Preventable denials
The same denial reasons repeat (missing documentation, wrong modifiers, medical-necessity gaps) and quietly become your biggest loss.
Consequence: Lost revenue that could have been avoided.
Impact over timeRising
Medical Billing & Revenue Cycle Management
You care for patients. We take care of the revenue cycle.
NextRCM partners with DME suppliers, nursing homes, home health agencies, and provider groups to simplify billing, reduce denials, and accelerate reimbursements, so you can focus on what matters most.
Fewer DenialsStronger claims. Better outcomes.
Faster PaymentsOptimized follow-up that accelerates cash.
RCM Performance
This Month
Clean Claim Rate
98.2%
+1.2% vs last month
- Average Days in A/R319 days
- Denial Rate6.4%1.3%
- Recovered This Month$126,48018%
Demo data
HIPAA Compliant
- DME expertiseDeep knowledge of DMEPOS billing
- Fewer denialsProactive scrubbing & denial prevention
- Faster A/R follow-upTimely follow-up that accelerates cash
- Transparent reportingReal-time insights you can act on
- HIPAA Compliant
- U.S.-Focused Support
- 50 States Served
RCM Performance
This Month
Clean Claim Rate
98.2%
+1.2% vs last month
- Average Days in A/R319 days
- Denial Rate6.4%1.3%
- Recovered This Month$126,48018%
Demo data
50+ EHR/PM platforms supported
- Google Review
Matt Giddens7 reviews · 1 photoWorking with NEXT RCM has been nothing short of incredible for our company. From day one, their team has gone above and beyond to support us in every way possible.
- Trustpilot ReviewAhsan FareedVerified review
My experience with Next RCM has been excellent. Their team brings a strong combination of healthcare revenue cycle management expertise, medical billing knowledge, operational discipline, and compliance-focused support.
The Real Problem
Revenue leaks where no one has time to look
Lost revenue isn't loud, it's hidden in denials, documentation gaps, aging claims, and staffing strain. NextRCM helps you see what's leaking, fix what's preventable, and get paid faster.
Insight from NextRCMMost practices recover revenue once leaks are traced and fixed at the source.
Documentation gaps
Incomplete orders, missing SWO or proof of delivery, and thin notes stop DME claims before they're paid.
Consequence: Claims delayed or denied.
Impact over timeVariable
Aging AR
Claims you've already earned slip past timely-filing windows because no one has time to chase them.
Consequence: Smaller reimbursements or write-offs.
Impact over timeRising
Staffing strain
Hiring, training, and turnover in billing roles add overhead and risk, right when you need to scale.
Consequence: Capacity gaps and avoidable errors.
Impact over timeRising
These issues compoundacross the revenue cycle.
- Protect revenue you've earned
- Improve cash flow and predictability
- Reduce risk and operational friction
What We Do
Services across your revenue cycle
From your front desk to final reimbursement, with deep DME expertise.
Run any service on its own, or hand us the whole revenue cycle.
- Deep DME expertiseBuilt for DME. Focused on your outcomes.
- Fewer denialsDocumentation, coding & follow-through that stick.
- Faster A/RProven processes that accelerate cash flow.
- Transparent reportingClear dashboards and actionable insights.
How It Works
A virtual team that works inside your systems
- 01
Discovery call
We learn your specialty, payer mix, systems, and goals, then identify where revenue is leaking today.
- 02
Integrate with your EHR
Your team plugs into the EHR and PM platforms you already use. In most cases, nothing changes on your end.
- 03
Embed your virtual team
A dedicated team takes on billing, coding, denials, or AR, working inside the systems you already run.
- 04
Ongoing optimization
We track the metrics that matter, prevent recurring denials, and tune the process as you grow.
Your revenue cycle, in clear view
We use AI to move faster, instant answers, documentation checks, and routine follow-ups, while certified billers, coders, and AR specialists own every result. You get the speed of automation with the judgment of people, and clear reporting so you always know where revenue stands.
- AI handles instant answers, triage, and routine follow-ups
- Certified specialists own coding, denials, and collections
- Clear dashboards and reporting, no black box
Who We Serve
Who We Serve
Pick your world and see the revenue problems we solve and the real services we use to fix them, full-service across DME, home health, physician practices, and clinics.
