DME Billing and Reimbursement for SNFs
Last updated May 2026
What qualifies as DME under Part B in an SNF
Items dispensed for use at the resident's primary home address, which, for long-term Part B residents, is the SNF, that meet the DMEPOS LCD criteria. Common: glucose monitors, CPAPs, walkers in select cases, and select wound care equipment.
How claims are processed
DMEPOS claims route to the regional DME MAC (Noridian or CGS), separate from Part B carrier claims. Documentation requirements are stricter, especially around proof of delivery and continued medical necessity.
Talk to Burst about your SNF's supply reimbursement process
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Frequently asked questions
- Not for the prosthetic-and-orthotic and supply categories billed to the A/B MAC under the facility's institutional NPI. Burst Billing holds no DMEPOS enrollment and does not bill the DME MAC.
- Durable medical equipment is generally rented or purchased equipment billed through DME channels. Prosthetic and orthotic supplies, such as ostomy and urological items, follow a different coverage pathway that a facility can bill directly.
- You do, and it does not have to change. Facilities typically keep their existing supply vendor; what changes is who bills Medicare and who keeps the reimbursement.
Related insights
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Read articleHow to Build a Part B Reimbursement Review Process for Your SNF
Build a Medicare Part B supply reimbursement review process for your SNF in five stages, from supply identification to ERA tracking and monthly review.
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 articleReviewed by Shawn Barron, Chief Revenue Officer · July 2026. DME versus prosthetic-and-orthotic distinctions were reviewed to confirm no DMEPOS enrollment is implied.
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