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Durable Medical Equipment

AI-native revenue cycle for DME suppliers.

Medical-necessity review, payer-ready documentation and HCPCS coding power accurate claims for PAP, mobility, oxygen and supplies—without changing how your team works.

Request a DME demoSee the workflow
Clinician reviewing durable medical equipment with a patient, including a wheelchair and CPAP device

Necessity review active

Live
  • Lower cost to collect
  • Faster collections and cash flow
  • Denials prevented, not appealed

From order to payment

  1. 01

    Step 1: Capture

    Orders, chart notes, sleep studies and delivery records are captured with the referral.

  2. 02

    Step 2: Necessity review

    AI checks LCD/NCD criteria against the documentation for each item.

  3. 03

    Step 3: Documentation drafted

    A payer-ready medical-necessity narrative and CMN packet is written from the record.

  4. 04

    Step 4: Clinician review

    The ordering provider or DME supplier confirms findings before billing.

  5. 05

    Step 5: HCPCS coding & claim

    HCPCS codes, modifiers and required attachments go out together.

  6. 06

    Step 6: Payment

    Cleaner first-pass claims and faster payment on PAP, mobility and oxygen.

AI reads the order. The supplier approves the claim.

Sleep studies, face-to-face notes and delivery records become a structured medical-necessity narrative and suggested HCPCS codes. The clinician reviews flagged criteria, confirms accuracy and approves — then the claim goes out with the attachments DME MACs expect.

  • Narratives tied to the record

    Every sentence of medical necessity maps back to a qualifying test or chart finding.

  • Supplier in control

    Review, edit and approve HCPCS codes before anything is billed.

  • Saves intake time

    Focused review instead of rebuilding CMNs, F2F notes and proof of delivery.

  • Secure and compliant

    Approvals logged with a complete audit trail.

Medical necessity

PAP setup, diagnosis G47.33

Complete

Sleep study

AHI 28

SpO₂ 82% · F2F on file

Findings → documentation

Sleep study•AHI 28

In-lab PSG documents AHI 28 with oxygen desaturation to 82%. Qualifies for PAP under the applicable LCD.

Encounter•Face-to-face

Face-to-face evaluation within 6 months. Symptoms of OSA documented. Order signed by treating physician.

Delivery•Proof of delivery

Beneficiary acknowledged receipt of E0601 and A7034. Serial number and date of service on file.

Proven financial impact for DME suppliers

Increase in collections

5–15%

Increase in collections

Reduction in days to payment

20–40%

Reduction in days to payment

Reduction in denials

30–50%

Reduction in denials

ROI within the first year

3–7x

ROI within the first year

Purpose-built capabilities for DME revenue cycle