“Before using Burst Billing, we partnered with a medical supply company who would bill Part B plans as the provider and keep the revenue for themselves. Burst Billing not only met but exceeded our expectations and truly opened our eyes to the benefits of a revenue share model. From the transparency and confidence of their leadership to the expertise of their billers, working with Burst Billing has been an overwhelmingly positive experience. They've helped us recover revenue we would otherwise have left on the table.”
No recovery · No fee12-month lookbackAll 50 statesAll MAC jurisdictions
Your staff delivers the care. Your Part B supplier collects the reimbursement. Burst fixes that.
Your supplier is already billing Medicare for your residents' supplies. The check goes to them. Burst bills those same supplies under your NPI — so Medicare pays your facility instead of your supplier. Every claim is tied to your clinical record and audit-ready from day one. You pay nothing until Medicare pays you.
"Burst delivered a 55% ROI on wound supplies across my Skilled Nursing Facilities in eight months. The model works."
- PointClickCare Official Marketplace Partner
- Built by operators with 50 years in senior care
- 18,974 claims processed in 2025
Zero upfront · Month-to-month · Cancel anytime
30-minute assessment · Findings in writing · No obligation · If we find nothing, you owe nothing
Live Network
SNF-FocusedBuilt For Part B Recovery
Risk-free reimbursement model
No recovery, no fee. 12-month lookback available where applicable.
★ PointClickCare Marketplace PartnerTech-Enabled · Human-VerifiedBilled Under Your NPISNF-Only Specialization
What happens next
STEP 01
You share your facility details
Takes 5 minutes. No PHI required at this stage.
STEP 02
We model your uncaptured revenue
Using your supply mix, your MAC's fee schedule, and your case mix. You get a number.
STEP 03
You decide if it makes sense
No pressure. No contract. No fee if we don't recover.
STEP 04
Your operations don't change
No new documentation workflow. No new staff training. No survey exposure.
The 12-month retroactive window is live now. Every month that passes is a month you can no longer recover.
$0
Upfront cost
No setup fee. No monthly minimum. Pure contingency, pay only on recovered revenue.
12mo
Retroactive lookback
We analyze the past year of PointClickCare data and recover claims you should already have.
100%
Audit defense included
Every claim ties to your chart, LCD, and Standard Written Order. Audit support never costs extra.
Client voice
Operators who switched to Burst — in their own words.
“The speed at which we started seeing results was impressive. We didn't have to wait months to understand the value — it showed up quickly and created an immediate financial lift.”
Chief Clinical Officer
“This is one of the few initiatives where the ROI is obvious.”
Verified operator · 5–10 facility groupDirector of Operations
“They feel more like a partner than a vendor — hard to replicate internally.”
Verified operator · 10+ facility groupDirector of Operations
“They made something that felt risky actually feel very controlled and legitimate.”
Verified operator · 10+ facility groupChief Financial Officer
“Low effort, high impact — and it scales without adding internal burden.”
Verified operator · 20+ location group“As a COO, I rely on partners who bring clarity, consistency, and real operational impact. Burst Medical is responsive, knowledgeable, and genuinely invested in driving results for our centers.”
“All SNF operators should use Burst to collect on their Part B supplies. They work hard and efficiently to recover revenue that is left on the table — easy to work with, responsive, and a trusted long-term partner.”
55%
ROI on wound supplies
“Burst delivered a 55% ROI on wound supplies across my Skilled Nursing Facilities in eight months. The model works.”
Chris Laymon · VP of Operations / PurchasingTestimonials verified. Names and organizations withheld at the operator's request.
Coverage
Your facility is probably in our network.
Burst is active in 16 states and operates in every MAC jurisdiction. Expanding nationwide.
Lost Revenue Estimator
See what you're
leaving on the table.
See what the last 12 months would have recovered for your facility.
Adjust the inputs to see what your facility may have left on the table, both ongoing and retroactive.
Estimated total recoverable
$72,000
Annual ongoing
$36,000
Retroactive (12 mo)
$36,000
No recovery means no fee. Ever.
