DME & HME revenue cycle leadership,
built on specialty intelligence.
Most experienced DME RCM partner
DME-only specialist teams
Billing live in as little as one week
Most experienced
DME RCM partner
DME & RCM expertise
Denial Recovery Rate
The Leak Isn't in Your Claims.
It's Before Them
A single missing document can stall an order, delay delivery, and push revenue out for months. Unlike professional claims, your revenue cycle depends on things that happen before billing ever starts.
Partnering with someone who understands your business, not just billing in general is critical to a smooth revenue cycle.
Where orders stall
- Chasing prescriptions, DWOs, CMNs, and Letters of Medical Necessity from physician offices
- Verifying insurance and securing prior authorizations before delivery
- Navigating HCPCS Level II and DMEPOS rules that change constantly
- Managing rental billing cycles, resupply programs, and same/similar checks
- Keeping intake, delivery, and billing in sync across systems
End-to-end DME/HME revenue cycle, from intake to payment.
We pair you with specialists whose sole focus is DME and HME — ensuring up-to-date guidance on changing regulations, full compliance, and optimal reimbursement, so you can focus on your patients.
01
Intake & order qualification
Order entry, insurance verification, same/similar checks, and prior authorization — orders verified as soon as they arrive, so equipment ships without revenue risk.
02
Documentation & physician outreach
Our contact center manages all physician and patient outreach and document collection: prescription, DWO and CMN requests, phone and fax research, rework and clarification calls, medical records requests, and Letters of Medical Necessity — with software and e-document capabilities that give you visibility into every record’s status.
03
DME-specific coding & billing
Certified coders with in-depth knowledge of HCPCS Level II and DMEPOS guidelines assign appropriate codes to ensure compliance and optimize reimbursement. Claims are billed as soon as delivery is made.
04
Payment posting, denials & A/R
Electronic payment posting, denial research and appeals, A/R follow-up, and patient billing support — with analytics that surface denial patterns and underpayment trends so problems get fixed at the source.
05
Credentialing & enrollment
AI-enabled credentialing keeps your suppliers enrolled, verified, and revenue-ready — with automated notifications, proactive reappointments, and continuous monitoring of expirables.
Built for independent suppliers and hospital-owned DME operations.
Independent DME/HME suppliers
Regional and national suppliers across respiratory, mobility, sleep, wound care, orthotics, and resupply.
Hospital & health-system DME
We work alongside your hospital information system and ERP environment, aligning DME workflows with enterprise processes — rather than forcing a separate stack.
Sleep, respiratory & infusion
Programs with recurring rental and resupply billing, where cycle management and same/similar accuracy protect ongoing revenue.
We work in your systems— not around them.
Knack’s teams operate directly within leading DME/HME billing platforms, and our workflows integrate with the order management, EMR/PM, and hospital information systems your operation already runs — including enterprise HIS/ERP environments used by hospital-owned DME programs.
LAYERED ON TOP
- AI and process automation applied where they drive the greatest impact — claim status, denial management, and payment posting
- Intelligent workflow management with real-time task tracking, integrated with your billing system
- Web-based and mobile dashboards with real-time performance analytics
- Targeted call campaigns routed by purpose — physician, patient, or payer — for faster response rates
From the rep’s tablet to a
reimbursement-ready claim.
DME front-end and mid-cycle work still runs on paper, email and handoffs — between sales reps, physicians’ offices, intake staff and reimbursement teams. Knack replaces that with a centralized, AI-enabled workflow environment that connects every party to one system of record, so claims leave clean the first time.
Workflow 01
Order & claim data captured in the field
For a DME purchase or rental, the claim starts with the sales rep. Reps capture, manage and track order and reimbursement data in real time from mobile or desktop — no paper forms travelling back to the office.
- Faster order intake, less manual re-entry
- Higher data accuracy at the source
- Real-time workflow visibility for operations
Workflow 02
Medical necessity & physician documentation
The most fragile link in DME reimbursement. Physician communication, document delivery and signature collection are digitized end to end, with automated routing and live tracking of what’s still outstanding.
