Outsourcing with BlackTree means partnering with an industry leader that specializes in back-office support to allow your agency to focus on the core aspects of your business. Our expert biller and collectors, OASIS and documentation review nurses, and authorization/insurance verification specialists focus on capturing every dollar to which your agency in entitled. Spend more time focusing on your patients while our experienced BlackTree team helps you improve episodic reimbursement levels and reduce write-off levels.
BlackTree has been a tremendous resource for our agency beginning with their coding and OASIS reviews. These reviews have allowed us to more accurately code our assessments and lock our OASIS in a more timely manner. This decreased our days to RAP which has significantly increased our cash flow. Due to our positive experience with BlackTree’s coding work, we also engaged BlackTree to provide outsourced billing and collections services. They have been able to identify and correct process and system setup issues within our billing software to allow for clean initial claim submission while also collecting older receivables with these issues. Overall BlackTree has been an ideal partner for our agency and we could not be more pleased with the services they have provided.
Third Party Liability (TPL) projects are conducted by numerous states, providing Medicaid programs a mechanism to recoup payments rendered to home health providers for dually eligible patients. Agencies are required to review the appropriateness of billing and either submit a claim or demand bill to Medicare. If all demand bills are not submitted to Medicare within the project timeframe, Medicaid can recoup their payments for these patients, regardless of their skilled needs or homebound status.
BlackTree Healthcare Consulting can assist agencies in completing a portion of or the entire TPL project billing requirements. When the initial patient list is provided by the TPL contractor, BlackTree can create the database of episodes to be billed, obtain the necessary billing requirements from the agency software system, bill the claims to Medicare and track the progress of each billed claim. Based on agency needs, BlackTree is able to perform necessary billing functions manually through direct data entry into the Medicare system or through the agency’s software system. BlackTree can guide you through the TPL process and help you retain all of the reimbursement to which you are entitled.