Eliminate your DME Prior Authorization Obstacles with PriorAuth Online

Eliminate your DME Prior Authorization Obstacles with PriorAuth Online

Sunknowledge Services Inc offering 360-degree medical billing services/solution, prior authorization, telemedicine platform for healthcare providers concerning more than 20 specialties such as specialties pharmacies, radiology, orthotics and prosthetics, DME and many others.

Working with both providers and payers for more than 10 years Sunknowledge have not only earned 100 satisfied clients but also have excellent industries reference for our faster and effective DME prior authorization and other prior authorization services through PriorAuth Online.

ProrAuth Online is a web-based platform for authorization initiatives, approval and follows up for more than 20 specialties. we, focus on the interplay of standards and operating rules to close the prior authorization gaps along with a faster and with effective solution. ensuring a 100% prior authorization submission on the same day, choosing us as your prior authorization operational partner can leverage monitoring the prior authorization process with a 1.5-2x increase in the authorization rate.

With Experience Resources for a Successful Prior Authorization our Experts:

  • Understand that the billing and documentation can be more complicated and incorrect information can lead to an increased rate of denial. This is why a 99.9% accuracy rate is ensured during the process and with complete 100% HIPAA and HITECH compliance
  • Allocate the right resources and experience who is always updated with the current regulations reducing the chances of denial and rejection
  • Regularly follow-ups at each step of the process

As more than 50% of our work involves in DME we excel in task-specific approach for data entry, eligibility verification, prior authorization, claims management, accounts receivable management, rejection and denial management only at 2.75% of the collection or $7 per hour as our service rate.

Step we follow for DME Prior Authorization:

Authorization initiation - information is obtained in this first stage, which is necessary for the treatment process. This then is followed by authorization initiation. The information which is collected includes patient name, DOB, ordering provider’s name, NPI, Tax ID, address, phone no along with insurance information. We also ensure a proper check on the diagnosis code, units for each service code, if ordering physician is PECOS certifies or not

Requesting authorization - this is the most critical part where documentation is been completed accurately collected through fax, call etc. after which verified and validated the documentation along with the authorization request is done. In this process, it is important to maintain constant oversight over all prior authorization requests that are outstanding

Continuous follow-up is made - our second last steps ensure investigating to resolve whether the patient is eligible based on payer requirements for prior authorization. Once this is done prior authorization is initiating through outbound calls, portal etc as per payers’ protocols/guidelines. Here waiting on the approval or denial of their request for ongoing authorization happen

Updating the authorization process- This concludes with providing additional documents/ data if requested by the payer. This ends up updating all the prior authorization results in the billing system.

Apart from providing faster and effective DME prior authorization, we are equally proficiency in providing

  • Order Entry
  • Eligibility Verification and Authorization
  • Doctor Office Follow-up
  • Order Confirmation
  • Scheduling of Delivery

Billing & Collections

  • Creation of Claims
  • Claims Submission & Rejections
  • Cash Posting
  • A/R Follow-up
  • Rejection & Denial Management

PriorAuth Online being a complete prior authorization service that helps DME with faster and effective approval rate helping in more collection and maintain compliance, today is the most reliable operational support for most of the healthcare providers in the US. For more information on how our expertise can ease all your DME prior authorization pain point call us over a ‘no commitment call’.

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