Curing The Prior Authorization Headache with Functional Best Practices

Over 869 million hours are spent annually on just obtaining prior authorization from the insurance companies. Prior authorization remains one of the most time consuming processes for the practices that involve huge amount of time and money, can be used for betterment of care management priorities. Ultimately, the patient who should be receiving the benefits […]


Prior Authorization Denials are on the Rise: How to Deal with It

Prior authorization is under pressure. Medical claim or to be precise, prior authorization was already suffering after the withdrawal of the ACA subsidy. The federal government’s decision took away the medical coverage security of millions of Americans and the insurance companies have again started dictating terms. Americans are facing increase in denials and ultimately access […]


Improve Your Prior Authorization Process for Radiology with Prior Auth Online

Too many cases of authorization denials are being seen these days, resulting primarily from coding errors or incorrect information. The main focus of a well-managed radiology’s office billing operation is to submit claims for services punctually and in the proper, required format, and receive reimbursement as fast as possible. And this is the main impetus […]


Prior Authorization for DME is Simpler with Prior Auth Online

The aging population over the age of 65 years has increased and preference for home healthcare products are rising everyday contributing hugely to the growth of the DME market. DME providers today also have to be aware of the complexities in the billing process and have to be more particular about the transparency of their […]


Rethink the DME Prior Authorization Process with Unique Best Practices from Sun Knowledge

It is true that challenges with prior authorization are a big pain area for practices. In the competitive landscape, if you are to survive as a provider, you have to provide value based care to your patients in the truest sense. However, challenges with prior authorization, tedious administrative and paperwork involved, kills a lot of […]


How To Simplify Prior Authorization with Ultimate Best Practices

With chronic or end of life treatments, we are witnessing patients taking more accountability with their healthcare decisions. It is quite evident; the manual process can never be the solution. Effective payer provider communication, processes that work together and is responsive is the answer. Electronic prior authorizations statistically resolves many of the cost challenges with […]


Prior Authorization – Ways To Limit Prior Authorization Delays

It’s not news that prior authorization can be extremely time-consuming. According to a survey on medical practices, 94% of the managers confirmed that prior authorization takes away 4.6 hours each week on an average. Most of this delay is practice specific or outcome of the loopholes in the prior authorization process of a physician’s office […]


Identifying The Prior Authorization Helps Prepare a Healthcare Practice to Properly Combat Rejections and Denials

Prior Authorization – Identifying Rejection Reasons Prior authorization has recently seen several regulatory and policy changes. As prior authorization is rapidly getting transformed from the manual mode to the electronic platform, the process has become complex needing adherence to stringent guidelines and additional documentation. No wonder, prior authorization has become tougher and rejections are rampant. […]


PriorAuth Online- Simply the Prior Authorization Service You Need

The fact that prior authorization brings utter frustration to the physician’s office or to other healthcare providers is a painful truth. According to a recent survey, physicians’ offices are spending a weekly average of 4.6 hours on prior authorizations. This becomes a major hindrance to the productivity of the practice; the main focus on patient […]


Curing The Prior Authorization Headache with Streamlined Best Practices

A growing number of states have passed a legislation to combat the stringent payer requirements that has resulted in delayed care, loss of revenue and also dissatisfied patients. It is true that the patient access departments lack the immediate resources to appeal the rise in the number of denied claims. ♦ If you ask any […]


What Customers Say

  • Thank you again for your efforts - your team continues to meet our expectations and is actively improving our ability to serve our patients. Your efforts specifically to maintain open communications with our team has fostered the success of this effort and we look forward to expanding the effort next week and beyond.

    Project Manager at a leading Prosthetics & Orthotics company based in Florida
  • I was always against the idea of outsourcing our back-end claims processing work but I was wrong. You have provided extraordinary deliverables on a timely basis which led to cost cutting considerably for us.

    CEO of a leading MA-PD Plan
  • We upload charts to a secure FTP server and they take it from there. The staff is knowledgeable and very easy to work with. Any issues that we have faced have been resolved within a few days.

    A major orthotics & prosthetics practice based in the south-east