Part B Supplies

Medicare Part B supply billing for skilled nursing facilities

Skilled nursing facilities can bill Medicare Part B for surgical dressings, ostomy, urological, and tracheostomy supplies, and splints and orthotics used by residents who are not in a covered Part A stay. Today, most of that reimbursement goes to supply vendors billing under their own NPI. CareComply bills it under your NPI instead, typically $5K–$20K per facility per month, with every order checked for compliance every day.

Switching is simple

Replace the vendor, keep your supplier

CareComply replaces the Part B supply vendor that bills Medicare under its own NPI. Your facility keeps ordering supplies from its regular supplier, now for all residents, and we bill the Part B–eligible usage under your NPI. Your nurses keep documenting in PointClickCare the way they do today.

1

We read every order

Each supply order in your eMAR is parsed, and AI identifies the products it calls for, such as an alginate filler under a bordered foam dressing.

2

We map orders to billable products

Products are matched to their HCPCS codes and the LCD that governs them.

3

We count only eligible days

Usage is counted only on days the resident was in the building and Part B eligible.

4

We bill under your NPI

Claims go out under your facility’s NPI, and Medicare pays your facility directly.

Compliance and eligibility

Two daily reports keep every claim defensible

Part B Supply Compliance Report

Flags supply orders missing a qualifying diagnosis, dressing size, defined frequency, wound location, or supporting assessment, and orders that exceed weekly utilization limits.

Part B Supply Eligibility Report

Lists residents who should start, continue, or stop supplies based on payer and diagnosis rules, including Medicare Advantage disenrollments.

Wound debridement audit

Collects clinician decisions on debridement so wound orders are billed correctly.

Part B supply billing FAQ

What Part B supply categories can a SNF bill?

Surgical dressings for wound care (LCD L33831), ostomy supplies (LCD L33828), urological supplies (LCD L33803), tracheostomy care supplies (LCD L33832), and splints and orthotics. Durable medical equipment such as wheelchairs and hospital beds is a separate benefit and is not included.

What documentation does every Part B supply claim need?

A practitioner order, medical record documentation that supports medical necessity under the applicable LCD, records showing the supply was used for the resident, and quantities within the policy’s limits.

Can a nursing home bill Medicare Part B for wound dressings?

Yes. For residents not in a covered Part A stay who have active Part B, a SNF can bill medically necessary surgical dressings under its own NPI, following LCD L33831 and the standard documentation requirements.

Are ostomy supplies covered by Medicare Part B in a nursing home?

Yes, for residents not in a covered Part A stay. Ostomy supplies fall under the prosthetic device benefit and can be billed by the SNF under its own NPI.

Can a SNF bill Medicare Part B for catheters?

Yes, when the resident’s urinary condition is permanent and documented, the resident has active Part B, and they are not in a covered Part A stay.

Are trach supplies billable to Part B in a nursing home?

Yes. Tracheostomy care supplies are a prosthetic device benefit, billable by the SNF for residents not in a covered Part A stay.

Can a SNF bill Part B for splints and braces?

Yes, for residents not in a covered Part A stay, when the device is ordered and medically necessary. Durable medical equipment like wheelchairs is a different benefit and is not included.

See what your facility is missing

Book a demo, or start with a free sample scan of your real data. We’ll show you the Part B revenue you’re leaving on the table and the compliance gaps you have today. No cost, no commitment.