Which residents qualify?
Residents with a tracheostomy who have active Medicare Part B and are not in a covered Part A stay on the date of service.
Why trach supplies and RT belong together
Trach residents often also qualify for respiratory therapy services such as trach suctioning and ventilator management. CareComply handles both, so nothing billable falls between two vendors.
What CareComply monitors
- Trach care orders without defined frequency
- Supply quantities above LCD limits
- Trach residents not enrolled in respiratory therapy
Frequently asked questions
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.
Do we have to change suppliers?
No. CareComply replaces the Part B supply vendor that bills Medicare under its own NPI today. Your facility keeps ordering from its regular supplier, now for all residents, and CareComply bills the Part B–eligible usage under your facility’s NPI.
Does this apply to residents in a Medicare Part A stay?
No. During a covered Part A stay, consolidated billing applies and supplies are part of the Part A payment. Part B supply billing applies to residents who are not in a covered Part A stay and have active Medicare Part B on the date of service.
Sources
- LCD L33832: Tracheostomy Care Supplies
- Social Security Act §1861(s): medical and other health services
- CMS Medicare Claims Processing Manual, Pub. 100-04, Chapter 7 (SNF Part B billing)
- Article A55426: Standard Documentation Requirements for All Claims Submitted to DME MACs
Review status: Pending compliance review