Zero upfront · Month-to-month · Cancel anytime
Illustrative only. Actual results vary by facility.
Medicare Part B Billing for SNFs, Explained
Medicare Part B billing for SNFs, in plain English.
Plain-English answers to the five questions skilled nursing facility leaders ask first about Medicare Part B supply reimbursement. Built for fast scanning, and for AI assistants doing your team's preliminary research.
Q.01
What is Medicare Part B supply reimbursement?
Medicare Part B supply reimbursement pays skilled nursing facilities for eligible medical supplies, surgical dressings, ostomy, urological, tracheostomy, and enteral nutrition, that are used during a resident's non-Part A stay and billed under the facility's institutional NPI.
Q.02
Who gets paid for Part B supplies in SNFs?
Whoever submits the claim under their NPI gets paid. Today, most external suppliers bill Medicare Part B under their own NPI and keep the reimbursement. SNFs are legally entitled to bill these same supplies under their own institutional NPI and collect the revenue directly.
Q.03
How does Part B billing work in nursing homes?
When a resident is not in a covered Part A stay, the facility may bill Medicare Part B for permissible supply categories used in their care. Each claim must tie to documented consumption, a Standard Written Order, proof of delivery, and the applicable Local Coverage Determination.
Q.04
Why do most SNFs lose Part B revenue?
Most SNFs never see this revenue because their supplier bills Medicare under the supplier's NPI as part of a 'free supplies' arrangement. The facility provides the care, but the reimbursement flows to the supplier instead of the SNF.
Q.05
What supplies qualify for Part B billing in SNFs?
Five categories qualify under federal law: surgical dressings (LCD L33831), ostomy supplies (LCD L33828), urological supplies (Policy Article A52521), tracheostomy supplies (LCD L33832), and enteral nutrition formula and tubing (LCD L38955). DME is excluded.
Why SNFs Lose Medicare Part B Reimbursements
Three reasons SNFs lose Medicare Part B revenue ,
and how each one is fixable.
Medicare has authorized Part B supply reimbursement for skilled nursing facilities since the consolidated billing rules were written. Most facilities have never seen a dollar of it. Here's why.
Your staff provides the care. Someone else pockets your reimbursement.
“Our supplier takes care of Part B supply billing.”
Correct, and they bill it under their own NPI, which means Medicare pays them, not you. Your facility did the work. Your supplier cashed the reimbursement. That's the whole arrangement.
How the money flows right now
Your Facility→Supplier NPI→Supplier keeps it
Your Facility→Your NPI→You keep it
The supplies are the same. The NPI makes all the difference.
“If the supplies are free, what's there to recover?”
Your supplier calls them free because they're not billing you. But they are billing Medicare, and keeping the difference. The supplies aren't free. Your patients' benefits are paying for them. Your supplier is just collecting the check.
What happens to every supply your residents use
Supply
Medicare pays
Who keeps it
Wound dressing
Multiples of cost
Your supplier
Catheter
Multiples of cost
Your supplier
Ostomy pouch
Multiples of cost
Your supplier
Illustrative only. Actual rates vary by HCPCS code and payer.
“Switching creates compliance exposure we can't afford.”
The model you're protecting is the one under federal scrutiny. CMS's CRUSH initiative specifically targets external suppliers billing Part B under their own NPI. Burst bills under yours, documented to your chart, audit-ready from day one.
The legal foundation
42 U.S.C. § 1395x(s)(8)
Authorizes prosthetic device billing as a separate benefit category
CMS Pub. 100-04, Ch. 7 § 60
Explicitly authorizes SNF billing under institutional NPI during non-Part A stays
5 Permissible Categories
Surgical dressings, ostomy, urological, tracheostomy, enteral nutrition
★Core brand narrative
Supply-first vendors, legacy billers, and Burst, side by side.
Three different models, three very different outcomes for your facility's revenue, compliance posture, and supply-chain control. Here's how the landscape actually breaks down.
