One of the major worries for a lot of healthcare providers is to find a balance between patient engagement and securing reimbursements. Over the years, it has become quite impossible for a lot of physicians to manage prior authorization all by themselves.
The Sunknowledge consistency If you are looking for a reliable partner that can extend the required support, look no further than us. Over the years, we have been a cutting edge service provider of end to end prior authorization services to some of the largest providers of the country. Our team has been versatile in extending competitive solutions in prior authorization and at just $7 per hour we define your practice management best practices. Our team knows how to initiate PA process, contact the payers for auth status, working with the physician office for important documents, updating the auth outcome in billing system. Moreover, at these times of employee shortage, we promise to work as an extension of your operations. Speak to a Sunknowledge expert and come to know how we have defined reimbursements with our niche presence. Looking for more information, our team is just a call away from you. Hire us and get to know how we have defined growth for some of the best in the business. Our team is just a call away from you. We deliver where others fail at these difficult times.
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Even as state legislature continues to introduce new laws aimed at lessening the burden on providers and a general outcry continues to surge demanding a radical overhaul or a complete prohibition, prior authorization is going to stay with us for some more time. Essentially a payor-side requirement, put into place to keep medical costs in control and to ensure safe, appropriate treatment, prior authorization is often looked upon by providers as a deterrent to pursuing more useful tasks.
For one thing, it is a time-consuming process where one has to spend many precious minutes to get even a single prior auth completed. There are long times that are spent on hold while trying to contact an insurance company and obtain the requisite authorization for a proposed treatment or medication. For another, there is also a good deal of paperwork involved, which, to make matters worse, keeps changing from one insurer to another. This is a major problem because, even with the growing acceptance of its electronic variant, prior authorization continues to be done in the traditional paper-fax-telephone mode in very large measures across the US. In view of the above, it’s no wonder that a large number of practices, especially the busier ones, choose to outsource all their prior authorization tasks to dedicated, third-party agencies. Understanding payor-specific preauthorization requirements, following up with the provider’s office on missing information that is required to complete the authorization, and managing denials are activities that very often suffer from a lack of consistency and slip-ups. Many individual practices often find themselves understaffed when it comes to engaging medical billers who understand the complex and varied requirements of different insurers. This is where outsourcing can make a big difference. Competent third-party companies keep their team members up-to-date with training and compliance. They ensure that prior auth requests are made and completed in time, and fewer of them are denied or rejected. As a result, they can bring about a noticeable increase in the prior auth approval rate and increase overall collections for the practice. Dedicated prior authorization service providers can be a real boon for busy healthcare practices as they help in freeing up resources, reduce overhead and generate more collections. A new study published in Mayo Clinic Proceedings, one in five physicians are leaving their practice in the next two years largely due to employee burnout , increase of workload and also fear of infection with this looming pandemic far from getting over!
The survey also showed that the intent to reduce hours within the 12 months has been the highest among physicians, nursing staffs and also advanced practice providers. The rate has been the lowest among administrators and clerical staffs. Many provider organizations have called the payers to rectify the system. Electronic prior authorization may improve the care delivery process and decrease the burden on providers. It is quite true that finding someone important is indispensable to your chances of improving your prior authorization process. Managing your practice management efforts will need the able intervention of a quality RCM partner that knows the in and out of the adjudication mandates around. What defines Sunknowledge excellence Looking for a serious partner that can reduce your employee burnout and physicians experiencing care delays, we are right here for you! Our team understands how to work on your eligibility verifications, securing important documents from the physicians, following up with the insurance companies for auth outcome or updating the same on the PM system of the client. At present, we are working with some of the largest providers across major specialties that include: radiology, anesthesiology, DMEPOS suppliers, dermatology practices and many more. Our team knows what it takes to deliver everything on time so that you don’t have to delay your patient care. Do what you know best with our specialized intervention in prior authorization services. Hire our team if you want a genuine partner working on all your prior authorization requests. At a time of labor shortage and supply constraints, we are just a call away from you and will do it all at just $7 per hour. Partner with our team and come to know why we are hailed as one of the best in the business. Our experts are just a call away from you. To avert an average reduction in the allowable, a new law was signed by Congress on December 10, 2021. The new conversion factor becomes $34.61 which was $34.89 in 2021. The impact to 2022 rates becomes minimal with the increase in RVU on most E/M codes. Additionally, the new law extends the moratorium on the particular two percent Medicare cut until March 31st 2022.
