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Time to Wipe Out your DME Prior Authorization Problems

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Time to Wipe Out your DME Prior Authorization Problems

Prior authorization is a complex process and its updating regularly, keeping track of such prior authorization becomes difficult for healthcare staffs. The CMS (Center of Medicare and Medicaid services) plays a very vital role in the prior authorization when rules and regulation is a concern. It a recent HME news it is reported that during a special open door forum this week, CMS announced it will turn around in five business days, for prior authorization request for support surface. Even it also said that CMS will turn around the expedited request in two days.

With the complex time consuming prior authorization process, you really need a perfect support partner to ease your all DME prior authorization to radiology; specialties pharmacies and 26 other specialties prior authorization solutions.

Solo solution:

Sunknowledge Service Inc working for ages now as a perfect end to end practice management/revenue cycle management organization, specializing in such prior authorization process through ‘PriorAuth Online’. PriorAuth Online not only provide operational transparency but also reduces errors along with faster authorization approval.

PriorAuth Online Advantages for DME:

With so many rising DME prior authorization option it is an inevitable question why Sunknowledge? This is because more than 50% of our work is in the DME domain, with annual revenue of 1.6 billion. With our more than 100 satisfied clients including Medtronic, we guarantee 100% prior authorization submission on the same day with a boost in your authorization rate by 1.5-2x make us different than others.

Services We Offer for DME Prior Authorization:

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

Other benefits

  • 100% HIPAA and HITECH compliance
  • 70% instant reduction in operational cost
  • 97% first pass highest collection rate
  • We also specialized in pre-billing activities
  • 9% accuracy rate with the highest productive metric
  • No binding contract along with customized robust reporting

Other standalone/end to end services we provide:

  • Rx Order Entry
  • Patient demographics & insurance entry
  • Product Code/Rx & Dx Entry
  • Eligibility verification/Authorization
  • Collection of complete Rx
  • Collection of documents for Auth approval
  • Submission
  • Rejection/denial management
  • A/R Follow-up

With our years of working excellence, our expert guarantee a stress-free faster and effective prior authorization tailored a customized solution for your revenue generation. Our expert will not only help you focus on the patients care but also will ease your DME prior authorization burden, along with 24*7 assistance for all prior authorization and other medical billing issues.

William Jones
William Jones
Prior Authorization News & Updates

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