- Electronic document delivery & signature collection
- Automated document intake, indexing & routing
- Outstanding-requirement tracking, not chasing
Workflow 03
Claim preparation, merged into one ecosystem
Sales-generated data, medical necessity documentation, insurance verification and operational review historically sat in separate silos. They’re merged into a single coordinated workflow with clear accountability.
- Unified visibility & automated task routing
- Documentation tracking with claim-readiness status
- Cleaner claims, fewer downstream denials
Built for how DME operations actually run.
- Native mobile and web access — built for sales teams on the road, with real-time data from any device
- Intelligent, LLM-layered OCR document capture and processing
- LLM-layered medical necessity assessment
- Insurance eligibility and benefits validation workflows
- Electronic document delivery and signature capabilities
- Secure two-way messaging between sales, operations and reimbursement teams
- Integration with DME vendor ERP, CRM and other enterprise platforms
- Role-based access controls and workflow permissions
- Revenue, operational and workflow reporting dashboards
AI² in the workflow
Artificial Intelligence, optimized by Actual Intelligence.
Automation is applied where DME workflows actually break — then tuned by people who have run these operations for 18+ years.
- Intelligent workflow automation
— tasks routed and prioritized by workflow status and claim readiness
- Eligibility & benefits automation
— verification and coverage validation run without manual chase
- Automated documentation tracking
— live visibility into missing documents and outstanding physician requirements
- Workflow standardization
— variability removed from intake, documentation and claim preparation
- Operational analytics
— real-time dashboards across workflow stage and reimbursement readiness
Where this sits in the cycle. This connected workflow layer is purpose-built for front-end and mid-cycle
operations — the stages where missing documentation, fragmented communication and manual handoffs
create denials. Back-end claims, A/R, denials and payment posting are handled by Knack’s established DME
billing services and platforms.
The most experienced
DME RCM partner.
Most experienced DME RCM partner
Deep, DME-specific reimbursement expertise, with proven success across independent and enterprise suppliers.
DME-only teams
Specialists whose sole focus is DME and HME — not generalists covering many specialties at once.
Scale on demand
A global team of 10,500+ RCM experts absorbs seasonal spikes, backlogs, and growth without new hiring.
Compliance built in
Up-to-date guidance on changing DMEPOS regulations and payer guidelines, applied to every claim.
Predictable economics
Replace overtime, turnover, and recruitment costs with a consistent model aligned to your order volumes.
From in-house strain to faster
cash — billing live within one week.
WHAT CHANGED
- Orders verified as soon as they arrive
- Claims billed as soon as delivery is made
- KPIs consistently met, with cleaner work queues
- Internal staff redeployed to the most complex, highest-value work
- Billing live within one week of engagement
TRANSFORMATION JOURNEY
Read the full DME case study
The complete story — the strain, the switch, and the numbers — behind a multi-state DME provider that went live with billing in one week.
Like many of our clients, this provider asked to remain unnamed — a common request in a competitive market. Every case study we publish is a real, referenceable engagement; prospective clients can speak with references during evaluation.
Knack Global Rebrands as Specialty-Focused RCM Powerhouse, Revolutionizing Healthcare Provider Support
New Brand Unifies Services and Strengthens Expertise Across Multiple Provider Specialties [Woodbridge, New Jersey] — December 5, 2024 — Knack Global, a leader in revenue cycle management (RCM) solutions, announced today they have rebranded as Knack RCM. This comprehensive rebrand is designed to solidify its role as a powerhouse in tech-enabled end-to-end revenue cycle and […]
Carlyle Acquires Knack RCM and EqualizeRCM to Create an AI-Native, Global Multi-Specialty Healthcare RCM Platform
Global investment firm Carlyle (NASDAQ: CG) today announced it has acquired a majority stake in Knack RCM (“Knack”) and EqualizeRCM (“Equalize”), two leading U.S. healthcare revenue cycle management (“RCM”) providers, to create an AI-native, global, multi-specialty RCM platform. Equity for the investment will come from investment funds affiliated with Carlyle Asia Partners VI (CAP VI) and Carlyle Asia Partners Growth II (CAPG II).
Tell us your bottleneck. We'll show you where we move the number.
