Today even though the provider spends almost 20 hrs on prior authorization requirements, we still see 20% of rejection on the prior authorization process. It can be of various reasons such as absence of the drug available, incorrect personal information, expensive usage of the drug and many more. In fact, a huge lump of money is seen spend only for such authorization process, which is why finding the perfect partner that suits your requirements for the authorization is very vital.
Getting a successful, faster prior authorization especially for DME is a tedious process, as it requires detailed understanding and proper knowledge of today’s insurance policies. This is why a healthcare provider has to be very careful in selecting the right operational extension.
The Right Operation Expansion for DME Prior Authorization:
As more than 50% of our work involves in DME domain our experts are competent in any sort of DME billing process starting from order entry, eligibility verification and prior authorization for DME to DME claims management through our ‘PriorAuth Online’.
Our ‘PriorAuth Online’ process work starts with gathering vital information on medical procedure, patient, and provider. This is followed by verifying and validate prior auth request with effective payer side communication and checking the patient’s eligibility. Once it is done auth request based on the payer mandates is initiated. Which then followed by checking the auth status, collating relevant documents from the ordering physicians/follow up and providing additional information if required and ending with an update the auth income in the PM/Billing system
Along with 100% prior authorization submission on the same day and increase of 1.5–2x prior authorization, we also excel in additional CPAP after sell support. Our CPAP activities include starting from tracking, contacting and counseling activities on patients. In fact, we ensure increasing the compliance rate from 40% to 80%.
Along with achieving a streamline operation and effective cash flow for your prior authorization for DME, we will also reduce an instant 80% reduction in your operational cost. Even 30% shrink in your account receivable bucket and 97% highest collection rate is even one of our benefits.
Having the highest productive metric our experts also guarantee a 99.9% accuracy rate in all the medical billing process. So if you are looking for an effective prior authorization for DME and a standalone/ end to end service at only $7 per hour, Sunknowledge Solution is the perfect answer to it.