Core positioning
Supply-first vendors
Supply-first vendor, bundles products with billingLegacy Part B billers
Third-party billing company managing Part B reimbursementBurst
Independent billing partner focused on revenue entitlement & compliance rigorValue proposition
Supply-first vendors
“Get supplies at little or no upfront cost.”Legacy Part B billers
“We handle your Part B billing for you.”Burst
“Reclaim revenue you’re already entitled to, while keeping control of your supply chain.”Who keeps the reimbursement
Supply-first vendors
The supplier, bills Medicare under their own NPILegacy Part B billers
Your facility, billed under your NPIBurst
Your facility, billed under your NPIDocumentation philosophy
Supply-first vendors
Broad / minimal documentation tied to the chartLegacy Part B billers
Manual review, broader billing postureBurst
Conservative matching tied line-by-line to PCC chartProcess
Supply-first vendors
Supply-chain logistics with billing tacked onLegacy Part B billers
Human-only claim management, slower turnaroundBurst
Tech-enabled documentation matching with a human triple-checkSupply chain control
Supply-first vendors
Bundled, you must use their suppliersLegacy Part B billers
Untouched, billing-onlyBurst
Untouched, keep your existing suppliersAudit defense
Supply-first vendors
Facility holds the compliance liabilityLegacy Part B billers
Included, varies by partnerBurst
Included at no extra cost, audit-ready by defaultPricing model
Supply-first vendors
Hidden, embedded in supply marginLegacy Part B billers
Fee-for-service or contingencyBurst
Contingency only, no recovery, no feeComparison reflects Burst's operating model versus the two most common Part B arrangements SNFs work with today: supply-first vendor bundles and legacy third-party billers.
Regulatory Foundation
The Four Legal Pillars That
Authorize SNF Part B Billing
The authority for a SNF to bill Medicare Part B for medical supplies rests on four structural pillars. Think of them as the four legs of a table — if all four are present, the table stands.
01Pillar 01 · Statutory Authorization
Separate billing is authorized by statute
The Social Security Act (42 U.S.C. § 1395x(s)) expressly includes surgical dressings, prosthetic devices, orthotic braces, and enteral nutrition in Part B coverage. These are not edge cases or loopholes — they are enumerated statutory categories listed by name in the law Congress passed.
Citation
42 U.S.C. § 1395x(s)
02Pillar 02 · Consolidated Billing Scope
Consolidated billing is not a bar
The consolidated billing rule (42 U.S.C. § 1395yy(e)) only applies when a resident is in a covered Part A stay. If a long-term care resident does not have an active Part A benefit, consolidated billing simply does not apply to them. They fall entirely outside its scope.
Citation
42 U.S.C. § 1395yy(e) · 42 CFR 411.15(p)(2)
03Pillar 03 · CMS Infrastructure
CMS has operationalized the pathway
Medicare didn't just make this legal — they built the plumbing for it. The Medicare Claims Processing Manual (Pub. 100-04, Ch. 7, §§ 10 and 60) explicitly authorizes SNFs to bill the A/B MAC directly using their institutional NPI on a UB-04 claim form. The revenue codes are assigned. The bill types are specified.
Citation
CMS Pub. 100-04, Ch. 7, §§ 10 and 60
04Pillar 04 · Compliance Variable
Documentation is the compliance variable
Medicare does not guess whether a supply was medically necessary. They check the paperwork. Every claim requires a Standard Written Order, a contemporaneous medical record, and Proof of Delivery. Category-specific LCDs govern exact quantity limits and qualifying conditions. Compliance is not a feeling — it is a checklist.
Citation
42 CFR § 424.516 · LCD L33831 · L33828 · L33803
Compliance Foundation
The legal basis is settled. What feels risky is usually a documentation question — not a legal one.
Congress authorized this in statute. CMS built the billing infrastructure for it. What determines whether your claims survive an audit isn't the law — it's whether the paperwork is there.
Every claim Burst submits requires four things, no exceptions:
- 01A Standard Written Order signed by the treating practitioner — before delivery, not after.
