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Method to End all DME Eligibility Verification Worries

Sunknowledge Service Inc a task-specific practice management/ revenue cycle management organization has been working for years, understands the importance of DME eligibility verification in a healthcare organization.  We understand that without an effective verification process it is challenging to achieve a successful claims procedure, which ultimately affects the revenue generation as a whole.

With a guaranteed 30% reduction on your account receivable bucket, we also ensure lowering the account receivable days by ensuring the right check and balance in case of eligibility verification.

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Our DME eligibility verification includes:

  • Policy active for date of service
  • DME coverage
  • Copay / Coinsurance / OOP
  • Rx & Dx entry (with appropriate timeframe)
  • Provider status (INN / OON)
  • CSI check
  • Authorization requirement
  • Obtaining authorization
  • Patient responsibility

How Sunknowledge helps with a successful DME eligibility verification?

Sunknowledge excels in both pre-billing and post-billing activities which includes order entry, eligibility verification and authorization, doctor office follow up, order confirmation and scheduling of delivery. Even Claims creation and management, cash posting, A/R follow-up and rejection and denial management comes under Sunknowledge activities. Offering a standalone/end to end services with a service charge of $7 per hour definitely helps. As it proves to be cost effective and also decrease the operation cost by 80% which is quite effectual.

What makes us diverse?

  • We ensure 97% highest collection rate
  • Dedicated account manager 24*7 for all billing assistance
  • Robust reporting providing daily/weekly/monthly report according to the client’s protocol.
  • 9% billing and coding accuracy rate lesser chance of denial claims
  • Unparalleled operational transparency with the highest productive metric
  • No write-offs or adjustment are claims without the client’s consent
  • Hiscox Insurance covers of $1 million for Errors of Omission and Commission

So leverage Sunknowledge’s DME eligibility verification facilities and get lesser denials claims with an effective revenue generation solution.

If you are looking for a financial upliftment for your hospital account receivable along with a streamlined operation, Sunknowledge Solution is the perfect answer to it. For more information about how our experts can help you easing your pain points call our expert over a ‘no commitment call’.



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