Medicare Billing for Nursing Homes and SNF Operators
Why facilities choose Burst
Built for the SNF business office
Designed around the Part A consolidated-billing reality of your facility, not retrofitted from a hospital RCM platform.
PointClickCare-native
Marketplace integration tied to your clinical record. Nurses chart once. Burst bills from the same source of truth.
Audit-ready by default
Every claim ships with the documentation packet a TPE or RAC reviewer would request. No retroactive scramble.
What we deliver to SNFs
A specialized billing arm for Medicare Part B supplies. Billed under your NPI, integrated with PointClickCare, audit-ready, and contingency-priced.
Where we operate
Coverage available in all 50 U.S. states, across every A/B MAC jurisdiction that processes SNF Part B supply claims.
How it works
3 steps · risk-free- 101 / 03
Identify Part B-eligible residents
Daily, automatic. Residents who roll off Part A are flagged the day they become Part B-eligible.
- 202 / 03
Match supplies to documentation
Nursing notes, MDS, physician orders, pulled from PCC, mapped to billable HCPCS codes.
- 303 / 03
Submit + reconcile + appeal
Claims to the MAC. ERAs back to your account. Denials worked. Appeals filed. Reporting monthly.
Supply categories we recover for SNFs
Frequently asked questions
- There is no hard minimum. Value tracks the volume of Part B eligible supply use, mostly wound, ostomy, urological, and tracheostomy care, rather than bed count, so a smaller facility with a heavy wound population can outperform a larger one.
- Most groups start with one or two facilities, review the claim-level results, and roll out from there. Reporting can be delivered per facility and rolled up for the group.
- Our model is built for Medicare-certified skilled nursing facilities. Coverage rules and billing pathways differ in assisted living, and we say so rather than stretching the model to fit.
Related insights
Medicare Part B Reimbursement for SNFs: A Plain Guide
Understand Medicare Part B reimbursement for SNFs with a compliance-first view of documentation, billing controls, and resident status.
Read articleHow SNF Documentation Connects Care Quality to Reimbursement
Four SNF documentation elements that connect clinical care to Medicare Part B supply reimbursement, where records break down, and what monthly review covers.
Read articleWhy SNFs Miss Medicare Part B Supply Reimbursement
See why SNFs miss Medicare Part B supply reimbursement, what documentation to verify, and how billing visibility can reduce missed claims and compliance risk.
Read article“Low effort, high impact, and it scales without adding internal burden.”
Primary sources
Part B rules, audit triggers, and reimbursement policy referenced on this page come from the official sources below. Coverage policy changes; confirm current requirements with CMS and your Medicare Administrative Contractor before billing.
- CMS — Skilled Nursing Facility (SNF) Consolidated Billing
- CMS — Medicare Coverage Database (LCDs and policy articles)
This page is general educational information, not legal, coding, or compliance advice. Burst does not guarantee reimbursement, claim approval, or any audit outcome.
Reviewed by Shawn Barron, Chief Revenue Officer · July 2026. Facility-fit criteria reflect the qualification questions used in live revenue assessments.
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