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DoxDME — Clinical DME + Full HME Business Operations

The Only DME System That
Can See the Nights

Most equipment software runs the warehouse. DoxDME runs the warehouse and reads the therapy data, because it lives inside the chart — so adherence, documentation, rental billing and resupply all decide from the same truth.

Schedule a Demo See the Full Lifecycle
4hr / 70%
Medicare Adherence Engine
13-Month
Capped Rental Automation
30
Purpose-Built Screens
One
Chart, Clinic to Doorstep
The Full Lifecycle
Referral to Reimbursement, Without Leaving the Chart
DoxDME covers every stage a supplier actually works — intake, authorization, fulfilment, delivery, compliance, rental billing and resupply — on the same patient record your clinicians document in.
1

Intake & Qualification

Referrals arrive by fax, e-prescribe API or the EHR encounter. Insurance eligibility is checked as DME specifically, not a generic benefits ping.

2

Authorization & Documentation

Prior auth, CMN, face-to-face notes, the written order and the sleep study all live in one document vault with expiry tracking.

3

Fulfilment & Delivery

Pick from serialized stock, purchase or drop-ship what you don't have, schedule the slot, route the run and capture a signature at the door.

4

Compliance, Billing & Resupply

Nightly adherence scoring, capped-rental claims with the right month modifier, patient statements, and resupply the moment the patient is eligible.

Clinical Data Decides the Billing
A standalone HME system bills a rental month because the calendar says so. DoxDME bills it because the patient actually used the machine — and holds it when they didn't.
📈

Medicare Adherence, Computed Not Attested

The 4-hour / 70% rule is evaluated against real per-night data over the 30-of-90-day window — usage hours, AHI, leak and mask-off events — with a visual compliance calendar per patient.

Core
🔒

The Adherence Gate on Rental Months

PAP rental months 4–13 are gated on the nights. No qualifying window means the month is raised for review with the reason stated and no KX modifier applied — rather than billed now and recouped later.

Audit Defense
🔗

Device Data Ingest

Per-night therapy data arrives by manufacturer link, JSON API or CSV upload, and is matched to the right chart by roster link — no serial-number scavenger hunt required to get started.

Integration
⚡

Feeds Remote Monitoring

The same nights that prove compliance also drive RTM data days and CPAP coaching, so one data feed serves both the supplier's audit file and the practice's monitoring revenue.

Connected
🔔

Non-Compliance Caught Early

Alerts and a practice-wide action view surface the patients drifting out of the window while there is still time to intervene — not at month 13 when the claim is denied.

Proactive
📋

The Documentation Follows the Order

Face-to-face encounter, written order prior to delivery, sleep study and CMN are tracked against the order they belong to, with expiry dates, so an audit request is a download rather than a search.

Compliance
Orders, Authorization & Documentation
Everything the Payer Will Ask For
Qualification and paperwork are where DME margin is won or lost. DoxDME keeps the order, the authorization and the evidence in one place.
📦

Equipment Orders & Pipeline

CPAP, BiPAP, ASV, oxygen, supplies and general HME — ordered from a 90+ item catalog and tracked on a status pipeline from qualification to delivered.

📝

Physician Order PDFs

Generated with the clinical documentation attached, ready for signature — the written order prior to delivery, produced from chart data instead of retyped.

📋

Prior Authorization Workflow

Submission tracking, payer reference numbers, approval windows and expiry alerts, so an auth never lapses between approval and delivery.

📄

CMN Tracking

Certificates of medical necessity tracked per patient and per device with recertification dates surfaced before they expire.

📁

Document Vault

Sleep studies, face-to-face notes, signed orders, delivery tickets and proof of delivery filed against the patient and retrievable as an audit packet.

✅

DME-Specific Eligibility

Real-time benefit checks that ask the clearinghouse about durable medical equipment coverage specifically — deductible, coinsurance and DME benefits, not a generic medical answer.

🔑

E-Prescribe Referral Intake

Referring practices post orders straight into your intake queue with their own API key. Every inbound referral creates a task — and never silently merges into an existing chart.

📌

Intake Queue & Tasks

A working queue with assignment, due dates and badges, so nothing sits between "referral received" and "patient set up".

Warehouse & Field Operations
A Real HME Back Office, Not a Clinical Afterthought
Purchasing, serialized inventory across locations, vendor EDI, delivery scheduling, route sequencing and a driver app — the operational half that clinical systems normally leave to a second vendor.
🏗

Locations & Stock

Multiple warehouses and branch locations with on-hand stock, transfers between sites and cycle counts that record a variance instead of quietly writing stock off.

🔢

Serial-Level Tracking

Every machine is received as its own inventory row and tracked by serial for life — through delivery, pickup, service and reissue.

📷

Barcode Scanning

Scan to look up, receive or move stock from the inventory screen — no separate scanner application.

🛒

Purchasing & Receiving

Vendor catalog, reorder suggestions, purchase orders and receiving with over-receipt refused rather than clamped, so the count stays honest.