Share your denial pattern, A/R backlog, or intake bottleneck — and our DME specialists will show you exactly where Knack accelerates cash and cleans up your work queues.
End-to-end prior auth & documentation
Billing live in as little as one week
What is DME & HME
revenue cycle management?
IN SHORT
DME and HME revenue cycle management (RCM) is the end-to-end billing process for durable and home medical equipment suppliers — from intake, insurance verification and prior authorization, through documentation collection, HCPCS Level II coding and claim submission, to payment posting, denials and A/R follow-up. Unlike professional claims, DME revenue depends on documentation gathered before billing even begins.
Why DME billing is different from professional claims
Provider & Status Modifiers
Pre-billing documents
Prescriptions, DWOs, CMNs and Letters of Medical Necessity must be gathered from physician offices before billing.
Prior authorization
Insurance verification and authorization have to clear before equipment is delivered.
HCPCS Level II /
DMEPOS
Equipment-specific coding rules that change constantly and drive compliance risk.
Rental & resupply
Recurring rental cycles, resupply programs and same/similar checks that professional claims never touch.
How the DME revenue cycle works
Five stages carry a DME order from the moment it arrives to the moment it’s paid — each one a place revenue can leak, and a place Knack protects it.
1
Intake & eligibility
The order is entered, insurance is verified, same/similar is checked, and prior authorization is secured — before any equipment ships, so delivery never creates revenue risk.
2
Documentation collection
Prescriptions, DWOs, CMNs and Letters of Medical Necessity are gathered from physician offices through targeted outreach, fax research, and medical-records requests.
3
HCPCS coding
Certified coders assign HCPCS Level II codes under DMEPOS guidelines to ensure compliance and optimize reimbursement for each item.
4
Billing on delivery
With documentation complete and coding validated, claims are billed as soon as delivery is made — closing the gap between order and cash.
5
Payment posting, denials & A/R
Electronic payment posting, denial research and appeals, A/R follow-up and patient billing — with analytics that surface denial patterns so problems get fixed at the source.
— FAQ
DME & HME revenue cycle
management, answered
Straight answers to the questions DME and HME suppliers — and hospital-owned DME operations — ask most
What is DME & HME revenue cycle management?
DME and HME revenue cycle management is the end-to-end billing process for durable and home medical equipment suppliers — from intake, insurance verification and prior authorization, through documentation collection, HCPCS Level II coding and claim submission, to payment posting, denials and A/R follow-up. Unlike professional claims, DME revenue depends on documentation gathered before billing even begins.
Why is DME billing different from professional (physician) claims?
With professional claims, revenue depends mostly on accurate coding after a visit. DME revenue depends on things that happen before billing starts: chasing prescriptions, DWOs, CMNs and Letters of Medical Necessity from physician offices, verifying insurance and securing prior authorization before delivery, and navigating HCPCS Level II and DMEPOS rules that change constantly — plus rental billing cycles, resupply programs and same/similar checks. A single missing document can stall an order and push revenue out for months.
Do you handle prior authorizations and documentation chasing?
Yes — this is core to our DME model. Our DME-dedicated contact center chases prescriptions, DWOs, CMNs and Letters of Medical Necessity from physician offices, verifies insurance, and secures prior authorizations before delivery — so orders don't stall and revenue isn't delayed.
Can you support both sale and rental billing?
Yes. Our DME-dedicated teams manage the full complexity of DMEPOS billing, including rental cycles, resupply programs, and same/similar verification.
We're a hospital system with an internal DME operation. Does Knack work in our environment?
Yes. We support hospital-owned DME programs and align our workflows with your hospital information system and ERP processes, alongside DME-specific platforms.
Which billing platforms do your teams work in?
Our teams work daily in leading DME/HME platforms including Brightree and NextGen, and we adapt to your existing system landscape rather than requiring a migration.
How fast can we go live?
Timelines depend on scope, but recent DME clients have gone live with billing within one week of engagement.
Stop letting documentation delays hold your revenue hostage.
Tell us your denial pattern, A/R backlog, or intake bottleneck — we’ll show you where we move the number.