Interested in respiratory therapy?
Run a fully compliant in-house Part B program with CareComply and capture $100,000+ per month.
Part B should pay you,
not your supplier.
Bring it in-house with CareComply. We bill your Part B supplies under your NPI, check every order for compliance daily, and Medicare pays your facility. No new staff, no new software.
- $0 upfront
- 12-month lookback
- Works inside PointClickCare

Every Part B supply has a price, a cost, and a margin.
Medicare pays a fixed amount for each supply. The supply costs less than that. The difference goes to whoever bills Medicare, and right now that isn’t you.
Medicare sets the price
Each dressing, pouch, catheter, trach supply, and splint has an allowable on the Medicare fee schedule for your MAC. It’s public, and it’s the same whoever bills it.
The supply costs a fraction of that
Your supplier buys the product for a fraction of the allowable. That cost is real, and it should be paid. It’s the smaller slice.
The difference follows the NPI
Whoever submits the claim keeps the margin. A “free supplies” vendor bills under its NPI, nets the cost, and keeps the rest. Bill under your NPI and the margin stays in your building.
What one month of supplies and respiratory therapy looks like, 100-bed building
Pre-filled with a typical 100-bed mix. Change the beds or any resident count to match your building.
Respiratory therapy adds $75,000 of margin a month on top of supplies.
Illustrative per-resident amounts for residents outside a covered Part A stay. Respiratory therapy assumes $5,000 per patient per month at a 60% margin. Your sample scan replaces these with your own numbers.
Why your supplies are “free” today
The margin is larger than the cost, so giving you the product is a good trade for them. The reimbursement was your residents’ Part B benefit the whole time.
In-house with CareComply
You end the vendor’s Part B billing arrangement and keep ordering supplies for all residents. Only the claim changes hands. No new staff, no new software.
Five Part B supply categories your facility can bill itself
For residents who are not in a covered Part A stay and have active Medicare Part B.
Wound care & surgical dressings
Foam, alginate, hydrocolloid, hydrogel, composite, and gauze dressings; wound fillers
Learn moreLCD L33828Ostomy supplies
Pouches, wafers, skin barriers, belts, and accessories
Learn moreLCD L33803Urological supplies
Indwelling and intermittent catheters, drainage bags, insertion trays
Learn moreLCD L33832Tracheostomy supplies
Inner cannulas, trach care kits, ties, filters, and tubes
Learn moreSSA §1861(s)(5), (s)(9)Splints
Resting hand splints
Learn moreThe other Part B line most buildings never bill
Residents with COPD and other qualifying diagnoses can receive respiratory therapy billed to Medicare Part B. Your clinical team delivers it; CareComply finds the residents who qualify, checks every RT order daily, and bills it under your NPI.
In-house billing, without the compliance risk
Once the claims are yours, the documentation has to hold up. CareComply checks every supply and RT order against its coverage rules every day and tells your team exactly what to fix, before month-end, while it’s still billable.
- Qualifying diagnosis, dressing size, frequency, and wound location
- Supporting wound assessments and debridement decisions
- Weekly utilization limits under each LCD
- Daily Part B and Medicare Advantage eligibility
November 2025 supplies stop being billable in 20 days.
Medicare generally allows claims up to 12 months after the date of service. Every eligible dressing, pouch, and catheter your nurses used in November 2025 that wasn’t billed under your NPI is about to be gone for good. Next month, December goes too.
The scan shows exactly what’s still recoverable in your window, by month.
- Dec’25
- Jan’26
- Feb’26
- Mar’26
- Apr’26
- May’26
- Jun’26
- Jul’26
- Aug’26
- Sep’26
- Oct’26
- Nov’26
What changes when you bring Part B billing in-house
| Compared on | Part B supply vendor (e.g. Gentell, Accurate Healthcare, Impact Medical, Curitec) | In-house with CareComply |
|---|---|---|
| Whose NPI is on the claim | The vendor’s | Your facility’s |
| Who keeps the margin | The vendor | Your facility |
| Where you buy supplies | From the vendor | From your regular supplier |
| Compliance checks | Little visibility into what’s billed | Every order checked daily, gaps fixed before month-end |
| Finding missed revenue | No | Better products, payer changes, unbilled residents |
| Past 12 months | Kept by the vendor | Recovered for eligible services within the filing window |
| Respiratory therapy | Not offered | Full in-house Part B RT program for a fixed monthly fee |
Questions SNF leaders ask first
Who gets paid for Part B supplies in a nursing home?
Whoever submits the claim under their NPI. Many SNFs use a supply vendor that bills Medicare under the vendor’s NPI and keeps the reimbursement. With CareComply, claims are billed under the facility’s NPI, so Medicare pays the facility.
If the supplies are free, what is there to recover?
The supplies aren’t free; your residents’ Part B benefit is paying for them. Medicare reimburses more than the supply costs, and the vendor keeps that margin in exchange for not invoicing you. In-house, you pay the supplier’s invoice and keep the margin.
What happens to our current supply vendor?
You stop the Part B billing arrangement with the vendor and keep ordering supplies from your regular supplier for all residents. CareComply bills the Part B–eligible usage under your NPI.
Can our facility run respiratory therapy in-house instead of through a third-party provider?
Yes. The facility bills Part B respiratory therapy under its own NPI for eligible residents. Your clinical team delivers the therapy, and CareComply handles eligibility, daily documentation compliance, and monthly billing for a fixed monthly fee.
Which residents are eligible for Part B billing?
Residents who are not in a covered Part A stay, have active Medicare Part B, an eligible primary payer, and no active Medicare Advantage plan (unless the facility has an arrangement with that plan). CareComply checks this for every resident every day.
How much does it cost?
Part B supply billing is paid on contingency, as a percentage of revenue we bill and collect for you, with no setup fee. The respiratory therapy program is a fixed monthly fee. The first step is a free sample scan of your facility’s real data.
Can we recover revenue from past months?
Yes. Medicare generally allows claims to be filed up to 12 months after the date of service, so we run a 12-month lookback to bill eligible services you already provided. Each month you wait, another month of that revenue passes the filing limit.
Get your free sample scan. See what your supplier collected on your residents last month.
The free sample scan uses your own PointClickCare data to show what’s being billed under someone else’s NPI, which residents qualify for RT, and the documentation gaps to fix first. No cost, no commitment. Operators like NewGen and Tide Group started the same way.