specialty: Back-office support services
Top Services: Medical billing, coding, healthcare administrative services
Connext Global Solutions offers back-office support services, specializing in DME billing, coding, and healthcare administrative services. Their efficient billing solutions help DME suppliers maintain compliance while improving their overall revenue cycle management. They are committed to providing high-quality service for healthcare providers across the United States.
| Pros | Cons |
|---|---|
| ✅ Comprehensive back-office support | ❌ May lack highly personalized service |
| ✅ Strong coding and billing solutions | ❌ Not ideal for small or startup DME providers |
| ❌ Service costs can be higher for larger businesses | |
| ❌ Limited customization options for unique billing needs |
Why Quality Healthcare Systems (QHS) Excels in DME Medical Billing
Quality Healthcare Systems (QHS) stands at the forefront of DME medical billing, offering specialized solutions designed to meet the unique needs of DME suppliers and home medical equipment providers. From accurate claim submissions and denial management to navigating the complexities of Medicare and payer policies, QHS provides comprehensive billing support that ensures smooth operations and maximized reimbursements.
What sets QHS apart is its proactive approach to resolving billing issues. By identifying common denial causes, addressing root problems, and leveraging advanced analytics, QHS improves claim approval rates and accelerates payment cycles.
With a focus on minimizing rental vs purchase confusion, processing CMNs, and handling prior authorizations with precision, QHS has consistently reduced denials and sped up claim resolutions—delivering measurable improvements within just 30 to 90 days.
Reasonable and Transparent Pricing
QHS offers competitive and transparent pricing based on the level of service that best suits your practice’s needs. With pricing models tailored to different service tiers, healthcare providers can select the level of support that fits their financial goals while ensuring high-quality denial management.
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Lite Plan – 3%: Includes claim reviews for billing errors, claim transmission, front-end rejections, working on A/R and denials, and post-payment processing.
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Premium Plan – 5%: Adds custom billing reports and 1 login for software, in addition to all features of the Lite plan.
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Premium+ Plan – 7%: Offers additional features like patient invoicing, pre/post-pay audit assistance, and 2 logins for software.
See How QHS Transforms Revenue for Healthcare Providers
Read real success stories from our clients and discover how QHS helped them boost collections and streamline operations. [Explore Success Stories →]
Other Services Quality Healthcare Systems Provides:
A/R Management | Revenue Cycle Management | Provider Credentialing
