A Perfect Revenue Generation Prior Authorization Destination for DME

06/10/2019

Being a 360-degree RCM medical billing organization we also specialized in prior authorization process 'PriorAuth Online'. With our, PriorAuth Online not only experience a seamless authorization process starting from authorization initiating; approval and follow up but also a reduction in errors and duplication.

According to a recent survey forecast of 2019-2026, the durable medical equipment (DME) market size to increase USD 271 billion by 2026 registering a CAGR of 6.1% accordingly. Even though there is an increase in demand for DME, achieving prior authorization for DME is still doubtful. This is why choosing us will guarantee stress-free approval with 100% prior authorization submission on the same day and increased PA rate by 1.5-2x helping you cope with the increasing demand in DME.


Our Prior Authorization Process Covers:

> Gather vital information on medical procedure, patient, and provider

> Verify and validate prior auth request with effective payer side communication

> Check the patient's eligibility

> Initiate the auth request based on the payer mandates

> Checking the auth status

> Collating relevant documents from the ordering physicians/follow up

> Providing additional information if any

> Update the auth income in the PM/Billing system

Partnering with us will also allow you to achieve a 70% reduction in operation cost along with 30% shrink in AR bucket and 97% highest first pass collection rate. Our no binding contract, no cost dedicated account manager with 99.9% accuracy rate in all our process help us achieve the highest productive metric in $7 per hour as our service charge.

Apart from specializing in the prior authorization process we also provide additional benefit for CPAP, making us unique:

> Tracking

> Contacting and advising noncompliant patients

> Contacting compliant patients and providing appointment alerts

> Scheduling appointment with doctor's office

> Contacting ordering physicians with compliance reports

Sales Support by reaching out to:

> Existing CPAP users regarding supplies if eligible

> Existing diabetic/incontinence users regarding supplies if eligible

> Previous patients regarding CPAP supplies and DME products

> New leads regarding CPAP supplies and DME products

> Constant support through easy access and availability of managers/resources over Phone call/video conferencing / screen sharing

> Work assignment and management via MyForms

> Manage/index documents via an applicable document management system

So leverage Sunknowledge benefit and get streamline operation increasing profitability for your prior authorization for DME, radiology, specialties pharmacies and other specialties. Call our expert and experience stress-free prior authorization, for your DME issues.

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