Providing billing services for Durable Medical Equipment (DME), or Home Medical Equipment (HME) as they are here and there called, can be a tedious and repetitive undertaking. In addition to other things, it requires inside and out learning of reimbursement rules of Medicare, Medicaid and Commercial Plans, and their caution. DME Billing also requires a steady adherence to quality and staying side by the side of the considerable number of changes occurring in reimbursement regulations and coding and documentation necessities.