At the end of the day, what you need is someone that knows how to handle everything right from start to finish. You need a reliable partner who knows how to help you in reducing your backlogs, eliminate any front desk errors that creates challenges. If you want a streamlined partner to take care of everything at a time where supply challenges are creating huge pressure, outsourcing of urgent care billing appears a pertinent option! However it all boils down to finding a competent vendor that understands how to handle individual processes and align your practice with the payer mandates. What makes Sunknowledge unique in urgent care billing? As a powerhouse in the world of urgent care billing, our team is delivering consistent support to some of the largest providers of the country. We have top class reference from the largest urgent care centers and understand what it takes to drive your reimbursements as an operational arm. Also, we extend superior support, seamless transition with customized reporting that helps our clients earn a competitive edge and transform their flow of cash. We can reduce your over head costs at these difficult times and can define your collections with our excellent front and back end approach. Our team of urgent care billers and coders know how to eliminate errors and make your process trustworthy and healthy without creating any unnecessary backlogs. Speak to our team and come to know how we have resolved business challenges for the biggest and the best. Our urgent care billing and coding services can be availed at just $7 per hour. Leverage the opportunity we bring to the table as a next gen destination in urgent care billing. As CMS released the final rule which was long awaited on DMEPOS on last December, it checked a lot of boxes for lawmakers that were waiting to move forward. The rule is going to make 50/50 blended reimbursement rates permanent in rural areas but actually failed to provide relief in other areas.
The CMS strongly believed that Consumer Price Index adjustments are the best way to increase the rates of reimbursements. The recent CPI adjustments for 2022, released in December ranged by 5.4% for bid items in non-CBA’s and typically ranges from 1% to 3%. Clearly, providers need to tighten their socks and make sure that all priorities with DME billing guidelines are addressed properly. But how will you do that at a time of labor and supply shortage. At the end of the day, you should be working with someone that knows in and out of the DME billing mandates around. Sunknowledge assures simplicity One of the surefire reasons to work with us is our extensive understanding of the healthcare market. We are currently working with some of the largest DMEPOS providers of the country, currently the biggest and the best. What defines our presence is the way we have been working with some of our reputed DME clients and have awesome references on the same. We know how to work it out, develop the right plan that defines your collections in the right earnest. Right now, we deliver stand out support to our clients and that too at just $7 per hour and have great track record in delivering what our clients need most, excellence and consistency. Our team will love to share how we work as your ultimate operational arm and help you gain a competitive advantage. Trust our DME billing action plan at these trying times! We make sure that all your pre and post billing needs are addressed by our best. Partner with our team and leverage the advantage we bring to the table as a DME billing powerhouse. We deliver you superior billers and coders that accelerates your flow of cash. Since 2007, Sunknowledge Services Inc a medical billing and collection organization has been the operational extension for leading names in the industries, especially in DME billing domain. With unparalleled experts and resources, Sunknowledge Services not only help healthcare providers with a successful and effective streamlined billing operation but also way toward effective revenue generation reducing the number of denial rate.
With more than 100 satisfied clients, we not only stand out due to our tailored customized complex HME billing solution but also for our expert's support for the complex reimbursement process. An operational extension for your HME/DME billing: Helping healthcare providers in reducing the operational cost by 80%, we are a next gen medical billing company for not only DME billing but other medical billing too. Improving your seamless communication standard, our experts are equally proficient in all the industry standard and billing software including, Kareo, Brightree, TEAM DME and many more providing added advantages to or clients. In fact, we are the only RCM with the highest productive metric at a low cost one can have with unique pre-billing support too. Offering a standalone/end to end services at $7 per hour, our range of services includes:
Post billing services:
A complete HME/DME solution: So call us over a ‘no commitment call’ and let our team illustrate our expertise and value proposition as a next gen solution for your HME billing and other medical billing problems. We are just a call away! In any medical billing process, eligibility verification is the most important division as a lack of or improper eligibility verification directly impacts the reimbursements. In fact, research has confirmed that most of the claims are been rejected and denied or delayed due to this improper eligibility verification. With the regularly changing policy and updates in health plans, it becomes difficult for healthcare providers to cope up with; this is why healthcare providers opt for outsourcing such DME eligibility verification process.
