Revenue Cycle Management
Complete outsourced billing and ICD-10 coding services
Now you can spend less time chasing payments, and more time focused on delivering quality patient care. Brightree’s Revenue Cycle Management (RCM) division for home health agencies provides complete outsourced billing and coding services for home health agencies. Our team of specialists has comprehensive knowledge of regulatory and compliance guidelines for home care. We put that to work for you to improve reimbursement and compliance activities for your organization.
- ICD-10 coding
Brightree offers ICD-10 coding services based on your immediate and long-term coding needs. With our cloud-based technology, credentialed industry experts, and coding tools to properly sequence and assign codes based on ICD-10 methodologies, we can help you minimize productivity losses, improve reimbursement, and allow your staff to focus on core business functions and delivering excellent patient care.
- Documentation review
Our coders will assess all available documentation to ensure everything is coded to the highest level of specificity. Insufficient or missing documentation requirements will be communicated to your staff for final review to help you maximize reimbursement opportunities and increase clinical documentation compliance.
- Coding backlog/special projects
Contact us to learn more about how we customize our coding programs to meet your interim business needs.
Billing services for home health
- Claim hold review and claim processing
Validation of hold review for cleaner claim processing and release on initial submission.
- Payment posting
Daily payment posting for maximum accuracy.
- A/R monitoring and denial management
A/R aging monitoring, claim corrections, and follow-up on denials.
- Monthly A/R dashboard
Agency performance metrics to assess the financial state of your business.
- A/R analysis and cleanup
Consultative review and follow-up of aged claims for collectable revenue.
With both clinical and regulatory knowledge in OASIS assessments, our team of certified OASIS auditors examines the full assessment document and OASIS questions along with the plan of care. The team also manages the process of integrating ICD-10 coding into the OASIS review, meeting the collection and transmission requirements set forth by Medicare. The result is time savings and a seamless transmission.
- Identification of patient records for audit
The Brightree team will work with your agency to determine the most efficient workflow for assessment.
- Documentation review
We look at the OASIS assessment document and all relevant documentation to ensure compliance with regulatory guidelines and maximize reimbursement.
- Audit outcome and recommendations
Brightree’s certified staff will audit for document discrepancies and inaccuracies, and make recommendations for improving assessment documentation quality.
Trust Brightree for billing and coding services
Easy startup or transition
Because we focus exclusively on Brightree users, we can obtain billing data, process claims, manage A/R, and obtain and review clinical documentation in a standard, secure environment.
Dedicated account management
We provide your agency staff with a dedicated account manager to ensure ongoing communication on the status of your billing and coding services.
As your business grows, Brightree’s extensive resources grow with you. That means your business can maintain business operations without the burdens of increased administrative cost and decreased productivity.