DME Start-Up Guidance

Launch a Medicare compliant DME business with structured guidance from initial enrollment through accreditation. We support new suppliers with CMS paperwork, policy development, and readiness required to begin billing.

Experience & volume

500+ new DMEPOS suppliers launched with our guidance

Approval rate

92% of clients passed CMS site visits on the first attempt

Authority

30+ years helping suppliers meet CMS, state, and accreditation body standards

Start Smart. Stay Compliant.

What Is DME Start-Up Guidance and Why It Matters

Starting a Durable Medical Equipment (DME) business isn’t just about registering an LLC and selling equipment—it involves a highly regulated onboarding process with Medicare, state agencies, accreditation bodies, and insurers. From business licensing to surety bonds, CMS-855S, and PTAN acquisition, every step must be timed and executed correctly to avoid delays or denials.

Our team walks you through each requirement, document, and milestone, ensuring that your launch is structured, compliant, and Medicare-ready.

Business Formation Strategy

We help you structure your entity (LLC, Inc., etc.) and NPI registration to align with CMS supplier standards.

License & Surety Bond Support

Guidance on obtaining state DME licenses, liability insurance, and the required $50,000 Medicare surety bond.

Accreditation Prep

We assist in selecting an accrediting body (e.g., ACHC, BOC, or TJC), preparing required documentation, and scheduling inspections.

Common Pitfalls & Costs

Why So Many DME Startups Fail—and How You Can Avoid It

Starting a DME business without expert guidance often leads to missteps that cost time, money, and billing privileges. Here’s where many providers go wrong:

Common Start-Up Mistakes

How We Guide the Process

Step-by-Step Timeline

We map out each milestone: entity creation → licenses → accreditation → CMS-855S → PTAN → PECOS.

Lavear Start-Up Dashboard

Access a custom checklist, document vault, and submission tracker to monitor every part of your launch.

Document Templates & SOPs

We provide editable templates for policies, training logs, facility checklists, and CMS-accepted evidence files.

Accreditation & Site Visit Prep

We perform a mock audit and walk you through the final checklist before NSC inspection or accreditor visit.

THE PROCESS

Our Structured Approach to DME Start-Up

Planning & Business Setup

We help you register your business, obtain an EIN and NPI, and align your operations to Medicare DMEPOS expectations.

Licensing, Bond, & Insurance Coordination

We provide detailed guidance on securing the necessary state licenses, $50,000 surety bond, and $300,000 liability coverage.

Accreditation & Policy Development

You receive a full documentation package, SOPs, and mock audit prep for accreditor compliance.

CMS Enrollment & PTAN Issuance

We handle CMS-855S completion, PECOS submission, and support until your PTAN is issued and active.

Pricing Plan

For Less Than The Cost of One Employee

The Silver Plan

$850.00

Per Month

Home State Only

Full H.A.R.P. Services Through Web Portal Only

The Platinum Plan

1,550.00

Per Month

All States

Full H.A.R.P. Services Dedicated Program Manager

The Gold Plan

$1,250.00

Per Month

Home State Only

Full H.A.R.P. Services Dedicated Program Manager

Reduce CMS errors and protect your revenue

Start-Up Guidance Benefits

Avoid costly delays, failed inspections, and rejected enrollments with expert launch support.

Accelerate Medicare Readiness

We reduce the start-up timeline by helping you complete enrollment and accreditation efficiently.

Minimize Regulatory Risks

Get every detail—licenses, policies, forms—done right the first time to pass CMS review.

Build on a Solid Compliance Foundation

From day one, we help you align with the standards required for long-term DME success.

Launching your DME company? Let’s do it right from the start.

Contact Us

Let's Talk Compliance

Answers to common questions from new DME suppliers

Frequently Asked Questions About DME Start-Up

What licenses do I need to start a DME business?
This depends on your state, but typically includes a DMEPOS license, retail merchant certificate, and tax ID registration.
Yes—Medicare requires your accreditation certificate to be submitted with your CMS-855S for PTAN approval.
With proper guidance, most new suppliers are fully launched and billing within 90–150 days.
We offer corrective action planning and re-inspection support to get you back on track quickly.
Absolutely. We’ll evaluate your business model and recommend the best fit among ACHC, BOC, or The Joint Commission.