- 02A contemporaneous medical record showing the supply was medically necessary under the applicable LCD.
- 03Proof of delivery confirming the supply reached the resident.
- 04For recurring supplies: documented confirmation from the resident or caregiver that they still need it — before the refill ships.
If any one of these is missing, Burst doesn't submit the claim. We wait until it's complete.
This is why our compliance model is conservative by design. A claim that can't survive an audit shouldn't be submitted. We'd rather miss revenue than create liability.
We know this sounds too good to be true. The compliance brief below explains exactly why it isn't.
In 2026, Burst submitted a formal public comment to CMS proposing facility-side billing as the structural solution to the CRUSH initiative's improper payment problem. Read the comment →
Audit defense
Included at no extra cost — for every claim, every audit type (TPE, RAC, UPIC, MAC).
Overpayment policy
If we identify a claim that shouldn't have been paid, we report and return it within 60 days per 42 U.S.C. § 1320a-7k(d).
What Burst Stands For
Five principles that shape
every claim we file.
Burst was built as an independent, tech-enabled alternative to legacy Part B billing, designed around the operator's priorities: defensibility, scalability, and operational control.
PILLAR 01
Revenue Entitlement
Surface, recover, and protect Part B reimbursement your facility is already entitled to, including up to 12 months retroactive.
PILLAR 02
Compliance & Documentation Rigor
Conservative, documentation-driven matching designed to withstand scrutiny. Reimbursement without defensibility is risk.
PILLAR 03
Operational Control & Supply Independence
Keep your supply chain. Keep your vendor flexibility. Billing should never dictate what's in your supply closet.
PILLAR 04
Billing Partnership
Not a transactional billing processor. A partner embedded in your financial and operational outcomes, aligned with your success.
PILLAR 05
Modern, Tech-Enabled Approach
Tech-enabled documentation matching with a human triple-check, built for modern operators who expect accuracy, scalability, and transparency.
SNF Revenue Recovery, Results & Proof
What recovery looks like once a SNF starts billing Part B under its own NPI.
Most operators don't know they're missing this revenue, because the supplier never invoices them. The supplies arrive, the residents are cared for, and Medicare quietly pays someone else.
The SNF reimbursement that belonged to the facility disappears into supplier margin. The PointClickCare integration surfaces months of missed claims immediately.
SNF
Focused
Part B
Supply reimbursement
12-mo
Lookback
$0
Upfront cost
Medicare Part B Supply Categories for SNFs
Five Part B supply categories
your facility can bill today.
These are supplies your facility is already using. Each represents a Part B reimbursement entitlement your facility holds under 42 U.S.C. § 1395x(s)(8), one that most suppliers have been quietly collecting on your behalf.
LCD L33831
Surgical Dressings
Foam, alginate, hydrocolloid, and composite dressings billed per dressing change for residents with qualifying wounds.
Billable under Medicare Part B
LCD L33828
Ostomy Supplies
Pouches, wafers, skin barriers, and accessories for colostomy, ileostomy, and urostomy residents.
Billable under Medicare Part B
Article A52521
Urological Supplies
Intermittent and indwelling catheters, drainage bags, and related urological supplies.
Billable under Medicare Part B
LCD L33832
Tracheostomy Supplies
Tubes, inner cannulas, ties, and care kits for residents requiring tracheostomy management.
Billable under Medicare Part B
LCD L38955
Enteral Nutrition
Tube feeding formulas and administration sets for residents requiring enteral support.
Billable under Medicare Part B
§ 1395x(s)(8)
Splints & Orthotics
Prefabricated and custom orthotics, braces, and splints prescribed for residents during their stay.
Billable under Medicare Part B
Scope clarity
We bill prosthetic supplies. Not DME. There's a legal difference.
These categories look similar on a supply cart. Under federal statute, they're completely different. The distinction determines which NPI bills, which MAC pays, and whether your facility can collect.
