Medicare Audit Defense Case Study
By the numbers
The typical trigger
A SNF receives a TPE, RAC, UPIC, or MAC pre-pay request on Part B supply claims, often in categories such as urological or surgical dressing codes. Without a pre-built audit packet, the response burden falls back on the business office under a tight clock.
How Burst supports the response
For claims Burst billed, our team assembles the supporting documentation, Standard Written Order, certification of medical necessity (where applicable), clinical note, and proof of delivery, and prepares the response narrative for the facility to review and submit.
What outcomes look like
Outcomes depend on the underlying clinical documentation, payer rules, and the auditor's determination. Burst does not guarantee audit success. Documentation-focused billing support is included in our service at no additional cost on claims we billed.
Related
Frequently asked questions
- U.S. skilled nursing facilities (SNFs). We specialize in Medicare Part B supply reimbursement billed under your facility's NPI and tied to your clinical record.
Operators who switched to Burst — in their own words.
“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.”
“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.”
“This is one of the few initiatives where the ROI is obvious.”
Verified operator · 5–10 facility groupReal client · Verifiable · Reference available on request“They feel more like a partner than a vendor — hard to replicate internally.”
Verified operator · 10+ facility groupReal client · Verifiable · Reference available on request“They made something that felt risky actually feel very controlled and legitimate.”
Verified operator · 10+ facility groupReal client · Verifiable · Reference available on request“Low effort, high impact — and it scales without adding internal burden.”
Verified operator · 20+ location groupReal client · Verifiable · Reference available on requestEvery testimonial is from a real, verifiable Burst client. In senior care, most operators prefer not to be named publicly — but prospective clients can request a reference call during their assessment.
“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.”
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 / PurchasingTurn Missed Opportunities Into Real Profit.
Request a Part B reimbursement review for your skilled nursing facility. No added work for your staff. No upfront cost. No obligation.
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