SNF Revenue Recovery Example
By the numbers
The starting point
A typical SNF runs a strong Part A and Medicaid billing operation, while Part B supply reimbursement remains under-claimed because the workflow, documentation, and code-level expertise sit outside the day-to-day billing team.
How Burst engages
Burst connects to PointClickCare on a read-only basis and reviews available utilization data against eligibility, documentation, and LCD coverage rules to identify Part B supply categories the facility may be entitled to bill under its own NPI.
What changes operationally
Claims are prepared and submitted under the facility's NPI on a contingency basis. The facility adds no headcount and pays nothing up front. Reimbursement results vary by facility documentation, resident eligibility, payer rules, and applicable Medicare requirements.
Frequently asked questions
- Yes. Results come from an actual Burst Billing client, de-identified at the client's request. A reference call can be arranged during an assessment.
- No two facilities are alike. Outcomes depend on census, wound and ostomy volume, documentation quality, and how much Part B supply activity is currently unbilled. Treat this as an illustration, not a projection.
- First remittances typically arrive within the first standard payment cycles after go-live. The lookback portion, where applicable, lands over the following months as claims work through the MAC.
Related insights
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Read articleHow to Maintain Audit Readiness While Recovering Missed Revenue
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Read articleMedicare Part B Billing Mistakes That Cost SNFs Revenue
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Read article“This is one of the few initiatives where the ROI is obvious.”
Reviewed by Shawn Barron, Chief Revenue Officer · July 2026. Figures come from a real client engagement, de-identified at the client's request. Reference calls available on request.
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