While some vendors are simply writing claims translators, Brightree is taking a much more strategic approach that will enable our customers to fully leverage the benefits inherent in the new format.
Atlanta, GA (PRWEB) May 03, 2011
Brightree LLC, the leading provider of business management software solutions for the HME/DME market, has completed a significant milestone by passing the Center for Electronic Data Interchange (CEDI) test for health care claim production using the HIPAA ASC X12 version 5010 standard. At the earliest possible date, Brightree has been certified as an approved vendor, meaning that claims created and submitted with Brightree® billing and business management software will fully comply with the new standard that the Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services (CMS) will require January 1, 2012 for all claims.
“It is a priority for Brightree to ensure that our software fully prepares our HME customers for standards and technology requirements driven by industry regulations,” said Dave Cormack, president and CEO of Brightree. “While some vendors are simply writing claims translators, Brightree is taking a much more strategic approach that will enable our customers to fully leverage the benefits inherent in the new format. These benefits include the ability to achieve greater insight into denial reasons, improve efficiencies within the claims processing workflow, and eliminate costs associated with tracking commercial payer status.”
Under HIPAA regulations, HHS requires that all electronic claims from medical service and equipment providers via their billing software must be submitted to CMS in a standard electronic format. In order to receive payment, providers must file all electronic claims in the 5010 format starting January 1, 2012. Industry experts agree that the majority of commercial payers will follow this same standard and time line.
Brightree will continue its rigorous testing procedures, working closely with CEDI for Medicare claims and its partner Capario, a leading provider of solutions that connect payers and providers, for commercial claims. Because Brightree interfaces exclusively with Capario, which services more than 4,000 commercial payers, customers will not be required to monitor individual commercial payer status regarding 5010 compliance.
According to Suzanne Henderson, chief technology officer for Brightree, “We understand that providers face many different market challenges today. With our unique approach to 5010 compliance, we are actually doing the heavy lifting for our customers with capabilities such as automatic claims-format assignment based on the payer’s status. In addition, we are surrounding them with support services such as our eClaims Concierge service that helps them understand the claims process.”
Customers will be contacted directly regarding more detailed testing and migration schedules. For further information on Brightree’s approach to 5010 and to learn more about getting your HME business ready, visit http://www.brightree.com/5010.
In addition to certifying Brightree software, CEDI has also certified Pacware and CAU software, which are software solutions acquired by Brightree and currently supported by the company.
Brightree LLC is the leading provider of business management software solutions for Home Medical Equipment (HME) providers, Durable Medical Equipment (DME) providers, Orthotics & Prosthetics (O&P) practitioners, and Sleep Labs. Brightree’s unique Internet-based solutions follow the natural workflow of providers to automate and improve how they manage their business. Brightree is the only business management software solution endorsed by Invacare Corporation as well as the VGM member service organization. Brightree serves more than 2,500 providers in the USA. For further information, visit http://www.brightree.com or call 1.888.598.7797, ext. 5.