Sun Knowledge Services Inc is the only Practice Management / Revenue Cycle Management company with a very own Telemedicine platform to be working for both major Payers like HealthCare Partners and Heritage Provider Network and Providers across more than 28 specialties with great success! We help our clients with a unique edge and leverage maximum ROI from our dual exposure
Key fact sheet on Sunknowledge Services Inc • Onshore /Offshore’ KPO & BPO Services • Serving US healthcare industry since 2007 • Robust & scalable infrastructure • State-of-the-art technology and systems • Highly skilled and trained staff with good • communication skills and in-depth knowledge of process • Structured training, feedback and coaching • HIPAA-HITECH compliant • State-of-the-art office inbuilt with all redundancies – power, infrastructure and others Process Overview: Accounts Receivable Management for Nursing Homes • Our A/R follow-up service is designed to increase the Revenue Collection for our clients. • The process begins after the Provider creates and sends Health Insurance Claims (Electronic/Paper claims or Manual HCFA forms) to various Insurance Companies. • Depending on the transmission type and length of time since submission, we begin our follow-ups. Follow up Process in Accounts Receivable There are two types of accounts receivable follow up for nursing homes: No Remark Claims: • Any claim in which absolutely no status is known for the claim. Last Remark Claims: • These claims remain unpaid for different reasons. Such claims are followed up on a monthly basis. Key components of Accounts Receivable Follow ups The responsibility of our A/R team will be reducing your days in A/R as well as improving the ratio of collections by increasing the payment probability with a timely follow up process. A/R Analysis • Almost 14% of the submitted claims to the insurance payers get denied and have to be appealed, resubmitted or a write off process is practiced by the providers • 50% of denied claims are never re-filed • 50-70% of denied claims have higher chance of being recovered Follow-up with Payer • Aggressive follow up with the insurance company's on all accounts at any stage of the aging bucket plays an important part in A/R follow up activities • Closure of claim Online Claims Follow-Up • Using various insurance company websites and Internet payer portals, we check on the status of outstanding claims. Automated Claims Follow-Up (IVR) • By calling insurance companies directly, an Interactive Voice Response (IVR) system will provide the status of unpaid claims. Insurance Company Representative • If necessary, calling a ‘live’ insurance company representative will give us a more detailed reason for claim denials when such information is not available by the first 2 methods. We have a comprehensive Nursing home accounts receivable collections process with excellent denial management metrics. Our team will reduce the accounts receivable bucket, ensure a collections increase of 97% and a reduction of your billing costs by 70%. Let our experts share with you, our best practices, and references across the industry. We are a one stop destination for all your nursing home accounts receivable collections.
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A foot print across more than 28 specialties, working with both healthcare providers and payers, a 100% HIPAA –HITECH Company, Sunknowledge Services Inc is a one stop medical billing company. We provide our stand alone/ end to end medical billing services that help you streamline your revenue cycle in the best possible manner. Also, we take pride in a team of expert medical billers and coders that understand the immediate claims adjudication mandates of the industry and cater customized assistance.
A Nest Gen Medical Billing Company We perform task specific jobs in eligibility verification and authorization, denial management and accounts receivable recovery. Sunknowledge Services Inc is flexible, and provides all our services on an a la carte basis. As a reliable extension to your existing operational practices, we extend a terrific blend of support with excellent practice management/ revenue cycle management. We offer the best price in the industry, and provide you dedicated support with account management and customized reporting. We are proficient in working with all leading EMR/ billing software that are used in the market. Also, we are equipped to handle any of your proprietary systems and our seamless business transition will help us gather information, share trends and work in accordance to your best practices and protocols. Sunknowledge Services Inc eliminates pain points in your revenue cycle, provide specialized intervention that betters your cash flow and helps you focus better on your patient priorities. Some of the reasons that we are the best medical billing company are:
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