Solving complex Prior Authorization Problems is Now Easy

Solving complex Prior Authorization Problems is Now Easy

Even though the process of prior authorization has been there for ages healthcare providers, hospitals staffs, physicians still find difficulty overcoming it. As even after spending hours and hours in the authorization process it still results in rejection and denial, creating a negative impact on everyone especially in patient’s health.

PriorAuth Online- The Ultimate Prior Authorization Destination:

Resolving all complicated authorization problems with 100% prior authorization submission on the same day PriorAuth Online, powered by Sunknowledge Services Inc is the one-stop destination providing customized authorization solution for most of the leading names in the industry.

Ensuring a true partnership in delivering outstanding prior authorization support with 100% HIPAA compliance in improving your revenue generation, our experts reduce 80% of the operational cost for you. Improving your streamline operation our experts not only help in saving a lot of money but also provides 24*7 assistance for all your authorization problems for faster and effective solution.

Being a web-based online authorization platform PriorAuth Online not only monitor but also initiate, approve and follow-up handling any number of authorization volumes.

Steps Our Experts Follow for Successful 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. With a proper check on the diagnosis code, units for each service code, we ensure 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 ongoing authorization happen

Updating The Authorization Process- This concludes with providing additional documents/ data if requested by the payer and updating all the prior authorization results in the billing system.

How we are Different Than Other Prior Authorization Operational Extension:
  • Choosing us as your prior authorization partner will help you reduce all your prior authorization responsibility which is complicated and time-consuming.
  • It will also save you a lot of money by reducing the overhead cost, training, salaries, benefit, turnover etc which is not possible for any in-house billing option.
  • 99.9% accuracy rate reducing the chances of denial and rejection on closing authorization gaps faster and effective along with increasing your ROI

Apart from providing excellent prior authorization support, we are equally proficient in other medical billing activities too including:

  • Order entry (patients, providers, insurance, items, etc)
  • Eligibility verification (both online, calling)
  • Prior authorization with patients calling and doctor’s office follow up for relevant documentation that needed for the process
  • Re-authorization
  • order Confirmation
  • Scheduling of delivery
Billing and Collection:
  • Claims management
  • Rejection management
  • Payment posting auto (with and without audit as well as manual)
  • Account receivable follow-up
  • Account receivable and denial management
Other Benefits:
  • Complete operational transparency with no hidden extra charges
  • 97% highest first-pass collection rate
  • 30% shrink in your account receivable bucket from the 1st month itself
  • Exceptional highest productivity metric at a low cost
  • No-cost dedicated account manager
  • 100 satisfied clients with excellent industries references
  • $1 million Hiscox/Geico Insurance coverage for any errors of Omission & commission
  • We bear all costs of transition during your migration from the old vendor
  • No binding contracts with complete operational transparency

So to experience the difference in your revenue generation and streamline operation, call our expert over a 'no commitment call' we are just a call away.

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