Over the last ten years, Sunknowledge Services Inc has transformed itself into a powerful healthcare RCM destination. We have been delivering stand out assistance in pre and post billing services at the best price in the market.
Our team delivers proactive support to leading clients in the DMEPOS/ HME space with great credentials with a keen understanding of the best practices of the industry. We have the capability of extending complete support with a task-specific vision and support in prior authorization, insurance verification, doctor’s office follow up, order entry and confirmation that makes us all the more unique.
Also, we offer a pool of versatile resources who are currently working with all the leading billing systems in use that includes: HomeCare360, Fastrack, CPR+, Mestamed, Universal, Brightree, CareTend, AlayaCare. We also have great proficiency in working with leading DMEPOS/ HME software in use: Universal, Bonafide, CareTend, Brightree, CU, Fastrack, CPR+.
Sunknowledge Services Inc also has the capability of offering niche support with client proprietary platforms. We offer a seamless transition to understand your protocols and offer you the right support.
Our List of Services in Infusion billing
Pre-billing Services:
- Eligibility Verification – Online & Calling (with same & similar check for Medicare)
- Authorization Initiation – Online & Calling
- Authorization Follow Up
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- Follow-up with payer on Authorization
- Completion of authorization form based on the
outcome of the request
- Doctor’s Office Follow-up for documents etc
- Re-Authorization
- Order Entry
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- Patient Account Creation
- Patient’s demographic entry
- Prescription information entry
- Insurance entry
- Provider’s information entry
- Item entry
- Order Confirmation
- Scheduling of Delivery
Post-billing Services:
- Creation of Claims
- Claims Submission
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- Primary/Secondary/Tertiary claim submission
(via paper/fax/electronic)
- Primary/Secondary/Tertiary claim submission
- Claim Rejection Management
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- Online rejection checking (via Clearing House)
- Correction and resubmission of the rejected claims
(via Clearing House)
- Payment Posting – Auto & Manual
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- Patient payment posting and adjustments
- Insurance payment posting and adjustments
- Accounts Receivable & Denial Management
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- Follow-up on pending AR balance and working on denials
- Follow-up on possible reconsideration requests
- Filing reconsideration requests & appeals
Let us give you a complete preview on what we offer as a next-gen infusion billing and medical billing & collections company. We promise an instant improvement of your collections by 80% with our streamlined support in prior authorization with a reduction of operational expenses.