A compliance first, EHR integrated, turnkey program
Unlock a new revenue stream for your facility
New revenue. Zero inventory risk. A fully managed, audit-ready Part B billing program for the wound care supplies your residents already receive.
The revenue opportunity most SNFs aren't capturing.
Under Medicare rules, SNFs are eligible to bill Part B directly for surgical dressings. In practice, third-party suppliers typically step in, bill Medicare themselves, and retain 100% of the reimbursement, describing it to facilities as "cost savings."
CMS Chapter 7 §10.1 authorizes a better path. Under an under-arrangement model, your facility bills Medicare directly, retains the reimbursement, and compensates Novo under a Fair Market Value agreement. We handle everything else.
Current state
Cost Avoidance
A third-party supplier furnishes dressings, bills Medicare directly, retains 100% of the reimbursement, and calls it "cost savings" for your facility.
Novo LTC
Revenue Participation
Your SNF bills Medicare directly, receives the reimbursement, and compensates Novo under a Fair Market Value agreement.
CMS authority
SNFs are explicitly authorized to bill Part B for surgical dressings under CMS Ch.7 §10.1. Not a gray area, not an interpretation. A long-standing, explicit Medicare provision.
Fully managed
Novo handles compliance infrastructure, documentation assembly, GPO fulfillment coordination, and billing support. Your team does what it does today — and collects the reimbursement.
Revenue available to your facility
The reimbursement exists and is being collected, currently by your third-party supplier. The Novo model ensures it flows to your facility instead, under a documented Fair Market Value agreement.
Built on CMS authority. Not interpretation.
Three specific rules. One clearly grounded model.
Authorized by CMS
SNFs are explicitly authorized to bill Medicare Part B for surgical dressings under CMS Ch.7 §10.1. This is not a gray area — it is the legal foundation of the Novo model.
CMS Ch.7 §10.1Validated before every claim
Every order is automatically checked against applicable Local Coverage Determinations before any claim is submitted, catching documentation gaps before they become denials.
Pre-submission validationAudit-ready by default
A complete documentation package is assembled for every order: SWO, medical necessity support, coverage validation, and proof of delivery. Ready for any post-payment review.
Per-order assemblyEHR-integrated. Purpose-built.
Not a standalone tool. A fully integrated system combining clinical workflow, compliance logic, and billing infrastructure together in one managed solution.
PointClickCare integration
Bi-directional EHR connectivity. Clinical notes and wound assessments ingested automatically; billing-ready documentation returned to the chart.
Compliance engine
Structured workflows and automated safeguards enforce LCD adherence at every step, reducing denials and post-payment recoupment risk.
Order management portal
A centralized environment integrating product selection, documentation workflows, compliance checkpoints, and fulfillment tracking.
Fully managed from order to revenue.
Novo handles the compliance, documentation, and fulfillment. Your facility submits the claim and receives the reimbursement.
Physician
Order (SWO)
A physician issues a Standard Written Order establishing medical necessity and the specific wound care products needed. This order is the clinical foundation of the billing process.
Novo
Coverage review
Novo reviews the order against Medicare coverage guidelines, confirming product eligibility, documentation completeness, and coverage criteria before any supplies are furnished.
Novo
Supplies furnished
Wound care dressings are furnished to the resident and shipped directly to your facility. Your facility carries zero inventory risk and no upfront supply cost.
SNF
Institutional billing
Your facility submits an institutional claim to Medicare using the complete billing package Novo provides, including proof of delivery, order documentation, and coverage validation.
Medicare
Part B payment
Medicare processes the claim and issues reimbursement directly to your facility. Because your facility bills as the furnishing provider, the revenue flows to you — not a third-party supplier.
Settlement
Contractual settlement
Your facility compensates Novo under a Fair Market Value Management Agreement covering enrollment, compliance, fulfillment, and billing support. The result is net revenue per order.
From cost avoidance to revenue participation.
Supplies your residents already receive. Documentation your staff already creates. Reimbursement that currently goes to a third-party supplier. It doesn't have to.
Let's work together.
The next step is a detailed census review. With a closer look at your Part B data, we can show you exactly what this looks like for your facility.
