Surefire Secrets in Biologics Prior Authorization

Biologics Prior Authorization

The advent for biologics for psoriasis is becoming prominent and quite clearly, it is creating new challenges with the prior authorization process. The coding and billing issues especially with the injectables are quite complicated. There are broadly two classifications in this segment – buy and bill or the prescription.

Securing the prior authorization for any biologics prescription is not an easy task. To avoid denials and appeals in this process, the physicians have to get involved that often kills their valuable time. One of the biggest areas of confusion is prescribing infliximab for psoriasis.

The FDA mandates clearly states that it cannot be used for mild conditions and is only applicable for severe plague type of psoriasis. If you do not have it in mind, your claims will immediately get denied. You need the specialized intervention of a disciplined revenue cycle management company that can offer you complete practice management support as well.

The Reason Sun Knowledge is the best in Biologics Prior Authorization

The biggest asset of partnering with Sun Knowledge is our excellent credentials and enviable list of clients across diverse specialties. We are currently serving more than 100 clients with excellent references.

Our very own proprietary platform “prior auth online” will help you in submitting your auth requests without any hassle. We believe in eliminating your stress in administrative tasks so that the clinical staff and the physicians can focus on their core priorities a lot better.

At present, we are charging only $5 per auth that is much below industry standard prices. We provide you the much needed automation in your prior authorization services that will help you in making the entire process proactive and effective.

Our team combines cutting edge processes with expert resources that elevate your experience in practice management. Sun Knowledge will be working as a seamless operational extension and reduce the burden in your daily prior authorization commitments. We understand the claims adjudication mandates of the industry better than anyone and will better your denial management metrics in the long run for increased revenue.


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