Enhance your cash with the Sunknowledge advantage! We provide you all the benefits with a standalone/ end to end approach with DME billing. Our team is versatile across all practice management systems / billing platforms excel in providing state of the art support in practice management/ revenue cycle management priorities of our clients like none other. As a 100% HIPAA compliant extension, we work with healthcare payers and providers, render excellent support across all major DME software in use like the Brightree, OPIE, Fastrack and others.
A complete DME billing partner, Sunknowledge Services Inc extends:
Partner with us for a faster DME billing experience The best part of working with Sun Knowledge is our excellent experience in working with notable DME providers. We can provide you relevant references that will help you in understanding and assessing our strengths in providing you complete revenue cycle and practice management support. We have successfully combined robust processes with a dynamic team of medical billers who are well versed in managing all your DME billing requirements in best proportions. We guarantee you with consistency in prior authorization and eligibility verification that helps you in laying down the right checks and balances. Our team accounts receivable experts will analyze your pending accounts and will manage the aging and current ones in such a manner that continue receiving prompt reimbursements. At present you can avail our DME billing services for just $7 per hour for a full time employee. We will reduce your operational expenses by 70% with a 99% billing and coding accuracy. Sun Knowledge believes in delivering you quality support and will be working as a seamless operational extension reducing your pain points effectively. Our experts will be glad to share with you, how we work as a perfect operational extension, offer seamless consistency and eliminate proven pain points in your revenue cycle with specialized intervention. Leverage the Sunknowledge opportunity right now and transform your ROI.
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Sunknowledge Services Inc has been the champion of medical billing and revenue cycle management in the United States of America. It has been the past, present and future of the medical billing industry, which has gained ultimate expertise and experience in revenue recollection of the medicine industry. It enjoys a stellar clientele of different medical service providers like DMEs, Nursing Homes, Radiology, Dermatology, Rehabilitation Centers, Pharmacies and Urgent Care Centers in its repertoire. Urgent Care Billing is of top priority to Sunknowledge as one of the most important and challenging areas of revenue management.
Urgent Care Centers are those medical care units which cater to cases of immediate medical attention, in the absence of which patients may have to land up at hospitals with worsened illness. Urgent Care Billing has its own pre-requisites which are followed by Sunknowledge religiously. A quick breakdown of the process is as follows.
The highlights of our service includes the following
In spite of being the busiest billing company in the USA, we are just a call or click away for you to avail our services. Do visit us at www.sunknowledge.co for the experience unparallel. 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. 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:
GoTelecare understands the claims adjudication mandates of the industry better than any medical billing and collections company. We are working with leading Skilled Nursing Home Facilities and proficient across all major practice management/ billing software in the country. We work as an extension to your Long term care billing demands.
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. Patients today are looking for more personalization in their care and they look for proactive assistance. A smooth connect between your front and back office will be important and you need specialized assistance especially with Skilled Nursing Facility Billing. How we attend your accounts receivable collections 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. GoTelecare Ensures • Reduction in accounts receivable by 30% within 1 month • Demonstrated expertise in working on difficult-to-recover aging A/R • Expert handling of accounts receivable by highly experienced staff • Over 7 years’ experience in claim adjudication for major US insurance plans Best practices in rejection management There are multiple reasons due to which a claim is denied. We provide our end to end implementation assistance that betters your denial management attributes in your (Skilled Nursing Facility Billing. Some of the causes: Authorization Issues • Referral Issues • Medical Necessity and Medical Records requests • Non-Participation with Insurance Network • Terminated Insurance • Coordination of benefits • Wrong Diagnosis • Inclusive Procedures • Partial Payments • Out-of-network claim status and deductibles • EDI Rejections • No status and No claim on File • PIP cases • The GoTelecare approach Claim Correction and Resubmission These are the claims which are corrected, modified, and resubmitted as a corrected claim to Insurance companies. For such claims, every effort is made to resolve the denial to avoid billing the patient. Patients' Responsibility These are claims which cannot be further worked upon and the final bill is sent to the patient for payment collection. The reasons for sending the patient a bill generally include In-Network deductibles and non-covered benefits as per the insurance plan. Patients receive a statement with a clear explanation for the balance due. Guaranteeing reduction of accounts receivable by 30% in the first month of partnership, Gotelecare sets the benchmark in nursing home accounts receivable services. We have demonstrated experience in handling difficult to recover A/R with an experienced team of medical billers that understands claims adjudication mandates better than any other medical billing company. As a next gen medical billing and collections company, Gotelecare has been working with major insurance companies helping them in their claims adjudication, credentialing needs over the last 10 years.
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. The key steps in our accounts receivable follow up process
We provide our disciplined intervention in
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