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Prior Authorization is Powerful with The Sunknowledge Advantage

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Prior Authorization is Powerful

Excellent understanding of the best practices across the industry, Sunknowledge Services Inc sets the trend in prior authorization services. We are currently working with leading practices across the country and render our prior authorization support in DME, Orthotics & prosthetics, Genomics Lab, dermatology groups, radiology centres and others. With an astute understanding of the claims adjudication mandates, Sunknowledge leads the show in prior authorization services.

As a 100% HIPAA compliant destination, Sunknowledge Services Inc sets the trend in prior authorization services. We believe in working as a reliable operational extension, offer seamless support and help in laying down the checks and balances for effective denial management in the best possible manner. Our team in practice management/ medical billing has a perfect understanding of the EMR / billing systems in use and extends complete assistance as a next-gen RCM Company.

prior authorization

You Can Drive Reimbursement Riding The Sunknowledge Advantage

Elevate your experience with the Sunknowledge trust. Our team will be working as a dedicated resource for you, provide state of the art support and eliminate challenges by working as a reliable operational extension. We are a powerful medical billing and collections company; offer the right support that transpires to increased revenue for leading practices. At the best price in the marketplace, Sunknowledge will be extending:

  • Gathering of important information on the procedure from the patient and the providers
  • Check the patient’s eligibility
  • Initiate PA request as per payer protocols
  • Communicate with the payer to validate prior auth request
  • Checking of auth status with payers doing earn an effective follow-up
  • Follow up with referring provider for additional documents
  • Provide additional documents as requested by the layer
  • Update the auth outcome in the client PM/Billing system

Let our experts talk, explain how we offer trust and excellence, improve your cash flow, reduce cumulative wait times by working as a perfect prior authorization company. We have an excellent mechanism of back and forth sharing of information, drive ROI, improve transparency as a genuine medical billing and collections hub.

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Need an Alternative to Brightree Billing Services: Sunknowledge Has the Answer

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Brightree Billing Services

CMS takes an important step to stabilize reimbursement policy for the DME industry. Starting Jan 1, 2019, Medicare beneficiaries will receive DMEPOS items from any Medicare-enrolled DMEPOS supplier. New rules will help extend sustainable access to DME for the consumers and facilitate the objective of a free market as promised by the Trump Administration. It essentially will imply that a DME company, both a bid-winner as well as a non-bid-winner will have opportunities ahead to attract Medicare consumers.


While a non-bid winner will have an opportunity to extend their products, bid winners will have the flexibility of pushing products that haven’t won the bid for another line of equipment, they are looking to promote. It will also open up challenge areas with securing reimbursements, earning more cash with better DME practice management/ billing efforts. Sunknowledge Services Inc has the experience/ expertise to handle all the requirements with the stand-alone/ end to end DME billing solutions.

70% cheaper than Brightree Billing Services

The best part of working with Sunknowledge as your reliable operational partner will be our ability to offer complete support. We are currently providing our range of activities in eligibility verification, prior authorization, denial management, and accounts receivable recovery. Our team has successfully reduced operational pain points by 70%, increased collections up to 90%.

Our 50% of business revolves around DME billing activities. We are far ahead when it comes to offering a holistic approach, providing you with flexibility, a standalone approach which makes us different than Brightree Billing services. Also, our experts are prepared to provide actionable support in any practice management/ billing systems used in the market.

Sunknowledge promises to offer superior assistance, a dedicated action plan for your business profits. Our experts will be happy to share with you, how we drive your cash flow, eliminate proven pain points by working as your dedicated operational extension. Let our team share strong references across the industry, give you a clear roadmap. Leverage the Sunknowledge advantage this season for a better revenue health!

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USA

We Are Proficient Providers of Radiology Prior Authorization

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Radiology Prior Authorization

Radiology is the branch of medical treatment in which high energy radiation is infused into the human body to cure certain special type of maladies. Examples of these high-end radiation exercises are X-Ray, Tolerance Test, PET Scan, MRI/MRA, Nuclear Exercise, CT Scan etc. PriorAuth Online has been the most prolific radiology prior authorization service provider in the United States of America since 2007, extending cutting edge professional prior auth service, effective solutions to various prior auth challenges faced and improving the economies of scale in the medical practice of radiology.

Prior Authorization

The Special Features We Offer in Radiology Prior Authorization

  • 100% HIPAA and HITECH compliance
  • A complete range of prior auth services like initiation, follow up and approval
  • Turnaround time less than 48 hours
  • Low and competitive service fees with no hidden cost
  • Zero lock up service contract with the clients which can be cancelled at any time
  • Array of excellent references by our stellar client list
  • Real-time audits and custom reporting
  • Excellent visibility and proven expertise
  • Guaranteed reduction of operational cost by 70%
  • Instant service with a consistent accuracy rate of 99.9%
  • Increase in current rate of completed requests by 1.5 to 2x
  • Experience in adjudicating large claims of larger medical entities in the US market
  • Exclusive expertise in providing pre-certification services

Our Radiology Prior Authorization Practice

  • Collection of relevant medical documents from the providers
  • Calling up the relevant insurance organization to know its auth filing procedure and turnaround time
  • Submission of the auth request form
  • Follow with the payer to know the status of the request as per the TAT
  • Acknowledgement of the final status of the submitted request
  • Notifying the provider and uploading the acknowledgment information in its system

Industry Interface  

To make the process of prior authorization simpler CMS has launched a new mobile application called ‘What’s covered’ to exhibit the range of Medicare-approved medical goods and services as covered to patients and providers to facilitate their claim and compensation ongoings.

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USA

DME Billing, The Area Where We Absolutely Excel

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DME Billing, The Area Where We Absolutely Excel

Sunknowledge Services Inc, the medical billing and revenue cycle management organization in the United States of America, has been the game changer of the RCM industry in terms of professionalism, communication, and updated efficiency. We cater to the best service providers in the market with special working emphasis on certain areas of the medical industry. DME is one such area which Sunknowledge works with maintaining a consistent level of success and client satisfaction. Our DME services include wheels chairs, traction machines, suction pumps, crutches, hospital beds etc in our DME billing portfolio, giving us the cherished skills befitting a prolific biller.

 

The exclusive features of Sunknowledge’s DME billing

  • 100% HIPAA and HITECH compliance
  • 97% Accounts Receivable collections
  • 70% reduction in billing expenditure
  • Real time audit and custom reporting
  • Fast claim status analysis in denial management
  • Turnaround time less than 48 hours
  • Real time eligibility checks and fast authorization
  • Free medical billing software
  • Service fees low and competitive at $7 per hour including prior authorization
  • Array of excellent client references by our existing clientele
  • Real time eligibility checks and fast authorization

The modus operandi of our DME Billing

  • Order entry based on the Rx information received from the doctor
  • Eligibility verification and authorization requirement enquiry
  • Collection of documents required for prior auth approval
  • Meeting the payer criteria well before the delivery of the equipment
  • Generation of delivery ticket
  • Creation of claim after receipt of delivery confirmation
  • Submission of EDI/paper claims to the payers
  • Cash posting
  • Rejection and Denial management
  • Accounts Receivable follow up

We follow a compact and comprehensive DME billing procedure customized accordingly to suit every client need. The rules and regulations in the DME distribution industry are ever changing as exemplified by the recent declaration by the Washington State Health Care Authority that only physicians can prescribe medical equipment for Medicaid recipients, requiring a physician’s signature on every ARNP or PA prescription. Sunknowledge executes its services in spite of such volatile changes serving DMEs through thick and thin.

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