Clean claims, triple-checked.

Burst's technology does the first pass — flagging clean claims by reviewing the data your team already keeps. Then three human checkpoints stand behind every submission. The technology only suggests; people make every call.

Built for Administrators Directors of Nursing CFOs Compliance Officers

If you run a building, the triple-check is a process you already know. Burst applies the same discipline to Part B supply billing: technology handles the first pass, and a person reviews the work at three separate stages before anything is submitted. Nothing leaves the door on the strength of software alone.

The path of a claim

Technology

First passFlags clean claims

Human · Check 1

After cleanupReviewer confirms

Coding

Claim codedCodes assigned

Human · Check 2

After codingReviewer confirms

Billing

Claim preparedStaged to bill

Human · Check 3

After billingFinal sign-off

Outlined steps are human checkpoints. A claim only moves forward when a person clears it.

What the technology does

The first pass. It reads what your facility already documents and surfaces the claims that look clean — so people spend their time reviewing, not hunting.

Reviews treatment records to see which billable supplies a resident actually received.
Checks insurance and the face sheet to confirm payer status and eligibility for the date of service.
Reads census information to flag residents who are not in a covered Part A stay — the population these supplies are billable for.
Flags the clean claims and suggests them for review. It surfaces and organizes; it does not decide.

The triple-check: three human checkpoints

Every claim passes a person three times before submission. Each reviewer works from the same compliance standard Burst applies to every line.

After the first technology cleanup

The flagged claims are reviewed

A reviewer takes the claims the technology surfaced and confirms the basics hold up — the resident's payer status, the documentation behind each supply, and that nothing the system flagged is actually an exclusion. Claims that don't hold up are pulled here, not later.

After coding

The codes are checked against the record

Once codes are assigned, a second reviewer confirms each HCPCS code matches the documented item, maps to the correct revenue code, and sits within the category's coverage and quantity limits. This is a verification step — staff confirm the documentation is present and correct; they do not make independent clinical decisions.

After billing

The claim is cleared for submission

Before a claim goes out, a third reviewer confirms the Standard Written Order, proof of delivery, and supporting record are all on file and consistent with what is being billed. Only then is the claim submitted under the facility's institutional NPI.

What the technology never does

It never makes the final call. Every claim is cleared by a person before it moves forward.

It never auto-submits. Nothing is billed without a human sign-off at the final checkpoint.

It never decides medical necessity. Reviewers confirm the required documentation is present; they do not substitute their judgment for the treating practitioner's.

It only suggests. The technology surfaces and organizes clean claims — people do the verifying and the submitting.

Why we built it this way

A wrong claim isn't the software's problem — it's the facility's. When a claim is submitted under your institutional NPI, your building owns it. That's exactly why we don't let software submit anything on its own. Technology is good at finding the clean claims quickly; people are better at deciding what's actually defensible. We keep both, in that order.

We'd rather miss revenue than create liability.

See the Compliance Triple-Check → Read the full compliance brief →

This brief is provided by Burst Medical Billing to describe how Burst's technology and human review process work together for Medicare Part B supply billing in skilled nursing facilities. It is provided for general informational purposes and is not legal advice. The compliance standards each reviewer applies are detailed in Burst's Compliance Triple-Check checklist and compliance brief.