The CMS (Center of Medicare and Medicaid services) plays a very vital role when prior authorization rules and regulation is concern. Still today Prior authorization is a complex process and it’s been regularly updated. This is why keeping track of such prior authorization becomes difficult for any healthcare staffs. In fact in recent HME news, it is reported that during a special open door forum CMS announced it will turn around in five business days for prior authorization request for support surface. It even reported CMS will turn around the expedited request in two days.

With the ever-changing regulation and complex time consuming prior authorization process, every healthcare provider is looking for a perfect operational partner.

The perfect operation support not only helps healthcare providers achieve a faster and effective prior authorization approval but also help them focus on other vital areas like patients care, advancement in technology etc.

What makes Sunknowledge Best Prior Authorization option for DME?

With the increasing option of prior authorization services, Sunknowledge Service Inc is still the premium solution when it comes to prior authorization and other medical billing issues. Running for decades now Sunknowledge prior authorization “PriorAuth Online” provides operational transparency reducing errors and duplication. It also guarantees 100% pa submission on the same day with an increase in prior authorization rate by 1.5-2x.  Providing a 99.9% accuracy rate Sunknowledge has the highest productive metric and 97% highest first pass collection rate. It also guarantees an instant 70% decrease in your current operational cost. Apart from being an excellent support system to prior authorization Sunknowledge also provide standalone/end to end services involving pre-billing and post billing work which can be divided into:

Pre-billing:

• Rx order entry
• Patient demographic & insurance entry
• Product Code/Rx &Dx entry
• Eligibility verification (Online/ calling)
• Collection of Rx
• Collection of documents for Auth approval
• Prior authorizations with doctor’s office follow up
• order Confirmation

Post-billing:

• Superbill generation and coding
• Claims edit checking and correction
• Claims submission through EDI clearing house at a scheduled time
• Rejection management
• ERA/EOB posting and reconciliation
• Automatic secondary payer billing
• Denial Management
• Patient statement generation and mailing

What Makes Sunknowledge Special?

Along with the above benefit Sunknowledge also provide CPAP additional support

• Tracking
• Contacting and advising noncompliant patients
• Contacting compliant patients and providing appointment alerts
• Scheduling appointment with doctor’s office
• Contacting ordering physicians with compliance reports

Sales Support by reaching out to:

• Existing CPAP users regarding supplies if eligible
• Existing diabetic/incontinence users regarding supplies if eligible
• Previous patients regarding CPAP supplies and DME products
• New leads regarding CPAP supplies and DME products
• Constant support through easy access and availability of managers/resources over Phone call/video conferencing / screen sharing
• Work assignment and management via MyForms
• Manage/index documents via applicable document management system

Being a complete prior authorization for DME and 27 other specialties, our expert also provide customized solution for other medical billing activities too. So call our expert over a ‘no commitment call’ and get effective revenue generation prior authorization solution for DME and other specialties.