Sunknowledge Services Helps You Fix Your DME Prior Authorization Efficiently

The complex process of prior authorization not only affects the reimbursement process of the healthcare practices but a great deal of patient physical and mental health also gets affected in the complex process of authorization.

In fact, in a recent survey report, 92 % of doctors have informed that the complex process of prior authorization does more harm to patient access to care; which results in a decrease in the clinical quality outcomes.

Moreover, AMA reported that 64 % approximately wait for at least one business day whereas 30% waits for more than three business days for a prior authorization decision, creating a negative impact for both patient and practices. In fact, at times the burden of the complicated authorization process often results in abandonment of the particular therapy or medication and opting out for other alternative different formulary medication.

However, with the right operational extension like Sunknowledge Services Inc by your side, you no longer have to worry about your authorization process

How Sunknowledge services can help you with your DME prior authorization process?

With the right resources and authorization knowledge, an operational extension like Sunknowledge Services Inc not only keep the track of all the varying rules as different payers and coverage plans reducing the chances of denial but also are aware of the relevant medical policy information to ensure a seamless workflow.

Taking care of various required calls, doctor office follow-up, etc ensuring all the needed information is collected and correctly verified that is needed for the DME prior authorization process request, the operational extension Sunknowledge experts are known for ensuring of closing all the authorization gaps faster and efficiently.

Reducing the effort and improving data quality with 100% prior authorization submissions on the same day, our experts taking complete authorization 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 the additional information as requested by the payer

• Update the auth outcome in the PM/billing system

Reducing your operational cost by 80% and maintaining a 99.9% accuracy rate, Sunknowledge Services Inc further known for 100s of excellent industry references and the highest productivity metrics in the market.

Looking for a seamless DME prior authorization experience, get in touch with us over a ‘no commitment call’. We are just a call away!