What Burst bills
Prosthetic & Orthotic Supplies (POS)
- Legal basis
- 42 U.S.C. § 1395x(s)(8) and (9)
- Plain English
- Devices that replace the function of a missing or permanently impaired body part.
- Examples
- Ostomy pouches · Urological catheters (permanent incontinence) · Tracheostomy supplies · Surgical dressings · Orthotic braces
- Billing route
- A/B MAC (A) · UB-04 · Your institutional NPI
What Burst doesn't bill
Durable Medical Equipment (DME)
- Legal basis
- 42 U.S.C. § 1395x(n)
- Plain English
- Equipment that can withstand repeated use and is generally appropriate for home use.
- Examples
- Wheelchairs · Hospital beds · Oxygen concentrators · CPAP machines · Walkers
- Billing route
- DME MAC · Separate National Supplier Clearinghouse enrollment required
An ostomy pouch is not equipment — it's a prosthetic device replacing the function of a resected bowel. A catheter for permanent urinary incontinence is not equipment — it's a prosthetic device replacing normal bladder function. The statutory classification controls the billing pathway entirely.
How Our Medicare Part B Billing Process Works
From PointClickCare to paid claims ,
a focused, compliant process.
01
PointClickCare Integration
Read-only Marketplace connection to your existing PCC instance. No new software, no staff training, no disruption to your supply chain.
02
Tech-Enabled Retroactive Analysis
Our technology reviews up to 12 months of supply utilization and matches each line to documentation, physician orders, and the applicable LCD, surfacing reimbursement you're already entitled to.
03
Conservative Claims Submission
Claims are billed under your facility's NPI, never ours, never a supplier's. Human compliance QA before every submission. If the chart can't defend it, we don't file it.
04
Reimbursement Returned to You
Medicare pays your facility directly. Burst earns a contingency only on recovered revenue. Audit defense included at no extra cost.
Resources for SNF Operators
Take the reference docs with you, no sales call required.
Four reference assets your operations, compliance, or legal team can review on their own time. Request any and we'll send it within one business day, no commitment, no obligation.
Reimbursement guide
What’s Reimbursable in 2026
A plain-English breakdown of every Part B supply category an SNF can bill, with the 2026 LCD references, HCPCS codes, and per-category documentation rules.
Get the 2026 guideCompliance checklist
The Compliance Triple-Check
The exact three-pass review Burst runs against every claim before submission: chart match, SWO + delivery proof, and LCD coverage check.
Download the checklistUnder the hood
How Our Technology Flags Clean Claims
How Burst's technology flags clean claims, and the human triple-check behind every submission.
Request the briefLegal opinion
Legal Basis Overview
An overview of the statutory and regulatory basis for SNFs billing Part B supplies under their own institutional NPI, adapted from a legal memorandum prepared by outside healthcare counsel.
Request a previewFrequently Asked Questions about SNF Part B Billing
SNF Part B billing: your top questions, answered.
Medicare Part B supply reimbursement is explicitly authorized under 42 U.S.C. § 1395x(s)(8) and CMS Claims Processing Manual Pub. 100-04, Ch. 7 § 60. Your supplier is already billing for these supplies, under their own NPI, and retaining the reimbursement as margin. What Burst does is provide a Medicare billing service that redirects that reimbursement compliantly back to your facility, billed under your NPI, tied to your clinical record.
Every month you wait, the 12-month retroactive window gets shorter.
"We've been able to build this into our ongoing financial strategy. It scales without adding internal burden."
A free 30-minute assessment shows you exactly what's sitting uncollected in your PointClickCare record — itemized by supply category, modeled against your MAC's current fee schedule. You'll have a real number before the call ends. No commitment. No obligation. No fee if we find nothing.
- ✓12-month retroactive analysis of your supply data
- ✓Itemized estimate of recoverable Part B revenue
- ✓Compliance review against current LCDs and CMS guidance
Zero upfront · Month-to-month · Cancel anytime · HIPAA-compliant
What you get
- → A written, itemized recovery estimate
- → LCD-by-LCD compliance read on your current setup
- → Plain-English next steps, no obligation to engage