Performing day to day medical billing and collection services which involve experiences resources, a complete understanding of industries mandates and proper software proficiency Sunknowledge Services has been the perfect operational extension for leading healthcare providers for ages.
Improving your ROI we are the perfect reliable extension performing task-specific activities for data entry, eligibility verification as well as claims management and account receivables. Even prior authorization such as lymphedema pumps prior authorization, orthotics, prosthetics, CPAP and BIPAP prior authorization along with other diverse specialties we take care of all.
In fact, we Sunknowledge Services have a specialized prior authorization platform known as PriorAuth Online. Providing strategy to improve and streamline operations our expert resources focus on closing the authorization gaps faster and efficiently with its proper knowledge of authorization rules and regulations.
Steps initiated by PriorAuth Online for Successful Lymphedema Pumps Prior Authorization:
Authorization Initiation– information is obtained in this first stage, which is necessary for the treatment process. This then is followed by authorization initiation. The information which is collected includes patient name, DOB, ordering provider’s name, NPI, Tax ID, address, phone no along with insurance information. We also ensure a proper check on the diagnosis code, units for each service code, if ordering physician is PECOS certifies or not
Requesting Authorization – this is the most critical part where documentation is been completed accurately collected through fax, call etc. after which verified and validated the documentation along with the authorization request is done. In this process, it is important to maintain constant oversight over all prior authorization requests that are outstanding
Continuous Follow-up is Made – our second last steps ensure investigating to resolve whether the patient is eligible based on payer requirements for prior authorization. Once this is done prior authorization is initiating through outbound calls, portal etc as per payers’ protocols/guidelines. Here waiting on the approval or denial of their request for ongoing authorization happen
Updating The Authorization Process– This concludes with providing additional documents/ data if requested by the payer. This ends up updating all the prior authorization results in the billing system.
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So leverage our PriorAuth benefit for your lymphedema pumps prior authorization and experience best functional practice improving your revenue generation along with faster and effective authorization process.