📡

Vendor EDI

X12 850 purchase orders out; 855 acknowledgements, 856 advance ship notices and 810 invoices in. Short shipments and invoice variances raise a task instead of being absorbed.

🚚

Drop-Ship

Ship direct from the vendor to the patient's door, with the inbound ship notice creating the delivery record complete with carrier and tracking.

📅

Delivery Scheduling

Bookable slots governed by real rules — service days, time windows, per-slot capacity, lead time, blackout dates and ZIP service area as a hard boundary.

🗺

Route Sequencing

Stops ordered for the day's run from the depot outward, with fixed-time appointments never reordered — and the route honestly labeled with the precision your address data supports.

📱

Driver App

A mobile run manifest with tap-to-navigate, on-screen signature capture and proof of delivery — and completing from the field fires the same billing and resupply chain as the back office.

🔧

Work Orders

Repairs, exchanges, preventive service and pickups tracked against the specific serial, with parts drawn from stock.

🏢

Vendor Management

Terms, catalogs, drop-ship capability and per-vendor performance kept where purchasing happens.

📦

Supply & Reorder View

Consumables demand from live resupply schedules, so mask cushions and filters are ordered against what is actually due.

Recurring Revenue That Bills Itself Correctly
Capped rental is where suppliers leak money — missed months, wrong modifiers, and claims that get recouped. DoxDME schedules it, modifies it and gates it.
📅

Capped Rental Schedules

13-month capped rental, 36-month oxygen, inexpensive & routinely purchased, and frequently-serviced items each follow their own rule set — with title transfer handled at the cap, and oxygen correctly converting to service-only instead.

🏷

The Right Modifier, Every Month

RR plus KH for month one, KI for months two and three, and KJ for months four through thirteen — applied automatically and carried on the claim line itself so they reach the 837, not a note someone has to read.

🌓

Nightly Draft Claims

An overnight pass raises the month's rental claims as drafts for a biller to review. Nothing submits itself, and re-runs are idempotent — the rental month is part of the claim identifier.

🧾

Claims & HCPCS

DME claim generation with the HCPCS codes, modifiers and line detail the payer expects, feeding the same billing and clearinghouse rail as the rest of the platform.

💰

Patient Statements & AR

Statements generate from adjudicated claims only — never from an estimate — with AR aging by patient. Billing a patient before the payer has ruled is the classic DME complaint generator.

💳

Patient Payment Links

Mint a secure card-payment link for a balance or an upfront copay on the practice's own payment account — no second payments system to reconcile.

Resupply & Patient Experience
Resupply That Runs Itself — Consent First
Resupply is the annuity of a DME business. DoxDME tracks eligibility per item, queues the outreach, and lets the patient confirm in two taps.
🔄

Per-Item Eligibility Clocks

Masks, cushions, tubing, filters and headgear each run on their own replacement schedule, starting from the date of delivery.

💬

Outreach Queue

Eligible patients queue with a ready draft message. Patients who can't be contacted show the exact reason rather than vanishing from the list.

📱

Patient Self-Service Confirm

A single-use private link lets the patient confirm their resupply from their phone. Two taps raise one order — and the order raises a task, because an order nobody ships isn't fulfilled.

🛡

Consent and Opt-Out Enforced

Outreach is drafted, never blasted. Messaging clears the practice's consent and opt-out gates before anything can be sent, and the patient link exposes first name and item names only.

Built for the audit you hope never comes

Row-level tenant isolation on every patient table, a tamper-evident audit log that cannot be deleted, multi-factor authentication, and documentation filed against the order it supports. When a payer or an accreditor asks, the packet already exists.

HIPAA-aligned Row-level tenant isolation Immutable audit log MFA Per-practice data separation BAA available
Analytics & Integration
One Chart, From Clinic to Doorstep
DoxDME is a module of the SpecialtyDox platform, not a connected third party. The order a clinician writes in the encounter is the order your warehouse fills.
📊

Population Action View

Practice-wide view of who needs intervention today — non-adherent patients, expiring authorizations, overdue resupply and stalled orders in one queue.

📈

Business Analytics

Compliance rates, order throughput, delivery performance, rental revenue and AR — per practice and per location.

🧩

Ordered From the Encounter

A PAP or DME order placed during a visit lands in the DME hub automatically — no re-keying, no faxing yourself.

🩺

Embedded in the EHR

Clinical staff work the live DME dashboard from inside the chart; the supplier's team works it standalone. Same data, same moment.

📧

Fax & Document Intake

Inbound referral faxes are captured, read and filed to the chart by the platform's document intake, feeding the DME intake queue.

👥

Multi-Location & Multi-Practice

Run several branches, or serve several practices, with stock, schedules, rules and reporting scoped correctly to each.

DoxDME serves both audiences on one system: a sleep or respiratory practice that dispenses its own equipment, and an independent HME supplier that wants the clinical data its referral sources already hold. Available on its own or alongside DoxEHR, DoxRTM and DoxBilling.

Stop reconciling two systems.

See how DoxDME runs equipment from referral to reimbursement — with the therapy data, the paperwork and the rental clock all in one place.

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