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Medicare Fee Schedule for SNFs
The Medicare Part B fee schedule sets the allowable amount CMS will pay for every supply, service, and DME item billed under a HCPCS code. For SNFs, knowing the fee schedule by code is how you forecast Part B supply revenue.
Last updated May 2026
How fee schedules are structured
DMEPOS items are paid based on the DMEPOS Fee Schedule (updated quarterly). Drugs are paid at ASP + 6% under Part B. Supplies are paid at the lower of charge or fee schedule. Geographic adjustments apply by MAC region.
Why it matters
Without knowing the fee schedule, it's impossible to estimate recoverable revenue, model contingency economics, or evaluate whether a billing partner is leaving allowable amounts on the table.
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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.
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