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DME Billing and Reimbursement for SNFs

Durable medical equipment (DME) billing inside an SNF sits at the intersection of Part A consolidated billing and Part B fee-for-service. Knowing the line between them is where reimbursement is recovered or lost.

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.

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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.
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