As it is no secret that prior authorization is one of the complicated time-consuming processes in the medical domain. In fact, AMA (American Medical Association) in a recent survey has stated, 64%have to wait for one full business day where the rest found waiting for 3 business days.
Reason for denial
Though the proper reason for the delay or denied is uncertain still few reasons for delay has been highlighted.which is when only half of the claims have been authorized with missing the correct modifier is one of the reasons for denial and delay. Even lack of a prior authorization number and proper prior authorization knowledge also falls under the reason of denial.
How Sunknowledge can help?
Sunknowledge Service Inc a decade old end to end practice management/revenue cycle management organization specialized in prior authorization. As with years of working excellence Sunknowledge’s experts are up to date with all regulation and prior authorization process.
Authorization we follow:
- Gather vital information on medical procedure, patient, and provider
- Verify and validate prior auth request with effective payer side communication
- Check the patient’s eligibility
- Initiate the auth request based on the payer mandates
- checking the auth status
- Collating relevant documents from the ordering physicians/follow up
- Providing additional information if any
- update the auth income in the PM/Billing system
Prior authorization gain with us:
Sunknowledge specialized prior authorization section ‘PriorAuth Online’ ensures 100% prior submission on the same day. This is because the experts almost process 50,000 prior authorizations for 28 specialties on a monthly basis, making the experts capable of handling any amount of prior authorization volume. Even a boost in the average number of approval is guaranteed by 1.5-2x. In fact, PriorAuth Online also helps in reduction of duplication and errors for all 27 other specialties and orthotics and prosthetics prior authorization.
Other benefits
- 80% operational cost reduction with operational transparency
- 99.9% accuracy rate with the highest productive metric
- 97% first pass highest collection rate
- 30% shrink in account receivable bucket
- Robust customized reporting according to client protocol daily/weekly/monthly
- No adjustments or write-offs without client consent
So leverage Sunknowledge facilities over a no binding contract for your orthotics and prosthetics prior authorization process and other medical billing problems.
