An Improved RCM Experience for Your DME/HME Prior Authorization

An Improved RCM Experience for Your DME/HME Prior Authorization

A successful prior authorization process depends on experience and knowledgeable experts, having a complete prior authorization understanding. However, the recent decrease rate of the availability of the workers is creating immense barriers in doing so. According to the report of the Bureau of Labor Statistics, by this year the monthly job growth has slowed down from 223,000 to 158,000 which eventually affecting the revenue generation due to lack of skilled experts. This is why rather struggling with the expensive affair of labor and training cost, complex authorization process and every changing authorization regulation healthcare providers look for a better cost-effective solution of outsourcing. 

PriorAuth Online: Reduction All Your HME Prior Authorization Complexity: 

Having an updated and reliable expert PriorAuth Online powered by Sunknowledge Services Inc ensures a quick accurate and effective prior authorization solution for all orthotics, prosthetics, HME prior authorization and many more. Focusing on closing the authorization gap faster and effectively our experts with a clear understanding of the recent industry mandates and authorization regulation, helps in delivering heavy lifting work that improves collections in the long run. Improving your ROI and first pass collection rate by 97%, we have the highest productivity metrics in the RCM industry at a low-cost one can have.

Assisting in all your billing problems with 24*7 dedicated manager our works doesn’t end here, our team of experts also ensure doctor office and patients calling for accruing of relevant document needed during the process, which no other RCM offers along with its unique pre-billing support.  

Steps We Follow in Our HME Prior Authorization Process:

  • Gather vital information that is needed for the medical procedure, patient, and provider etc
  • Verify and validate prior auth request with effective payer side communication
  • Check the patient’s eligibility criteria
  • Initiate the auth request based on the payer mandates
  • Checking the auth status
  • Collating relevant documents from the ordering physicians and follow up
  • Providing additional information if any
  • Update the auth income in the PM/Billing system

Advantages of PriorAuth Online We Offer as an Operational Extension: 

  • A 100% prior authorization submission on the same day
  • Increase in your authorization rate by 1.5-2x.
  • 80% operational cost reduction with a complete operational transparency
  • 30% shrink in your account receivable bucket from 1st month itself
  • Online portal solving all your authorization approval, follow-up and initiation complexity with no cost account manager
  • Robust reporting according to clients protocol which can be daily/weekly/monthly
  • 99.9% accuracy rate in the medical billing and coding process
  • $1 million Hiscox/Geico Insurance coverage for any errors of Omission & commission
  • We also bear all costs of transition during your migration from the old vendor 
Apart from excelling in delivering outstanding HME prior authorization support, our experts are equally proficient in providing standalone/end to end billing services which include: 
  • Rx Order Entry
  • Patient demographics & insurance entry
  • Product Code/Rx & Dx Entry
  • Eligibility Verification – both Online & Calling 
  • Authorization Initiation – both Online & Calling 
  • Patient calling and Doctor’s Office Follow-up 
  • Re-Authorization 
  • Order Confirmation 
  • Scheduling of Delivery  
  • Creation of Claims 
  • Claims Submission 
  • Claim Rejection Management 
  • Payment Posting - Auto as well as Manual 
  • Accounts Receivable and  Denial Management  

A Successful HME Prior Authorization Solution: 

So be part of our 100 satisfied clients and let our team illustrate our expertise and value proposition as a next-gen prior authorization solution for your HME prior authorization and other authorization problems. We are just a call away! Giving amazing altered arrangement identifying with your DME prior authorization issues our income directors exceed expectations in channelizing our insight and assets not exclusively to diminish charging mistakes and operational expense by 80% yet, in addition, to boost income development for you. For more data on what improvement we can bring to the table connect with our specialists.

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