Brightree understands the unique complexity of our industry’s billing requirements and makes it easy for you to manage it all. Brightree provides you with the flexibility to process claims for multiple insurance plans, billing formats, and fee schedules. Brightree revolutionizes all aspects of your billing workflow and puts everything at your fingertips – integrated, real-time eligibility including Same or Similar confirmation, fully-automated electronic claims processing of individual and recurring bills, rejection/denial management, efficient processing of secondaries, and more.

Efficiently managing your workflow and accurately billing are the keys to maximizing your cash flow and profitability. Whether you have one biller or dozens, Brightree empowers each of them to bill and collect more, and with a lot less effort. Brightree's end-to-end billing and remittance management technology can cut weeks off of your DSO.

Brightree’s industry-leading billing solution features:
Eligibility Status
Real-time eligibility status for Medicare, Medicaid, and commercial payers is tightly integrated within Brightree. Brightree users check patient eligibility, deductibles, and Same or Similar status with one-click of the mouse. For new patients, Brightree’s quick and easy eligibility authentication prevents you from delivering equipment that you can’t get paid for. For recurring rentals, Brightree automatically re-checks eligibility before submitting them.Read More >
CMNs/Doctors Orders
Brightree has developed several options to automate your CMN submissions, tracking, and filing processes. This paperless workflow is fully integrated into the patient record in Brightree and includes automatic alerts for any/all outstanding documentation requests.
Electronic Claims Processing
Nowhere are the revolutionary advantages of Brightree’s cloud computing model more evident than in the ways that Brightree simplifies electronic claims submission to Medicare, Medicaid, and 2,100+ commercial payers. You’ll never again deal with batching up claims, managing modems, re-keying data into 3rd party websites, or resolving clearinghouse issues. Once an order is confirmed, Brightree takes over and does everything else. Brightree handles all of the technology required to electronically transmit your claims and retrieve and post all remittance information.
Secondary Claims
If you are using Brightree eClaims for non-Medicare payers, then your secondary claim can be transmitted electronically, saving you significant time and effort. For paper-based secondary claims, you simply generate your EOBs in batch at the same time; then just collate and mail -- you're done.
Auto Payment Posting
Virtually eliminate the time and effort it takes to post payments from Medicare and 80% of Medicaid and commercial payers. This is not a dumb download—it’s a completely integrated and fully automated payment posting process. Virtually all of your payments are automatically matched and posted to your open invoices. Then, Brightree intelligently scans open invoices and suggests matches for any remaining payment amounts.
Business Analytics for Billing
Brightree delivers an array of analytical and reporting tools to give you complete control and instant access to the information you need to manage your billing operations. The Executive Dashboard delivers historical trend data, while the Brightree Business Scorecard graphically displays interactive point-in-time information in real-time. BrightCFO™ displays a 30-60-90 day cash forecast. Brightree also has dozens of standard billing reports plus a custom reporting capability that allows you to create, save, and schedule specific reports to meet the unique aspects of your billing operations.
Collections Management
Brightree eliminates the need to run written reports for collectors and managers. Everything you need is available with the click of a mouse. Collection information is organized based upon your defined parameters and presented on the screen in real time where it is automatically linked to the rest of the Brightree system.
Recurring Billing
No more remembering to run a batch. Recurring billing is a breeze with Brightree. It all happens overnight, automatically, with a full reporting of the status of recurring bills the next business morning. Brightree even re-checks eligibility automatically before submitting recurring claims. Manual updates to rental rebilling are a thing of the past.
Billing Alerts
Following claims submissions, Brightree automatically retrieves response reports and interprets them for you, in plain English. Your billers are alerted to any issues with particular invoices or entire batches via an alert posted to their individual message center. Hyperlinks in the alert deliver one-click access to the claim. No more waiting for reports, printing them, and then trying to interpret cryptic codes to identify billing issues.
Denial Management
Pie charts represent the breakdown of claims by denial code, denial codes by HCPCs, an aged cash summary, and an aged cash summary by HCPCs. Working your denials is done with a simple click on the pie chart to view your detailed invoices online. There, you can easily review, repair, and resubmit ... all in one simple step.
Compliance Reminders and Order Intake
Automated billing compliance reminders within Brightree handle routine tasks (such as prompting your biller to contact CPAP patients every 4 months) and assimilating complete documentation. In order to decrease errors, Brightree also alerts users of different billing requirements during order intake, such as prompting users for appropriate modifiers.
Compliance Advisory Alerts
Brightree continuously monitors multiple data sources -- trade magazines, consultants, DMERCs, CMS -- and delivers relevant alerts to the applicable users within the Brightree community.
Managing Expiring Authorizations
Brightree prompts users for follow up activity to obtain Prior Authorization numbers. The system also provides proactive tracking of imminent expiry of CMNs as well as Prior Authorizations and identifies the need for new documentation, preventing any disruption in your billing cycles.
Price Table and Diagnostic/Procedure Code Updates
Brightree automatically updates your Medicare price tables the first day of each quarter. We maintain and update diagnostic and procedure codes, and routinely expire old codes so you don't have to. Accurate price tables means that your A/R is as precise as possible, while decreasing your labor associated with back-end adjustments.
Clinical and Patient Information
Brightree gives you complete control and quick access to patient demographic information, clinical documentation, schedules, charges and payments. Integrated into Brightree is the doctor NPPES registry, which allows you to easily add new doctors or effortlessly confirm NPI information. Orders can be assigned to a referral source and marketing rep, providing you with real-time referral tracking activity.
Smarter Billing
Processing over $6 billion in claims annually, Brightree regularly evaluates rejection/denial trends. Brightree analyzes payer specific data elements, front end edits, and other key information. Ultimately, Brightree utilizes that information to improve front-end edits so you bill smarter the next time. And since Brightree's front end edits won't let you confirm an order if any critical information is missing, you won't submit bad claims.
Plain Paper Printing
Even though Brightree provides the technology to make your office paperless, we still give you the option to print your invoices, billing statements, delivery tickets, and CMNs on plain paper. There's no need to buy special forms or printers, saving you money.
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