DME Suppliers & Pharmacies
Support DME suppliers and pharmacies with Medicare compliant licensing, enrollment, and operational oversight.
We help equipment and medication providers maintain accreditation, billing readiness, and ongoing regulatory compliance.
Licensed Providers Supported
600+ DME suppliers and pharmacies assisted with licensing, accreditation, and payer enrollment
Documentation Readiness Rate
98% of clients maintained survey-ready documentation year-round
Payer Network Coverage
Support for enrollment in Medicare, Medicaid, and 60+ commercial networks
Why Documentation, Licensing & Credentialing Matter for Revenue
DME suppliers and pharmacies operate in one of the most tightly regulated sectors of healthcare. Missing delivery documentation, outdated licenses, or failed accreditation renewals can stop reimbursements overnight. Whether it’s Medicare audits, PBM pharmacy network restrictions, or payer credentialing delays, the financial and compliance risks are high.
We manage your compliance lifecycle—proof of delivery, staff licensing, accreditation renewals, and payer enrollments—so your business stays operational, billable, and audit-ready.
Proof of Delivery & Documentation Control
We establish airtight proof-of-delivery workflows, verify patient signatures, and ensure all required clinical documentation is linked for every claim.
Licensing & Accreditation Support
From state DME licensure to NABP pharmacy accreditation, we file renewals on time and track expiration dates so you never miss a compliance deadline.
Payer Enrollment & Network Access
We help secure your position in Medicare, Medicaid, and PBM networks to expand patient access and protect revenue.
Why DME Suppliers & Pharmacies Fail Compliance Checks
Missed documentation, outdated records, and incomplete applications can halt approvals—address these gaps to keep operations moving.
Frequent Documentation & Operational Issues
-
Missing Proof of Delivery
Claims denied for lack of signed delivery tickets or shipping confirmation. -
Expired Licenses or Accreditations
Even one day past expiration can cause suspension of payer contracts. -
Unlinked NPIs or Incorrect Tax IDs
Mismatches between NPPES, IRS, and payer records stall reimbursement. -
PBM or Payer Panel Terminations
Missed recredentialing windows or compliance violations can result in removal from networks.
How We Manage DME & Pharmacy Compliance Start to Finish
Initial File & Compliance Review
We audit existing delivery records, licenses, and payer contracts for gaps.
Document Management & Tracking
Our system alerts you to expiring licenses, insurance certificates, or accreditations before they lapse.
Payer & PBM Enrollment Filing
We prepare and submit applications for Medicare, Medicaid, PBM contracts, and commercial payers—following up until approved.
Ongoing Monitoring
Live tracking of credentials, contracts, and documentation via your client dashboard.
Our Structured Approach to DME Start-Up
Compliance & Documentation Review
We verify proof of delivery, patient records, licenses, and payer alignments to identify compliance risks.
System & Workflow Integration
We implement digital tracking for deliveries, licenses, and expiring credentials.
Enrollment & Credentialing Filing
We manage Medicare, Medicaid, PBM, and commercial payer enrollments with follow-up until confirmed active.
Renewal & Recredentialing Alerts
We monitor all renewal timelines, submit required documents, and update payers before deadlines.
For Less Than The Cost of One Employee
The Silver Plan
$850.00
Per Month
- Human Resources
- Accreditation
- Credentialing Medicare
- Credentialing – Home State HME License
- Credentialing – Home State Medicaid
- Risk Management Assessments and Reporting Forms are provided to you for implement.
- Patient Experience Survey, Complaint and Grievance Forms are provided to you for implementation
Home State Only
Full H.A.R.P. Services Through Web Portal Only
The Platinum Plan
$1,550.00
Per Month
- Human Resources
- Accreditation
- Credentialing Medicare
- Credentialing – Home State HME License
- Credentialing – Home State Medicaid
- Credentialing – Out-of-State HME Licenses
- Credentialing – Out-of-State Medicaid Applications
- Credentialing – Commercial Insurance for In Network Benefits
- Risk Management Assessments and Reporting Forms are provided to you for implement.
- Patient Experience Survey, Complaint and Grievance Forms are conducted by QPI Healthcare Services
All States
Full H.A.R.P. Services Dedicated Program Manager
The Gold Plan
$1,250.00
Per Month
- Human Resources
- Accreditation
- Credentialing Medicare
- Credentialing – Home State HME License
- Credentialing – Home State Medicaid
- Credentialing – Commercial Insurance for In Network Benefits
- Risk Management Assessments and Reporting Forms are provided to you for implement.
- Patient Experience Survey, Complaint and Grievance Forms are conducted by QPI Healthcare Services
Home State Only
Full H.A.R.P. Services Dedicated Program Manager
Compliance Benefits for DME Suppliers & Pharmacies
Proper compliance processes ensure faster approvals, reduce the risk of failed inspections, and keep reimbursements on schedule.
Faster Claim Approvals
Eliminating documentation gaps prevents avoidable delays.
Protected Network Access
Stay active with payers and PBMs by meeting every compliance checkpoint.
Lower Audit Risk
Maintain survey-ready files for CMS, state boards, and accreditation bodies.
Need help keeping your DME or pharmacy compliant and fully credentialed? Let’s get you audit-ready year-round.
Let's Talk Compliance
Frequently Asked Questions About DME & Pharmacy Compliance
Why is proof of delivery such a big deal for DME?
Without signed proof of delivery and physician authorization, Medicare and commercial payers can deny claims or demand repayment.
How often do I need to renew my DME or pharmacy license?
Most licenses require annual renewal, but timelines vary by state—our system tracks them all..
Do PBMs really remove pharmacies from networks?
Yes—missed recredentialing, compliance violations, or failing audits can result in termination.
Can you help if I’ve already failed an audit?
Yes—we can implement corrective actions, rebuild documentation, and assist in appeals.