At a minimum, DME billing firms need managed IT with secure remote access into client platforms like Brightree, Bonafide, and DMEworks, plus strict data segregation between suppliers. Add HIPAA-compliant backup and disaster recovery, endpoint and email security, clearinghouse and portal support, and a vCIO to keep it all audit-ready. The goal is uninterrupted access to claims data without ever mixing one client’s PHI with another’s.