Clientele automates the entire DME revenue lifecycle: prescriptions, CMN validation, face-to-face documentation, authorizations, HCPCS modifier logic, recurring rentals and proof of delivery, so every claim leaves your operation audit-ready.
Each product category carries its own documentation, authorization and HCPCS logic. Select a module to see what Clientele validates before the order ships and before the claim releases.
Prescription to reimbursement, tracked as one chain of custody over the order and its documentation.
Automated review across CMN completeness, face-to-face notes, modifier assignment, authorization monitoring, proof-of-delivery validation and audit readiness, each with a compliance score your team can defend in a record request.
Required fields, signatures and dating verified against the device ordered.
Encounter timing and clinical content tested against coverage windows.
NU, RR and KX assigned from documentation with the supporting excerpt.
Pending, approved and expiring approvals monitored with days to expiry.
Coverage criteria mapped line by line to the clinical record.
Signed POD matched to quantity, date and serial before billing.
Every claim carries a retrievable documentation package.
One board for operations and revenue: authorizations, orders, delivery queue, proof of delivery, denials and appeals, moving in real time.
An intelligence layer that reads the prescription, the CMN and the delivery record together, then hands your team a coded, authorized, audit-ready order.
Where DME suppliers see movement: fewer documentation-related denials, stronger modifier accuracy and higher claim success across rentals and purchases.
Select a service line to see its documentation, authorization, delivery and billing profile.
Ventilators, nebulizers and respiratory assist devices with qualifying test documentation.
Proof of delivery used to be where our claims died. Now an order cannot reach billing without a valid signed record attached.
They understood KX and capped-rental logic before we finished explaining our product mix. That was the moment we moved forward.
Expiring authorizations surface a week out instead of showing up as a denial six weeks later.
Anything else, a DME RCM specialist will walk your operation through it directly.
Every order is checked against the required elements before fulfillment: the face-to-face occurred inside the payer's window, the note supports the specific device ordered, and the CMN fields are complete and signed. Incomplete orders route back to intake rather than becoming a denial later.
Modifier assignment runs on the documentation, not the invoice. NU, RR and KX are recommended with the record that supports them (purchase versus rental, and coverage criteria for KX), so an auditor can trace every decision to a source document.
Yes. Rental months, capped-rental thresholds, continued-need attestations and recertification dates are tracked per order, and billing releases on schedule instead of depending on manual calendar review.
Signed delivery records, serial numbers where required, quantity and date are matched to the claim before submission. Orders missing a valid POD are held, which is the single largest source of avoidable DME denials.
Pending, approved, expiring and exhausted authorizations sit on one board with days-to-expiry and the documentation each one still needs. Expiring approvals surface before they lapse, not after a rejection.
We integrate with the systems your operation already runs (billing platform, inventory and document management) and read from your existing intake workflow. No change to how orders are entered is required to begin.
Each claim keeps its own documentation package: order, face-to-face, CMN, authorization, delivery record and coding rationale, retrievable as one file. Responding to a request becomes retrieval rather than reconstruction.
Order-level auditability plus operational reporting on authorization approval rate, documentation accuracy, modifier accuracy, POD compliance, clean claim rate and denial reasons, segmented by product category, referral source and payer.
The intelligent bridge between care delivery and revenue success: audit-ready documentation, disciplined modifier logic and authorization visibility across every order.
