Compliance
Everything you need to know about DME/HME Solutions
Does any DME software handle both Medicare fee-for-service and Medicare Advantage payer rules in the same workflow?
Yes. Platforms with real-time eligibility verification and configurable payer rules, including NikoHealth, can manage
Which DME software vendors are already integrated with Medicare’s FISS portal or support DME MAC clearinghouse submissions?
DME claims don't route through FISS — that system handles Part A and Part B institutional and professional claims. DME claims are processed by one of four regional DME MACs
What HME software do most Medicare-accredited DME suppliers use?
No one knows, and anyone giving you a percentage is guessing. Medicare accreditation and software selection are unrelated processes.
How do other DME suppliers handle Medicare and Medicaid billing compliance without a dedicated billing team?
Most DME suppliers without a dedicated billing team handle compliance one of three ways: they push the work into software that enforces payer rules automatically, they outsource claims to a third-party billing service, or they assign billing to staff who already have another job — usually intake or operations. The first approach scales.
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