DME is one of our deepest specialties: a full-service back office built around SWO, proof of delivery, capped rental, HCPCS, modifiers, and medical necessity, so clean claims go out and paid claims come back.
The challenges you face
- Denials from missing or incomplete standard written orders (SWO) and proof of delivery before the claim goes out
- Capped-rental tracking slips and modifier errors (KX, RR, and similar) that quietly leak revenue across rental months
- Medical-necessity documentation that does not match the payer's coverage policy, so claims stall or get clawed back
- Back-office overhead and staffing that grow faster than margin every time supplier volume scales
How NextRCM helps
- DME Growth Support a full-service back office that scales with your supplier volume instead of forcing you to hire and train against it
- Clinical Documentation Support SWO, proof of delivery, and medical-necessity records checked against payer coverage rules before submission
- Medical Coding accurate HCPCS coding plus the right modifiers (KX, RR, and others) and capped-rental month tracking so each claim is billed correctly
- Denial Management appeals and root-cause fixes tuned to the reasons DME claims actually fail
- AR Follow-Up systematic work on aging DME claims so rental and recurring revenue is actually collected
What we aim for
First-pass denial rate under 10%Clean claim rate of 95% or higherA/R over 90 days under 20%Capped rental tracked to the month
Targets we work toward, not guarantees. Results vary by payer mix, specialty, and starting point.
Trusted Partners
The providers and suppliers we work with
Works inside the platforms you already use
Representative platforms our teams have worked across, part of 50+ EHR, practice-management, and DME systems. All product names and logos are trademarks of their respective owners, shown only to indicate compatibility. No partnership or endorsement is implied.
In-House vs. NextRCM
Run it in-house, or make us your back office
See the difference smart RCM support makes across every part of your revenue cycle.
In-HouseYou manage it all.
- Setup & OverheadSetup & Overhead, in-house: Hire, train, and license billing software.
- DME ExpertiseDME Expertise, in-house: Generalist staff learning DME rules on the job.
- DenialsDenials, in-house: Reworked case by case after they happen.
- CoverageCoverage, in-house: Limited to local staff hours and time off.
- ComplianceCompliance, in-house: Your team's burden to maintain.
- ScalingScaling, in-house: Hire and onboard to grow.
- FocusFocus, in-house: Staff split between patients and paperwork.
- ReportingReporting, in-house: Often manual and delayed.
With NextRCMWe run the systems. You see the results.
- Setup & OverheadSetup & Overhead, with NextRCM: No new hires or software to buy. We work in the systems you already use.
- DME ExpertiseDME Expertise, with NextRCM: Deep DME specialists: SWO, proof of delivery, HCPCS, modifiers, capped rental.
- DenialsDenials, with NextRCM: Worked at the root cause and prevented up front.
- CoverageCoverage, with NextRCM: Consistent coverage as an extension of your team.
- ComplianceCompliance, with NextRCM: HIPAA-aligned workflows and BAAs available.
- ScalingScaling, with NextRCM: Scale the team up or down as your volume changes.
- FocusFocus, with NextRCM: Your team stays focused on patients and care.
- ReportingReporting, with NextRCM: Clear visibility into claims, payments, and aging.
Ready to hand it off? Book a consultation
- No long-term contracts
- Transparent pricing
- Results you can measure
- 98.2%Clean Claim Rate
- 31Avg. Days in A/R
- HIPAA-complianthealthcare operations
- 50States Served
Typical figures across established clients, illustrative, not a guarantee. States served is exact.
Client Reviews
Rated 5.0★ by the providers we serve
Real reviews from the providers and suppliers we support.
- RxPro Medical SupplyGoogle review
“Next RCM has been great to work with. They are knowledgeable in medical billing and revenue cycle management, easy to communicate with, and get the work done in a timely manner.”
- Sami AftabGoogle review
“I have been getting more DME orders with their outreach team. They sure do know how to bring results. The best part was there was no retainer, so I am happy with the team overall. I would recommend them 100%.”
- 360 Boat DetailingGoogle review
“Amazing remote desk support. Our calls are answered on time, and I am seeing much improvement in patient booking. They are definitely a great alternative to an in-house team that you have to train and manage. Great value!”
