DME Consulting
Direction for your DME business, before you delegate it.
Founder-led consulting for durable medical equipment suppliers: get compliant, stay billable, and be ready for the audit before the letter arrives. Advice and working sessions from the team that runs DME billing every day.
- Founder-led
- HIPAA-aligned workflows
- DMEPOS depth: SWO, POD, capped rental, LCD
Two kinds of suppliers walk in the door
Launching a DME business
You need the sequence right the first time: accreditation, surety bond, NPI, CMS-855S enrollment, state licensing, and payer enrollment, in the order that gets you to go-live without a stall.
Running one that leaks
You bill every day but denials repeat, documentation is thin, or an audit would hurt. You need a diagnostic, a compliance program, and a team that knows which fix moves the number.
What we advise on
Every engagement is working guidance from operators, documented so your team can run it after we leave. Execution services are separate and linked where they fit.
New-supplier setup and enrollment guidance
A sequenced path through accreditation, surety bond, NPI, CMS-855S, state licensing, and payer enrollment, with the documentation each step needs. Guidance level; approvals rest with the payers and accreditors.
See End-to-End DME SetupCompliance program consulting
Documentation standards your intake can actually follow: SWO discipline, proof-of-delivery practice, LCD and medical-necessity alignment, and a written program with owners and checkpoints.
Audit readiness reviews
A proactive review of the records a TPE, RAC, or DME MAC auditor would pull, the gaps ranked by exposure, and a corrective plan, before any letter arrives.
Facing an audit now? Audit SupportDenial and revenue diagnostics
A structured review of where your claims actually fail: denial codes by payer and reason, documentation root causes, and a prioritized fix list your team or ours can execute.
Operations and scaling consulting
Intake to cash workflow design for growing suppliers: roles, handoffs, resupply cadence, and the reporting that shows whether the machine is working.
Team training for supplier staff
Working sessions for your intake, documentation, and billing staff on the rules that decide DME payment, taught from live examples with the PHI removed.
Four steps, run in order
- 01
Assess
We review your documentation, denials, and enrollment posture against the rules that actually govern your claims.
- 02
Fix the foundations
The gaps that create repeat denials and audit exposure get corrected first, with written standards your team keeps.
- 03
Implement and train
New workflow lands with the people who run it: working sessions, checklists, and a clear owner for every step.
- 04
Monitor and improve
We define the numbers worth watching and review them with you, so the fix holds after the engagement ends.
Who you work with
Founder-led, operator-taught
Consulting engagements are led by Usman Shamsi with the Karachi operations team behind the analysis: the same people who run DME billing, documentation review, and audit responses every day. You get direction from practitioners, not a slide deck.
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Not sure where to start
Bring us one messy question
The first consultation is a real working session: bring your denial report, your audit letter, or your launch plan, and leave with the next three steps written down. No patient information, business documents only.
Free tools our consulting clients use
DME consulting, honestly answered
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 consultationFor most DMEPOS supplier types, yes: accreditation and the surety bond come before Medicare enrollment is approved, and billing follows enrollment. The right sequence saves months; our setup guidance walks it with you. Requirements vary by supplier type and change with CMS guidance, so we confirm the current rules for your case.
Get direction from people who do the work
Book a consulting session, or call us and describe where it hurts. We will tell you honestly whether you need advice, execution, or both.