Comprehensive pharmacy & dme services
Accreditation & Payer Enrollment
- AO Accreditation – application, policy build‑out, mock survey preparation
- Medicare & Medicaid – end‑to‑end enrollment until approval
- Commercial Panels – UnitedHealthcare, and Aetna
- Training & Workflow Build‑out
- Staff Boot Camp – Supplier Standards, HIPAA, Fraud‑Waste‑Abuse
- Order‑to‑Cash Playbook
Formation & Compliance
- Business Entity Creation – Articles of Organization or Incorporation, EIN/Tax ID, and NPI
- State Credentials – New York Certificate of Authority for sales tax
- Risk Protection – $50k surety bond, commercial & professional liability insurance
- Specialty Licenses – NYC “Dealer in Products for the Disabled” permit
- Site & Fleet Setup
- Location Readiness – lease review, zoning verification, showroom layout, OSHA standards
- Vehicle Readiness - proper setup, documentation, sign creation or advisement
Training & Workflow Build‑out
- DME & Pharmacy Accreditation Foundations
- Medicare/Medicaid Billing & Coding Best Practices
- Documentation Accuracy & Medical Necessity
- Regulatory Compliance Updates (State & Federal)
- EDI Claims Submission & Denial Prevention
- Customer Service Excellence & Patient Education
- Role-Based Staff Onboarding & Ongoing Refresher Sessions
Ongoing Consulting
- Regular performance reviews and process audits to ensure sustained compliance with DME and pharmacy accreditation standards
- Continuous updates on regulatory changes (Medicare, Medicaid, state requirements) and proactive implementation of new policies
- Ongoing staff training sessions and workshops on billing best practices, documentation accuracy, and customer service excellence
- Dedicated point of contact for real-time troubleshooting of billing issues, compliance questions, and operational challenges
- Strategic planning support for scaling operations—guidance on opening new locations, expanding service lines, and integrating new technology platforms
Outsourcing Customer Service & Revenue Management
- Patient Support
- Billing Inquiry Resolution
- Claims Follow-Up & Appeals
- Accounts Receivable Management
- Customer Relationship Management (CRM) Integration
- Reporting & Performance Metrics
- Staff Training & Quality Assurance
- Cost-Efficiency & Scalability
- Regulatory & Compliance Support
- By outsourcing to a specialized partner, you can focus on core patient care while ensuring that customer inquiries and revenue workflows are handled efficiently, compliantly, and cost-effectively.
Technology & Vendor On‑Boarding
Technology Onboarding
- Assess current IT infrastructure and recommend optimal DME/pharmacy software solutions
- Configure EHR/EMR and billing systems for seamless DME order entry and claims submission
- Provide hands‐on staff training for new platforms (software navigation, data entry workflows, security best practices)
- Set up automated alerts and reminders (e.g., expiring authorizations, low inventory thresholds)
Vendor Onboarding
- Identify and vet preferred suppliers for DME devices, supplies, and pharmacy products
- Establish vendor credentialing process (contract negotiation, insurance verification, W-9 collection)
- Develop and document vendor‐specific ordering procedures and point‐of‐contact guidelines
- Conduct vendor‐training sessions on your system’s order‐entry protocols and compliance requirements
Ready to Get Started?
Flexible payment plans are available.
Schedule a free discovery call and see how fast your DME business can open its doors.