- Jamal MustafaGoogle review
“Next RCM has been great to work with. Usman Shamsi is especially strong in healthcare compliance and audit reviews. He quickly spots documentation gaps, billing risks, and process issues that others may overlook. His clear guidance and attention to detail make a real difference.”
- Ahsan FareedGoogle review
“My experience with Next RCM has been excellent. Their team brings a strong combination of healthcare revenue cycle management expertise, medical billing knowledge, operational discipline, and compliance-focused support.”
- Mohib ZaheenGoogle review
“I had a great experience with Next RCM. Usman Shamsi is highly skilled in healthcare compliance and billing audits, with a strong eye for identifying documentation gaps, claim risks, and process issues. His practical guidance and attention to detail make Next RCM a reliable partner for medical practices and DME suppliers.”
- Dr AltafGoogle review
“I have been working with Usman Shamsi and the NextRCM team for some time now, and I wanted to put my experience in writing, because a genuinely good partner on the billing and compliance side is hard to find in this industry.”
- KrisGoogle review
“Great experience working on medical billing. I recommend this company.”
- Matt GiddensGoogle review
“Working with NEXT RCM has been nothing short of incredible for our company. From day one, their team has gone above and beyond to support us in every way possible.”
- Babar BaigGoogle review
“I rarely write reviews, but Next RCM truly deserves it.”
- Girma AGoogle review
“Great work.”
Trustpilot Reviews
Rated Excellent on Trustpilot
What clients and colleagues say about working with NextRCM, on Trustpilot.
- Dr AltafTrustpilot review
A billing partner who actually understands compliance
“Working with NextRCM has been a genuinely positive experience, and Usman Shamsi is the reason for that. The first thing that impressed me was that he was willing to tell me things I did not want to hear. When we went through our documentation together, he pointed out weaknesses I had not been aware of. He did not dress it up and he did not overpromise. He explained the risk, explained the fix, and left the decision to me. I trusted him from that point onward.”
- Mohib ZaheenTrustpilot review
I highly recommend Next RCM
“I highly recommend Next RCM. Usman Shamsi has a sharp understanding of healthcare compliance and billing audits, and he is excellent at identifying documentation gaps and potential claim risks. His advice is practical, clear, and genuinely helpful.”
- Ahsan FareedTrustpilot review
My experience with Next RCM has been excellent
“My experience with Next RCM has been excellent. Their team brings a strong combination of healthcare revenue cycle management expertise, medical billing knowledge, operational discipline, and compliance-focused support. A major strength of Next RCM is the leadership of Usman Shamsi, CEO of the company. He has an impressive ability to review healthcare billing operations, identify compliance gaps, audit clinical and claim documentation, and detect issues that could lead to denials, payment delays, or payer audits. The Next RCM team is professional, responsive, transparent, and highly attentive to detail. I highly recommend Next RCM and Usman Shamsi to medical practices, healthcare organizations, and DME suppliers looking for a reliable RCM partner.”
- Meekaeel AkhterTrustpilot review
I learned a lot during my time at Next RCM
“I learned a lot during my time at Next RCM. The experience helped me build a strong foundation in the healthcare industry. I would especially like to thank Usman Shamsi, whose in-depth knowledge and clarity about healthcare were incredibly valuable. His guidance played a significant role in my learning and professional growth. Wishing Next RCM and the entire team all the very best for the future!”
- Aneeq EssaniTrustpilot review
I had a great consultation regarding DME
“I had a great consultation regarding DME and its fundamentals. Usman explained everything clearly and was incredibly helpful, especially on the compliance side. His knowledge and practical experience are outstanding, far beyond many industry experts I've worked with. Highly recommended!”
Watch
See how NextRCM works as an extension of your team
A quick look at the full-service revenue cycle partner behind cleaner claims, faster payments, and fewer denials, whether you run a physician practice, a clinic, a home health agency, or a DME supplier.
- Full-service revenue cycle expertise, with deep DME specialty
- Works inside the systems you already use
- A dedicated team, U.S. headquartered
Our Leadership
Founder-led. Accountable. Consistent.
NextRCM is built and led by our founder and leadership team, right from our U.S. base to our Karachi operations hub. We stay close to our clients, learn their practice, and deliver consistent results.
