Sunknowledge Services Inc is a complete front end/back end practice management that offers stand-alone/ end to end billing support for more than 28 specialties, today offers HME, CPAP, Bipap prior authorization solution for most of the leading names in medical billing industries.
Ensuring 100% prior authorization submission on the same day, our experts have a complete understanding of the recent industry prior authorization regulation and the immediate claims adjudication mandates.
What Makes us Different Than Other CPAP, Bipap Prior Authorization Operational Extension?
We have special capabilities when it comes to delivering outstanding support in CPAP, Bipap prior authorization solution with our PriorAuth Online. Ensuring the highest collection rate of 97%, we help in reducing the numbers of errors and duplicity.
In fact, we are the only RCM organization offering no cost dedicated managers focusing on the interaction of operating authorization rules to close the authorization gaps faster and efficiently. Offering a full authorization platform which starts from authorization initiation, approval and follow up for diverse specialties authorization process such as HME; orthotics, cpap Bipap prior authorization; our experts offer a complete operational transparency.
With a service charge of $7 per hour for our CPAP, Bipap prior authorization and other authorization our activities includes:
Authorization Initiation- information is obtained in this first stage, which is necessary for the treatment process. This then is followed by authorization initiation. The information which is collected includes patient name, DOB, ordering provider’s name, NPI, Tax ID, address, phone no along with insurance information. We also ensure a proper check on the diagnosis code, units for each service code, if ordering physician is PECOS certifies or not
Requesting Authorization - this is the most critical part where documentation is been completed accurately collected through fax, call etc. after which verified and validated the documentation along with the authorization request is done. In this process, it is important to maintain constant oversight over all prior authorization requests that are outstanding
Continuous Follow-up is Made - our second last steps ensure investigating to resolve whether the patient is eligible based on payer requirements for prior authorization. Once this is done prior authorization is initiating through outbound calls, portal etc as per payers’ protocols/guidelines. Here waiting on the approval or denial of their request for ongoing authorization happen
Updating The Authorization Process- This concludes with providing additional documents/ data if requested by the payer. This ends up updating all the prior authorization results in the billing system.
Still worried about your CPAP, Bipap prior authorization? Get in touch with our PriorAuth Online expert and let us help you ease your pain point with an improved revenue generation and streamlined operation.
