Prior Authorization

P rior authorization has been a huge challenge for a lot of providers. Physicians and staffs are under huge stress. As a provider, it is imperative for you to work with someone that can deliver you complete support.   Outsourcing to a dynamic prior authorization company can be an excellent idea. However, you have to understand if the company has the skills to deliver the results that matter.  At the end of it, all you need is an ability to focus on your patients a lot better than yesterday. Finding trust in someone that knows how the claims adjudication mandates work is going to be increasingly important.  Also, at these difficult times of inflation, you must be flexible as positions in-house are becoming increasingly difficult to fill. Reducing your overall costs in operations has to be the order of the day. However, choosing a reliable partner as your prior authorization company can be quite an uphill task.  The benefit of working with Sunknowledge Over the ye...

  In order to streamline prior authorization and improve the sharing of data between payers and providers, the Center for Medicare & Medicaid Services (CMS) has proposed regulations of application programming interfaces (APIs) to improve it. The regulations moreover were for removing the hassle faced during the radiology authorization process and also to ease the burden of radiology providers.   However today managing the prior authorization without any external support from prior authorization operation especially with the present demands, tough labor market along with every day changing prior authorization regulations is becoming a serious challenge day by day. In fact, providers are ending up shifting their attention from patient care to authorization operations for better reimbursement without worrying about staff crunches.  This is why Sunknowledge Services Inc is here to help you to optimize your authorization as well as ensure faster authorization approval...

Most of the patients have to wait for DME prior authorizations, putting their health at risk. As a result, you should secure patient DME prior authorizations as soon as possible to provide care to your patients & your claim reimbursement. The best part is that by managing your operation with a concentration on developing relationships, reliability enhancement, and vigilance, you may lower your prior authorization load. Here are a few ideas to get your DME prior authorizations issued as soon as possible. Healthcare costs in the United States had climbed to $3.5 trillion by the end of 2017, with nearly one-third of that money is not spent for improving health. Experts estimate that over 30% of healthcare spending is spent on needless services like excessive administrative costs, fraud, and other concerns. DME Prior authorization is also aimed to enhance treatment experience and keep them safe. Healthcare payers use prior authorization to reduce costs while eliminating waste, mistake...

In healthcare practice, the problem with documentation in an HME, orthotics, DME billing, and so on is very prevalent, resulting in difficult payments settlements that are time consuming and extremely expensive.  According to reports, the United States' healthcare practices frequently spend nearly three times as much on administrative work, including billing, as other affluent countries. In today's confusing world and suffering economy, DME billing is a critical component in the healthcare industry; as a result, most healthcare practitioners nowadays end up focusing only on the business side of healthcare, particularly medical billing, coding, and collections.  In fact, several healthcare firms wind up employing more people to handle correct HME/DME billing and coding processes than care providers just to fix their billing issues, to handle the billing and coding process seamlessly, and so on. Furthermore, studies have revealed that for every $1 billion in income, the healthca...

  Setting the correct benchmark is critical when attempting to optimize your revenue cycle management. The key will be confidence and seting the tone with bespoke solutions in advance of DME prior authorization . As a provider, you must also guarantee that all payer requirements are met and that the claims adjudication priorities are followed in the best possible proportions. You will have to cope with several changes in the treatment process that have repercussions on insurance benefits, especially in medical billing. You'll need a capable team of billers and DME prior authorization experts to reduce your AR days and possibilities of reimbursement loss while also lowering your medical billing costs. Medical claims management by industry claims adjudication regulations is a top priority for DME service providers. DME Prior authorization continues to be a source of concern for providers, as seen by rising costs. Importance of an optimized DME Prior Authorization process You ...

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A lot of time and money is invested in Prior Authorization service. Even with modern technology medical organizations spends a lot of time filling information manually. Prior authorization is extremely challenging in the medical billing process because of the manual effort and attention one needs to put. So for easily accessible information and better revenue cycle management, Sunknowledge Service Inc provides you with a 360 degree online tailored Prior Authorization service. A 100% HIPAA Compliance company, Sun knowledge has been providing full range revenue cycle management services since 2007. We cater to lots of Prior authorization service for DME, dermatology, oncology radiology etc. The advantage of choosing us as Prior Authorization Partner:  99% overall accuracy rates  Follow up with the physician for the document for correct information  Real-Time audit Dedicated account manager with a skilled team  Worked with both payers and provider Dete...