- Dedicated leadershipA stable team that takes ownership and delivers.
- Healthcare RCM expertiseDeep domain knowledge to optimize revenue cycle outcomes.
- Hands-on oversightLeaders involved, ensuring quality, compliance, and client success.
FAQ
Questions providers ask before partnering
Still have a question? Talk to our team and we'll walk through your specific situation, no pressure and no patient data needed.
Get a consultationDME revenue cycle management is the end-to-end financial process for durable medical equipment suppliers: eligibility, documentation (SWO and proof of delivery), coding (HCPCS and modifiers), billing, denials, and AR. NextRCM manages it as a full-service virtual partner.
Ready to reduce denials and get paid faster?
Talk to a U.S.-headquartered revenue cycle team that works as an extension of your office. No pressure, and no patient data needed.
Care settings
Medical billing and revenue cycle management for every care setting
NextRCM is a U.S. medical billing and revenue cycle management company headquartered in Carrollton, Texas, with its operations team in Karachi, Pakistan. We run the full cycle for providers and suppliers: eligibility and prior authorization, coding, claim submission, denial management, AR follow-up and payment posting. Our team works inside your EHR and billing software, with HIPAA-compliant workflows and a BAA. DME is our deepest specialty, and the same team and processes run billing for every care setting below, from home health agencies, hospices and nursing homes to physician practices, labs and surgery centers.
Billing by provider type
DME and HME suppliers
We check every claim for a complete standard written order, proof of delivery and the modifiers that decide payment, such as KX, RR and NU. Capped rentals are tracked month by month, and we request prior authorization for items on the CMS Required Prior Authorization List.
DME billingHome health agencies
We file the Notice of Admission within 5 calendar days of the start of care, as 42 CFR 484.205(j) requires, and bill each PDGM 30-day period. Coding follows the OASIS assessment and the plan of care, and final claims go out once the period is documented.
Home health billingHospices
Medicare requires the Notice of Election within 5 calendar days of the election (42 CFR 418.24(e)), so we track it from intake. We bill all four levels of care, from routine home care to general inpatient care, and keep the hospice cap in view through the cap year.
Hospice billingNursing homes and skilled nursing facilities
We bill covered Part A stays under PDPM from the MDS assessments, keep consolidated billing straight for services furnished during those stays, and bill Part B claims for long-term residents, including therapy, with the authorizations many Medicare Advantage plans require.
Physician practices and medical groups
We code E/M visits and procedures to the documentation, keep modifiers accurate and handle credentialing with each payer. Denials are worked payer by payer, and each fix goes back into coding and front desk steps, across primary care and specialties from cardiology to orthopedics.
Physician practice billingClinics and independent providers
Small teams get full revenue cycle coverage without building a billing department: eligibility checks before the visit, clean claim submission, payment posting from ERAs and EOBs, and patient statements that are easy to read. One point of contact learns your clinic and stays on your account.
Clinic billingBehavioral health and psychiatry
Psychotherapy codes such as 90832, 90834 and 90837 are timed, so we code to the documented minutes, track payer authorizations and visit limits, and follow each payer's telehealth rules for psychiatrists, psychologists, counselors and group practices.
Physical, occupational and speech therapy
Timed codes follow Medicare's 8-minute rule, the KX modifier goes on once a patient passes the annual therapy threshold, and each plan of care is certified before billing. Functional documentation backs up medical necessity on every claim.
Urgent care centers
Walk-in volume means eligibility gets checked at the front desk, not after a denial. We code visits, on-site X-rays, lab tests and minor procedures, use place of service 20 where payers require it, and submit claims daily.
Ambulatory surgery centers
We code against Medicare's ASC covered procedures list, apply the multiple-procedure payment reduction correctly, bill implants and devices with the right codes, and confirm payer authorizations before the surgery date.
Clinical laboratories
Every claim carries the lab's CLIA number and the ordering provider's details. We price against Medicare's Clinical Laboratory Fee Schedule and check diagnosis codes against the lab NCDs and LCDs before the claim goes out.
Another care setting?
We also bill for the 40 specialties on our Who We Serve page, inside the EHR and billing software you already use. Tell us how your revenue cycle runs today, and we will map the work to your setting.
Book a free consultation