The process of prior authorization covered by the insurance is solely designed for the purpose to ensure better patient treatment or services at a cost-effective rate. However, an HME/DME prior authorization has many complications in the authorization process that a healthcare practice has to face starting from – endless paperwork, excessive claims that are piled up leading to the delay in patient access to vital care, rework of the authorization process due to errors in data, documentation or codes and many more.
In fact, recently the Centers for Medicare and Medicaid Services (CMS) earlier this year in 2021 has finalized few rules in an effort to streamlined HME/DME prior authorization.
The rule not only stated providing electronic access to pending and active prior authorization (PA) decisions to certain payers, providers, and patients but also improving data transparency and promoting secure electronic access to data. Furthermore, under the new rule, designated payers will have to implement application programming interfaces (APIs). Giving the benefit of allowing providers to access data through integration with their electronic health records including – claims and encounter information, including laboratory results and data on any pending and active PA decisions, and many more.
However, with such changing regulations, you need the perfect operational extension that reducing your denial and rejection also ensures a streamlined authorization process. This is where Sunknowledge Services Inc fits in.
Sunknowledge Services – a solution resolving all complex HME/DME prior authorization:
Taking care of all the changing regulations related to the authorization process to make your authorization easy, Sunknowledge experts take the complete DME/HME prior authorization responsibility. Starting from authorization initiation, approval, and follow-up, our experts ensure 100% authorization submission on the same day. Maintaining a 99.9% precision rate, we further decrease your possibility of denial and rejection. partnering with us has further benefits of reduced operational cost by 80%, highest productivity metrics, Liability Insurance Cover Of $1/3 Million From Geico/Hiscox For Any Errors Of Omission & Commission, customized reporting no binding contract and many other benefits.
So, if you are looking to improve your HME/DME prior authorization or looking for more benefits that we have to offer, check us out over a no-commitment call.