--- title: "Invoicing & billing for dme & hme suppliers" description: "Invoicing & billing for dme & hme suppliers: outsourced invoicing and billing: invoice creation, recurring and progress billing, credit notes and." url: https://ledgerbpo.com/industries/dme/invoicing-and-billing/ updated: 2026-09-11 publisher: LedgerBPO (SS Support Network LLC) language: en-US --- # Invoicing & billing for dme & hme suppliers Invoicing for DME & HME suppliers covers more than Medicare claims. Hospice and nursing-facility contracts are invoiced monthly for per-diem equipment, retail showroom and online sales need receipts and sales tax, private-pay rentals need recurring invoices, and every patient with coinsurance needs a clear statement. LedgerBPO prepares those invoices and statements from your Brightree or Bonafide data, sends them under your brand on an agreed cadence, and records each one in the ledger. - Since 2020 - US · UK · CA · AU - Named accountant plus backup - Your software, no lock-in [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) [Book a 20-minute call](https://ledgerbpo.com/book-a-call/) Updated September 2026 ## How it runs for DME and HME suppliers Claims to Medicare, Medicaid and commercial payers stay with your billing team or with SS Support Network; we make sure the non-claim revenue is billed and posted. ## What are outsourced invoicing services? Outsourced invoicing services mean a remote billing team prepares, checks and sends your customer invoices instead of your office staff doing it between other tasks. The team works inside your accounting or billing software, follows your rate cards and contract terms, and issues credit notes and corrections. You keep control of pricing, approvals and the customer relationship. ## What we handle for DME and HME suppliers - Monthly hospice and skilled-nursing contract invoices built from equipment-in-place reports - Recurring private-pay rental invoices with automatic proration on pickup - Patient coinsurance and deductible statements issued on a fixed monthly cycle - Retail and online sales receipts with taxable and exempt items separated - Every invoice and statement posted to AR the day it is sent ## The KPI that matters here Contract and private-pay invoices issued within three business days of month-end, every month. ## DME & HME compliance notes ### Medicare DMEPOS supplier rules Medicare DMEPOS suppliers must meet the supplier standards, hold accreditation and keep a surety bond to bill Medicare. Payment then follows fee schedules, competitive-bid amounts and capped-rental rules that decide when revenue is earned. Your books need to reflect those payment rules, not a generic sales model. ### Prior authorization CMS keeps a Required Prior Authorization List for certain DMEPOS items, and claims for those items without an affirmed decision are denied. We flag delivered-but-unauthorized orders as unbilled at each close so cash forecasts stay honest. Authorization work itself stays with your intake or billing team. ### HIPAA Patient names and diagnoses appear on remittances, statements and Brightree exports. Our staff are HIPAA-trained, we sign a BAA, access is logged and files are never downloaded to local devices. ### State sales tax on equipment Many states exempt prescribed durable medical equipment from sales tax while taxing retail accessories and over-the-counter items. We track taxable and exempt sales separately in the ledger so returns can be prepared from the books. Your tax preparer or advisor confirms the rules for each state. ## DME & HME software we work in - [QuickBooks Online](https://ledgerbpo.com/software/quickbooks-online/) - [Sage Intacct](https://ledgerbpo.com/software/sage-intacct/) - [Bill.com](https://ledgerbpo.com/software/bill-com/) - [Gusto](https://ledgerbpo.com/software/gusto/) - Brightree - Bonafide - TIMS Software - [All 50 platforms](https://ledgerbpo.com/software/) ## More for DME and HME suppliers Other services for dme & hme - [Bookkeeping](https://ledgerbpo.com/industries/dme/bookkeeping/) - [Accounts receivable](https://ledgerbpo.com/industries/dme/accounts-receivable/) - [Accounts payable](https://ledgerbpo.com/industries/dme/accounts-payable/) - [Bank reconciliation](https://ledgerbpo.com/industries/dme/bank-reconciliation/) - [Month-end close](https://ledgerbpo.com/industries/dme/month-end-close/) - [Financial reporting](https://ledgerbpo.com/industries/dme/financial-reporting/) - [All dme & hme services](https://ledgerbpo.com/industries/dme/) Invoicing and billing in other industries - [Marketing agencies & consultancies](https://ledgerbpo.com/industries/agencies/invoicing-and-billing/) - [Auto repair shops & dealerships](https://ledgerbpo.com/industries/auto/invoicing-and-billing/) - [Behavioral health practices](https://ledgerbpo.com/industries/behavioral-health/invoicing-and-billing/) - [Daycares, schools & education](https://ledgerbpo.com/industries/childcare-education/invoicing-and-billing/) - [The full invoicing and billing page](https://ledgerbpo.com/services/invoicing-and-billing/) ## Frequently asked questions ### How do you invoice hospice per-diem equipment contracts? We pull the equipment-in-place report from your billing system for the month, apply the contracted per-diem or monthly rate per item, and prepare one invoice per hospice with patient initials or IDs as the hospice prefers. The invoice is posted to AR in the ledger and sent under your brand. Disputes over days on service are worked from the delivery and pickup tickets. ### Do you send patient statements? Yes. Statements go out monthly under your company name through our BillingLine desk, showing the item, the payer payment, the remaining patient balance and how to pay through your portal. Wording follows your approved template and avoids any language that reads like debt collection. Patients who call the number on the statement reach an agent trained on your account. ### Can you handle sales tax on retail items? We can record it correctly. Prescribed equipment is often exempt while accessories, over-the-counter items and some rentals are taxable, and the rule differs by state. We separate taxable and exempt sales in the ledger and prepare the figures your preparer needs for the return. We do not file sales-tax returns on your behalf unless that is agreed in scope. Next step ## Books closed. Invoices paid. Every month. Tell us what is going on with your books or billing. You will hear from a named person within 1 business day, with a custom quote and a plan for the first close. - Reply from a named person within 1 business day - No setup fee, month-to-month - Your software, your data, no lock-in Start with a custom quote [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) [Book a 20-minute call](https://ledgerbpo.com/book-a-call/) Or call [+1-657-777-0006](tel:+16577770006) during US, UK or Australian business hours. --- Source: https://ledgerbpo.com/industries/dme/invoicing-and-billing/ · Contact: https://ledgerbpo.com/contact/ · Full site map for agents: https://ledgerbpo.com/llms.txt