The prior authorization process has always been the hot topic of the healthcare industry and with the reduced reimbursements and competitive bidding as well as higher labor rate, the authorization process is further becoming a complex area to conquer, especially when does not have the right operational partner by your side.
Comparatively, every year the prior authorization cost over $23 – $31 billion nationally. However today most of the healthcare practices in the prior authorization process see:
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.
How Sunknowledge Services Inc is the best prior authorization solution:
Resolving all your prior authorization gaps faster and efficiently, Sunknowledge experts take complete responsibility for your prior authorization processes for all the DME, HME, orthotics, prosthetics, infusion, etc along with 28 other specialties. Helping you with a faster authorization process ensuring 100% authorization submission on the same day, our experts further increases your authorization rate by 1.5-2x.
Taking complete prior authorization responsibility, Sunknowledge complete authorization process includes:
- 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
In fact, Kevin O’ Leary AKA Mr. Wonderful the famous businessman, author, politician, and television personality observed, is one of the leading RCM organization, Sunknowledge services Inc is a unique platform that not only helps with telemedicine but also is a complete one-stop destination for all medical billing and prior authorization solution.