The success of a healthcare organization depends on continuous patients flow. A healthcare organization which deals with a smooth data collection, eligibility verification, authorization, claims management and account receivable process experience a successful flow of patients. In the medical billing process, prior authorization is the most time taking and frustrating for most of the physician. This is why healthcare provider finds outsourcing as the best option rather than in-housing as it even saves a lot of time helping the healthcare provider focuses more on patients care and being a cost-effective method.
The main problem of the healthcare provider is finding the right operational extension for its orthotics and prosthetics prior authorization and other prior authorization processes.
A solution to Prior Authorization:
Sunknowledge Service Inc working for more than 10 years with both payers and providers has excellent references from the industry. We also carry the highest productive metric with a 99.9% accuracy rate with as low as $7 per hour as our service charge. Sunknowledge advantages do not end here we guarantee a 100% prior authorization services on the same day with an increase in your current prior authorization rate by 1.5-2x. We also determine the eligibility of the patients based on the eligibility criteria of the payers. In fact, the pre-authorization request is initiated by us based on the insurance mandate with complete medical information. Even a complete test panel description and continuous track through outbound call checking the status for authorization are what we are also skilled at.
In fact, we have a track record of 97% collection rate even from the ageing account as well. Our well-equipped resources and dedicated account manager also provides customized reporting according to the client’s protocol daily/weekly/monthly for operational transparency and understanding. Our specialized prior auth section ‘PriorAuth Online’ not only has the above benefit but also provide:
- Name, date of birth, insurance details of the Patient/subscriber
- Servicing provider information details (LAB)
- Ordering provider information details
- Place of Service
- Procedure / CPT codes
- Diagnosis codes
- The estimated date range for Pre-authorization
Our works do not end here our team also deals with payers contact requirements with
- Determine the process for prior authorization request submission, i.e. portal, fax, phone, etc.
- Contact for UM/Pre-Authorization department
- Fax to send medical notes
- Expected turn-around time
- Limitations/exceptions (if any)
So utilize the benefit our prior auth team effective resources in maintaining a stringent turnaround time for your orthotics and prosthetics prior authorization services. We are just a call away for the perfect tailored customized solution to streamline operation and revenue generation for your prior authorization problems. We are just a call away!