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DME credentialing services
Are you a DME supplier struggling to meet payer enrollment demands? Whether you’re applying to Medicare as a DMEPOS provider or seeking Aetna DME credentialing, delays and denials can block your revenue stream. That’s where MEDXPERT Services steps in with certified experts who understand each stage of the DME credentialing process.
What Is DME Credentialing and Why Does It Matter
DME credentialing is the process of enrolling as a Durable Medical Equipment (DME) provider with public and private payers like Medicare, Medicaid, and Aetna. Without it, you can’t legally bill or get reimbursed for the equipment and services you provide, no matter how essential they are to patient care.
Credentialing ensures that:
- You meet CMS standards for DMEPOS suppliers
- Your practice complies with payer-specific rules
- You’re officially approved to submit claims and receive payment
Meeting credentialing criteria for Aetna and Medicare DME providers entails more than simply paperwork; it also requires licensure, CMS 855S form submission, PECOS registration, and, in many cases, DMEPOS accreditation from a CMS-approved company.
Our DME Credentialing Services
Aetna DME Credentialing
We handle the full application process with Aetna, ensuring your DME business meets their strict documentation and policy requirements. We manage all correspondence, CAQH setup, and follow-up until you're approved.
Medicare DMEPOS Enrollment (CMS 855S)
We complete and submit the CMS 855S application, create or update your PECOS profile, and ensure you're listed correctly as a Medicare DMEPOS supplier, including guidance on NSC accreditation.
DME Credentialing Requirements Compliance
We gather and validate all necessary information to meet federal and commercial payer rules, including licensure, liability insurance, NPI registration, proof of location, and supplier standards.
State Medicaid & Commercial Payer Enrollment
Credentialing with additional payers? We enroll you with state Medicaid programs and major networks beyond Aetna, ensuring complete payer coverage for your DME operations.
Re-Credentialing & Monitoring
Credentialing isn’t a one-time task — it’s an ongoing responsibility. We track your license renewals, accreditation status, and contract expirations, taking proactive steps to keep you compliant and protected at all times.
Accreditation Support (NSC Standards)
We help you prepare for and pass DMEPOS accreditation through CMS-approved companies such as ACHC or The Compliance Team, which is required for Medicare acceptance.
Why MEDXPERT Is the Right Choice for DME Credentialing
MEDXPERT does not offer generic certification solutions; rather, we specialize in DME credentialing and have a deep understanding of Aetna and Medicare provider enrollment. Our team involves trained experts, including CPCs, CMRS, CMBS, and healthcare compliance specialists, all of whom are prepared to address the technical and regulatory obstacles that DME providers encounter. We understand the requirements for meeting payer-specific standards, particularly when it comes to Aetna DME credentialing, Medicare’s 855S enrollment, PECOS registrations, and DMEPOS certification.
What sets us apart is our process-driven approach backed by real compliance expertise.
We don’t just file paperwork — we conduct full credentialing audits, gather required documents accurately, and manage your enrollment from start to finish. Our experts know how to avoid delays, fix red flags, and move your applications smoothly through Medicare, Aetna, Medicaid, and commercial payer systems. Whether you’re a new DME startup or expanding into new networks, we tailor every step to your business.
Comprehensive Medical Coding Services
Ready to optimize your practice’s revenue and streamline your billing process? Fill out the form to request a free consultation and learn more about our comprehensive medical coding services. Our team of experts is here to answer all your questions and help you take the next step toward financial success.
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Our Credentialing Process: Step-by-Step
We make the process simple, structured, and fully managed from end to end.
Credentialing Audit
We evaluate your current status, identify gaps, and map out which payers (Medicare, Aetna, etc.) you need enrollment with.
Data Collection
We gather all required credentials, licenses, and forms, including DEA, CLIA, NPI, business license, and location documents.
Application Completion & Submission
We complete applications, verify details per DME requirements, and submit to each payer — managing CAQH, PECOS, and CMS portals directly.
Follow-Up & Approval
We follow up persistently with payers until approval is confirmed, contracts are signed, and your billing can begin.
Let’s Get You Credentialed
