On January 24, Brightree is adding a one-click global reset option to the deductible hold feature in its billing software. For DME suppliers that implement deductible holds, the feature makes it much easier to restore hold protocols for patient accounts bypassed or excluded in prior years. Previously, users had to maintain a separate list of bypassed patient accounts and then reset each patient manually at the start of the deductible season.
A deductible hold is an internal process in which suppliers consider each patient’s unmet deductible balance before submitting related insurance claims. Collecting from patients is often difficult, so many suppliers hold claims in hopes that another provider will absorb the annual deductible first. Though the process has been tedious to administer in the past, technology developments have, over time, offered greater precision and efficiency.
The global reset feature is the latest in a run of updates the software maker added to its core offering to improve deductible hold efficiency. In October of last year, Brightree added a deductible hold field to its ad hoc custom reporting module. Previously, users could only find the deductible hold setting within each patient’s individual account screen. By adding the hold setting to the ad hoc report-making options, users with basic Excel knowledge can link active rental data, secondary insurance policies, and other information to create precise working lists that optimize cash management and staff time resources.
Experienced suppliers remember when software vendors limited deductible hold features to a single binary choice: on or off. Modern billing applications, however, permit users to set multiple variables to optimize collections during deductible season. The application then automatically releases Medicare invoices for beneficiaries with:
Suppliers can also release claims manually or after a specified number of days. When properly configured, robust billing applications distinguish between high and low risk claims and recognize the diminishing returns of holding any claim indefinitely.
A deductible hold is an internal process in which suppliers consider each patient’s unmet deductible balance before submitting related insurance claims. Collecting from patients is often difficult, so many suppliers hold claims in hopes that another provider will absorb the annual deductible first. Though the process has been tedious to administer in the past, technology developments have, over time, offered greater precision and efficiency.
The global reset feature is the latest in a run of updates the software maker added to its core offering to improve deductible hold efficiency. In October of last year, Brightree added a deductible hold field to its ad hoc custom reporting module. Previously, users could only find the deductible hold setting within each patient’s individual account screen. By adding the hold setting to the ad hoc report-making options, users with basic Excel knowledge can link active rental data, secondary insurance policies, and other information to create precise working lists that optimize cash management and staff time resources.
Experienced suppliers remember when software vendors limited deductible hold features to a single binary choice: on or off. Modern billing applications, however, permit users to set multiple variables to optimize collections during deductible season. The application then automatically releases Medicare invoices for beneficiaries with:
- Secondary QMB Medicaid plans that cover the Medicare deductible.
- Low unmet deductible balances – per automated eligibility checks – below the supplier-set threshold.
- Supplier-enabled manual bypasses.
Suppliers can also release claims manually or after a specified number of days. When properly configured, robust billing applications distinguish between high and low risk claims and recognize the diminishing returns of holding any claim indefinitely.
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