DME Prior Authorization

Time to Optimize your DME Prior Authorization

Saving providers significant time and resources, PriorAuth Online helps in simplifying all DME prior authorization by eliminating the unnecessary time needed during the process.

In 2018, AMA Prior Authorization (PA) Physician Survey has detailed observation of the authorization process showing the horrific effect that has on patients. Stating 91% of patients experienced delayed access to necessary care due to the complex PA process. Whereas 28% of physicians reported the prior authorization process has led to a serious medical event such as hospitalization, disability, permanent bodily damage, a life-threatening event or even death at times. 

In fact, when it comes to medicine alone, the annals of internal medicine reported, that the lack of adherence resulted in 125,000 death every year for the prior authorization process alone. As studies have reported:

  • 20 to 30% of medication prescriptions are never filled
  • 7 out of 10 Prior authorization delays often lead to abandoned treatment
  • 95% of physicians identified the impact of prior authorization delays on clinical outcomes as a significant or somewhat negative impact

The process of prior authorization has always created hindrance for the patient in receiving the proper care that they need.

With all this complication over the past two years, 99% of organizations have seen a significant increase in the number of medical procedures that require prior authorization, in a recent survey of revenue cycle management and care management leaders by the Porter Research.

As this complex prior authorization process is not being eliminated any day soon, the healthcare provider finds choosing an operational extension to deal with all this complex authorization process is a much more convenient solution. 

Key Towards Successful DME Prior Authorization Process:

Providing unparallel operational transparency for DME prior authorization initiation, follow-up and approval; PriorAuth Online is a web-based authorization platform. Powered by Sunknowledge Services Inc, PriorAuth Online today is the key solution to better patient care and the perfect one-stop authorization destination for most of the leading names of the industry today.

Sharing robust reporting according to the client’s protocol and other required data for seamless communication; PriorAuth Online makes it simple for all to work together on this platform.

Being the source of complete prior authorizations destination, PriorAuth Online covers it all, starting from:
  • Checking of the documents
  • Authorization initiation
  • Follow-up with the payer
  • Documenting authorization outcome
  • Appeals
  • Following up by calling the patients and doctor’s office
  • Communication by calls, fax to gather missing documents
  • Gather Rx, CMN, LMN as appropriate
Why PriorAuth Online for your DME prior authorization?

Saving providers significant time and resources, PriorAuth Online helps in simplifying all DME prior authorization by eliminating the unnecessary time needed during the process. Delivering all the heavy lifting work that improves the cash flow in the long run, our PriorAuth Online experts help in providing streamlined operation.

Reducing the cost associated with managing complex authorization especially DME prior authorization, as 50% of our work involves in this domain, our experts provide the benefit of 99.9% accuracy rate.

In fact our team of PriorAuth Online has no cost dedicated managers along with ample resources to focus on the DME prior authorization process, ensuring in closing all the authorization gaps faster and efficiently.

Streamlining communications and reduces prior authorization turnaround times to increase productivity we are the only prior authorization destination that provides the highest productivity metrics at a service charge as low as $7 per hour.

Being a complete DME prior authorization destination, our scope of work also expands in other medical billing activities including: 

  • Order entry (patients, providers, insurance, items, etc)
  • Eligibility verification (both online as well as 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 the delivery 

Post billing services: 

  • Claims management
  • Rejection management
  • Payment posting auto (with and without audit as well as manual)
  • Account receivable and denial management 

With other benefits like no binding contract, if you looking for out of the box ability in offering tailored support for your DME prior authorization practice, which set a strong benchmark for quick reimbursements, streamlining the DME prior authorization process and lowering your prior authorization costs PriorAuth Online is the perfect destination.

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