Ease Your DME Prior Authorization Struggle with Sunknowledge Services Inc

According to a recent report by the Council for Affordable Quality Healthcare, Inc (CAQH), prior authorization is the costliest administrative transaction for providers as the manual prior authorization cost has increased by $4.31 from the year 2018 to 2019. Roughly prior authorization cost over $23 - $31 billion nationally every year; where:

  • 69% of physicians wait several days for a response to a prior authorization request

  • Nearly 40% of PAs are abandoned due to complex procedures and policies

  • 70% of patients requiring PA do not end up receiving the original prescription their doctor prescribed for them etc.

Though there are many issues due to the complexity of the authorization process yet with the right operational extension by your side like Sunknowledge you no longer have to worry about your authorization process.

Sunknowledge Services: the perfect authorization destination:

Eliminating all the unnecessary authorization problems, Sunknowledge Services Inc today is one of the leading authorizations solution working with more than 100 excellent clients in the DME space. Ensuring the right checks and balances, our experts today are not only known for closing all the authorization gaps faster but also efficiently helping you with a seamless DME prior authorization process. Taking your complete DME billing responsibility, our expert in fact ensures:

  • Gathering of vital information from the patient, provider as well as order information

  • Check the patient’s eligibility

  • Communicate and validate prior auth request with the payers

  • Initiate PA requests as per the payer protocols

  • Follow up with payer for checking the auth status

  • Follow up with ordering physician for the additional documents as requested by the payer

  • Provide additional information as requested by the payer

  • Update the auth outcome in the PM/billing system

Ensuring 100 percent DME prior authorization submission on the same day, our experts with continuous follow-up and stringent checks and balances besides maintaining a 99.9% accuracy rate also assure increasing the authorization rate by 1.5- 2x.

Reducing 80% of your operational cost, partnering with us for your DME prior authorization further helps you as we offer:

    • Highest productivity metrics in the market.

    • Free account supervisors.

    • Faster reimbursement rate

    • Free Setup of accounts and transition.

    • Free IT infrastructure setup (Phone lines, VPN setup, FTP server etc.)

    • No binding contract

For more information, get in touch with our expert, we are just a call away!