Sunknowledge Service Inc from last 10 years and more have been providing 360-degree medical billing solution for most of the healthcare providers in the US.  Specializing in 28 specialties including DME, radiology, specialties pharmacies, urgent care orthotics and prosthetics and many more our service offers pre-billing activities that no other RCM organizations offer. Our pre-billing services start from entering data (Rx and Dx), eligibility verification online as well as through call and prior authorization verification. Even Doctor Office follow-up and patients calling for attaining the relevant documents along with order confirmation and scheduling of delivery also comes under our pre-billing activities.

Offering an excellent service in pre-billing our prior authorization process ‘PriorAuth Online’ is no less in providing an effective solution for all prior auth issues. Our ‘PriorAuth Online’ is a web-based portal, offering operational transparency with 100% prior authorization submission on the same day and an increased rate by 1.5-2x for your orthotics and prosthetics prior authorization and other specialties.

Process our Prior Authorization Experts Follows:

Gathering Information – it starts with the information collection. This includes patient name, DOB, insurance information along with ordering provider’s name, NPI, Tax ID, address and phone no. we also check whether ordering physician is PECOS certifies alone with the place of service, service codes, diagnosis code and units for each service code.

Contacting the Payer – this process is followed by authorization request submission, i.e. portal, fax, phone etc. After this contacting for UM/Prior authorization department, fax to send medical notes (if required) is done by our expert.

Our Predetermination, Initiation and Follow up Activities – our third steps include checking to determine the patient is eligible based on payer requirements for prior authorization. This again is followed by initiating prior authorization as per payers’ protocols/guidelines, following up with payer via outbound calls, portal etc to check authorization status and following up with ordering physicians’ offices for medical notes and therapy charts other documents etc (if required). In the end, additional documents/ information is provided if requested by the payer.

Update Authorization – date, authorization and unit’s outcome is updated in the PM/billing system

Other benefits:

• 100% HIPAA Compliant and HITECH compliance
• 80% instant cost reduction and 30% shrink in your AR bucket
• 99.9% accuracy rate with the highest productive metric
• Customized reporting according to client protocol daily/weekly/monthly
• No adjustments or write-offs without client consent
• Hiscox Insurance cover of $1 million for errors of Omission and Commission
• No binding contract
• Standalone/end to end service only at $7 per hour
• Excellent industries reference
• 24*7 Dedicated account manager with no hidden cost

So leverage sunknowledge benefit and experience and effortless revenue generation solution for your orthotics and prosthetics prior authorization. For more information about us call our expert over a ‘no commitment call’, we are just a call away.