Few benefits of outsourcing your DME eligibility verification: Streamlines your workflow Outsourcing organization with its experience excels in improving the overall efficiency of the process with its continuous monitored process. This results not only in a streamline operation but also lessen the number of rejection and denial with such consistent approach, leading to superior patient experience Revenue generation Updated eligibility verification data increases the chances of getting a quicker claim with a reduction in the chances of denial and rejection. This helps in maintaining a constant cash flow into the organization helping in revenue generation. How Sunknowledge Services can help you in your DME eligibility verification as operational extension: Sunknowledge Services a 360 degree practice management/ RCM organization has been providing tailored customized solutions to more than 28 specialties for ages now. Being the premium solution in the DME domain, our resources not only excel in all the backend billing work but also front end works too. In fact, we are the only RCM offering pre billing activities including data entry, DME eligibility verification, prior authorization, order confirmation and scheduling of delivery. Ensuring the highest productivity metric at a low cost and highest collection rate of 97% we are the solution providers, for most of the healthcare in the US. So Experience 80% of operational cost reduction along with a 30% shrink in your AR bucket with our expert resources along with perfect the DME eligibility verification process, which is now just a call away! For more information on our other benefits and how we can help you achieve a streamlined operation and financial upliftment get in touch with us. Today it is impossible for healthcare providers, hospitals etc to respond to these increasing medical billing pressure along with financial upliftment and streamline operation, as they also have to focus on other core priorities like patient care and other administrative work. This is why outsourcing all your medical billing starting from orthotics, prosthetics HME billing and other specialties is the recent trend in the medical billing industry.
Benefits of outsourcing your HME billing: Outsourcing reduces the core billing responsibility of medical billing which at times is complicated and time consuming. It also helps them save a lot of money by reducing the overhead cost, training, salaries, benefit, turnover etc which is not possible for any in-house billing option. It does not end here; highly specialized outsourcing organization that focuses only on the medical billing aspect has resulted in faster and effective billing solution along with increased ROI. This is why the check list of choosing an outsourcing operational extension becomes very stringent. Sunknowledge benefits: For nearly 12 years Sunknowledge Services Inc a medical billing and collection outsourcing organization has been helping healthcare providers, hospitals etc with compliance and patient satisfaction by delivering industry leading tailored customized solutions for revenue cycle management. This not only has improved the financial performance but also has streamlined operation. Offering a 99.9% accuracy rate in all billing and coding process Sunknowledge experts guarantee 80% operational cost reduction for all its clients. In fact, Sunknowledge is the only RCM organization offering pre-billing services which include:
Along with our Post billing services, which are:
Other advantages of Sunknowledge Services Inc:
Helping you establish your customers, we ensure a true partnership in delivering outstanding medical billing support improving your revenue generation. For more information on what different our expert can make for your DME billing, get in touch with our expert over a 'no commitment call'. The most common problem of a healthcare provider is keeping the account receivable days under control. This is often seen that due to lack of skilled resources backlog of claims arises. A successful effective hospital account receivable is very important, as account receivable is the backbone of the organization. If you are facing AR problem and always tend to end up spending lumps of amount for an effective account receivable solution, then Sunknowledge Service Inc is the perfect operational extension for your problems.
How Sunknowledge Can Help You in Hospital Account Receivable Sunknowledge Service Inc a decade old practice management/Revenue Cycle Management organization excels in such hospital account receivable services. Specializing in reducing the operational cost by 70% and increase your collection rate by 97% we are the premium solution in improving your cash flow. In the case of our hospital account receivable facilities, our well-equipped resources make sure:
With the above benefit, Sunknowledge has access to a large pool of resource with seamless operational support for the task-specific activity. In fact, every client has access to robust reporting according to their protocol. Providing a pre-billing service, which is rare in this domain we have earned excellent industries reference through our effective work and solution. Our 99.9% accuracy rate with the highest productive metric is also one of the important factors making us the top medical billing solution. With a no binding contract our team is highly compatible in managing over $3 million accounts receivable every month along with a guaranteed 30% shrink in your account receivable bucket. So if you are looking for enhancing your financial performance with seamless operation support for your hospital account receivable Sunknowledge Solution is the perfect answer to it. In fact, we are the best solution providing additional support in account receivable at just 2% of the collection. For more information call Sunknowledge expert over a ‘no commitment call’, we are just a call away. It is true that complexities with payer contracts, billing and coding as well as compliance prevents the urgent care clinics from securing the reimbursement that they deserve. Honestly, it shouldn’t be so hard to get paid.
With our team of experts working as urgent care billing operational Sunknowledge helps you in becoming curious to confident. We help in making your urgent care billing easier, optimize your revenue with a proven track record of success helping you focus on care management with peace of mind. While you focus on your patients, we take care of your urgent care billing Our RCM team in urgent care will step in and help you in collecting as much revenue which you weren’t able to secure before. Our proven practices and processes helps in improving your revenue cycle right away and help you in seeing positive results right away. We have the perfect plan for you in urgent care billing that will help in
Leverage the Sunknowledge advantage in urgent care billing As a perfect operational extension, we understand the importance of human intervention, combine processes with our functional best practices. Often denied ERA’s get auto posted adjusting the encounter balance and zero out the balance.
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