Risk-Free Billing Model for SNFs
“All SNF operators should use Burst to collect on their Part B supplies. They work hard and efficiently to recover revenue that is left on the table, easy to work with, responsive, and a trusted long-term partner.”
“Burst delivered a 55% ROI on wound supplies across my Skilled Nursing Facilities in eight months. The model works.”
“The speed at which we started seeing results was impressive. We didn't have to wait months to understand the value, it showed up quickly and created an immediate financial lift.”
What to know in 60 seconds
- Pricing is contingency-only, a percentage of collected Part B supply revenue. No setup, no monthly minimum, no software license.
- If a claim isn't paid, Burst doesn't get paid. Incentives stay aligned with your facility through denials and appeals.
- Engagements are month-to-month. No multi-year contract is required to start or stop.
- Onboarding, PointClickCare integration, and the initial reimbursement assessment are all included at no charge.
Why facilities choose Burst
Aligned incentives
We don't get paid unless you do. Our team works the same denials yours would, because our revenue depends on it.
No capital outlay
No EHR replacement, no new software to license, no implementation fee. Onboarding is free.
Cancel anytime
Month-to-month. No multi-year contracts. We earn the renewal every month we bill for you.
How the model works
We do the assessment for free. We onboard for free. We bill for free. The only time money moves is when an ERA lands in your account, and our share is calculated on collected revenue, not billed charges.
Why we can offer it
Because we're confident in the playbook. Burst has recovered Part B supply revenue for SNFs in 16 states. The math works for both sides only when claims actually get paid, which is exactly the alignment your facility wants from a billing partner.
Contingency vs. the other three ways Part B billing gets priced
Operators evaluating this lane usually see four pricing shapes. Per-claim or per-transaction fees charge on activity, so a denied claim still costs you money. Monthly platform or license fees charge for access whether or not the lane produces revenue, which is the model most software-first vendors use. Supplier-bundled billing looks free because there is no invoice at all — the supply company bills Part B as the provider and keeps the reimbursement, so the facility never sees the revenue it is entitled to. Contingency is the only one of the four where the vendor's downside matches yours: no collection, no invoice, and no fixed cost sitting on your P&L in a slow month.
What the percentage actually covers
The contingency rate is not a billing-submission fee with extras sold on top. It covers the reimbursement assessment, onboarding and PointClickCare integration, eligibility screening, coding and modifier work, claim scrubbing and submission, ERA reconciliation support, the full denial and appeal workflow, claim-level reporting, and Medicare audit defense on every claim we submit. There is no separate line for setup, no per-seat software charge, no minimum monthly draw, and no fee for the months where recovery is small. The rate itself is quoted in writing during the assessment and depends on volume and case mix; we do not publish a single number because quoting one before seeing your data would be a guess.
What contingency does not mean
Risk-free describes the fee structure, not the outcome. Contingency pricing means you are not out of pocket if revenue does not materialize; it does not guarantee a specific recovery amount, a claim approval, or an audit result, all of which depend on documentation, resident eligibility, and payer rules. It also does not mean zero effort: your team still confirms census and payer status and signs anything requiring a facility signature. And it does not mean we bill everything possible to maximize a percentage — the fee is calculated on collected revenue, so a claim that gets clawed back on review is worse for us than one we never submitted.
Month-to-month terms and how an exit works
Engagements run month-to-month with no multi-year commitment and no termination penalty. If you leave, claims already submitted continue through adjudication and the associated contingency applies to what those claims collect; nothing new is submitted after the notice date. Your data stays yours, we provide a claim-level export of everything billed during the engagement, and access to your systems is revoked on the end date. The practical reason we can operate this way is the same reason the pricing works: a facility that is seeing recovered revenue every cycle does not look for the exit, so we would rather earn the renewal monthly than lock in a contract that outlives the results. Start with a free reimbursement assessment if you want the numbers before the terms.
Representative engagement — composite
Contingency-based SNF billing with no upfront Medicare fees: a skeptical CFO tests the model before committing
- Facility type
- Independent skilled nursing facility
- Concern
- Prior vendor charged monthly regardless of collections
- Structure
- Percentage of collected Part B supply revenue
- Up-front cost
- None — no setup fee, no software purchase
The situation
The facility had been through an RCM vendor that invoiced a flat monthly fee whether or not claims were paid, and the finance committee had no appetite for a second fixed commitment against uncertain revenue. The objection was not the percentage — it was paying for activity rather than outcomes.
How the engagement ran
- Week 1Terms in writing
The fee is defined as a percentage of collected Part B supply revenue, not billed charges. No setup fee, no software licence, no minimum. What is out of scope — Part A, Medicaid, physician services — is written down alongside it.
- Weeks 2–3Review before commitment
A documentation review establishes what the facility's own records support, so the decision is made against its actual chart rather than a projection.
- Weeks 4–8First cycles bill
Claims are submitted and remittances post. The first invoice is calculated from money the facility has already received.
- OngoingAligned incentives in the denial queue
Because a denied claim earns nothing, denials are worked to appeal rather than reported. Held claims stay eligible inside the 12-month filing window instead of being billed on the hope that no one reviews them.
What changed
- Cost scales with collections, so a slow quarter does not create a fixed liability.
- No capital outlay, no new software, and no headcount to justify to the board.
- The vendor absorbs the cost of denials and rework, which is the difference the CFO was actually pricing.
- Scope stays narrow and legible: Part B supply reimbursement only, with the rest of the revenue cycle untouched.
Fee percentages depend on volume and scope and are set in the agreement — this scenario illustrates the structure, not a rate.
Composite scenario. This illustrates how a typical Burst engagement is sequenced, drawn from common patterns across skilled nursing facilities. It is not a specific client, and no resident, facility, or payment figures are represented. Results vary by census, documentation quality, and payer determinations.
Frequently asked questions
- Our fee is a percentage of what Medicare actually pays the facility on the claims we bill. No collection, no fee. There is no setup charge, license fee, minimum, or per-claim cost.
- Agreements are month-to-month and cancellable. If the model does not produce a return for your facility, you are not locked into a term to prove it.
- It is the reason we decline claims. A denied or recouped claim costs us the work and pays nothing, so unsupported encounters are filtered out before submission rather than pushed through.
Contingency billing economics
When Compliance and Revenue Recovery Run Separately, SNFs Pay Twice
A documentation-first review process connects compliance and revenue recovery in SNFs: decision status framework, monthly checklist, and leadership visibility.
Read articleMedicare Part B Billing Mistakes That Cost SNFs Revenue
DMEPOS improper payments hit 24.1% in 2024, three times the Medicare average. Six billing habits drive most of it. Here is what they are and how to fix them.
Read article“Burst Billing not only met but exceeded our expectations, and truly opened our eyes to the benefits of a revenue share model. They've helped us recover revenue we would otherwise have left on the table.”
Reviewed by Eric Hansen, Chief Executive Officer & Founder · July 2026. Fee and contract terms on this page match the standard month-to-month client agreement.
Compare the model against your current cost
Share your current Part B setup and approximate facility count. We’ll show what is included in contingency pricing and where fixed fees, internal labor, or vendor charges differ.
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Risk-free. If you don't get paid, neither do we.
Related cost and coverage resources
Context on what contingency pricing covers, and what Part B will and will not pay for.