Since the beginning of 2007, Sunknowledge Service Inc with a team of dedicated individuals offering medical billing and prior authorization services to most of the healthcare providers in the US. We are a committed solution provider with 24*7 assistance for all our clients. From our inception until today, our pool of resources has a track record of 99.9% accuracy rate with the highest productive metric. Specialized in prior authorization ‘PriorAuth Online’ service, we work effectively until our clients achieve a profitable revenue generation with streamline operation and faster approval rate.
Proving complete operational transparency our PriorAuth Online guarantees 100% prior authorization on the same day. Being a full authorization service provider starting from authorization initiation, follow-up, approval, we assure an increase prior authorization rate by 1.5-2x for your orthotics and prosthetics prior authorization and 27 other specialties too.
With Decades of Prior Authorization Services we cover:
Gathering information – it starts with the collection of information. This includes patient name, DOB, insurance information along with ordering provider’s name, NPI, Tax ID, address and phone no. Even checking whether ordering physician is PECOS certifies is done by us alone with the place of service, service codes, diagnosis code and units for each service code.
Contacting the payer- this process is followed by authorization request submission, i.e. portal, fax, phone etc. This is followed by contacting for UM/Prior authorization department, fax to send medical notes if required.
Our predetermination, initiation and follow up activities – Checking to determine whether the patient is eligible based on payer requirements for prior authorization. This again is followed by initiating prior authorization as per payers’ protocols/guidelines, following up with payer via outbound calls, portal etc to check authorization status and following up with ordering physicians’ offices for medical notes, therapy charts other documents etc (if required). This ends with providing additional documents/ information if requested by the payer.
Update authorization – outcome in the PM/billing system about the date, authorization and units.
Being a complete answer for your orthotics and prosthetics prior authorization solution, we excel in providing 70% instant operational cost reduction with 97% highest collection rate.
So with our, no binding contract and our expert help resolve your entire orthotics and prosthetics prior authorization problem. We not only provide robust reporting according to our client’s protocol which can be (daily/weekly/monthly) but also real-time audit with no hidden cost making us worth a try.