The whole idea of prior authorization is making access to right treatment equipment and medicine best suited for patients even though the process is useful everyone hates going through it. The process of prior authorization requires lots of patience and right communication in between physician, diagnostic providers and payers.
The current prior authorization process involves a lot of staff’s and physician’s time, this is why outsourcing has always been the best option for orthotics and prosthetics prior authorization.
In the medical billing industry outsourcing organization Sunknowledge has already created a place for its own with excellent industries reference and more than 100 clientele, including Medtronic. With a track record of 99.9% accuracy rate, 80% instant cost reduction and a 30% reduction in AR bucket is something Sunknowledge has achieved through its year of working. In fact for your orthotics and prosthetics prior authorization problem we have specialized prior authorization section known as ‘PriorAuth Online’ where operational transparency is provided along with the elimination of data errors. ‘PriorAuth Online’ also helps in reduction in duplication with updated workflow for all to access.
Services Sunknowledge provides for prior authorization process:
• Name, date of birth, insurance details of Patient/subscriber
• Servicing provider information details (LAB)
• Ordering provider information details
• Place of Service
• Procedure / CPT codes
• Diagnosis codes
• The estimated date range for Pre-authorization
Our works do not end here our team also deals with payers contact requirements with
• Determine the process for prior authorization request submission, i.e. portal, fax, phone, etc.
• Contact for UM/Pre-Authorization department
• Fax to send medical notes
• Expected turn-around time
• Limitations/exceptions (if any)
Other services offer by Sunknowledge :
• Entry of Rx order
• Entry of patient’s demographics and insurance
• Dx Entry
• Eligibility verification
• Collection of complete Rx
• A complete collection of documents for Authorization approval
• Rejection/denial management
• AR Follow up
Contact Sunknowledge Expert:
For a streamlined workflow, revenue generation and effective denial management get in touch with Sunknowledge Service Inc. We guarantee to increase the current rate of prior authorization by 1.5-2x with a 100% prior auth submission on the same day. Call Sunknowledge’s expert for no cost dedicated account manager and get a streamline operation and profitable cash flow for your organization.