Streamlined Prior Authorization Assistance/Free Telemedicine/Leverage The Sunknowledge Opportunity

Prior Authorization Assistance

We find countless hours of clinic time being spent on documenting. According to a study, nearly 15 hours per week is spent measuring the quality performance. It is not only the staff; physicians also are required to spend their precious time!

A big number of American doctors complain of getting burned out in their jobs. A survey of Medscape/Web M.D can be taken into context with an online questionnaire of 25,000 doctors across 25 specialties, only 54% opined that they will choose medicine again as a viable career option!

Eventually, when a claim is denied, you should ask yourself whether or not prior authorization was obtained for the services listed. If your answer to this question is “yes”, digging deeper to determine the reason and its consequent prevention in future is the key. Some of the common reasons and how to avoid them can well be discussed:

With over $ 31 billion being spent on an annual basis on just prior authorization, healthcare providers have to leverage the best use of technology that accelerates the process of practice management. The Kaiser Family Foundation estimated almost an expenditure of 868.4 million hours on obtaining prior authorization from the insurance companies.

Although the electronic standard for prior authorization is there for over a decade, complexities especially at the local level, is hampering meaningful adoption. Prior authorization remains the largest source of denied payments and write-offs! The patient access departments still do not have the right resources to combat the demand for authorization requests.

Fast and effective Prior Authorization support: The Sunknowledge Services Narrative

Get access to world class resources expert in working with any practice management/ revenue cycle management system. We believe to make a difference with our complete plan of action for your prior authorization services.

We provide complete assistance in Prior Authorization action plan:

♦ 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

Our stand alone/task specific activities in prior authorization is available at just $5 per auth , no transaction, installation or set up costs. We believe in working as your reliable operational extension guaranteeing you improved ROI, better receivables and finally an improved solution to your practice management worries. We will also provide our free telemedicine support that is going to better your patient care, reduce your cumulative wait times, reduce your operational costs. Gain value from our 360 degree approach as a next gen healthcare revenue cycle management company.

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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