Today medical equipment and procedure is a very expensive affair to deal with, especially the prior authorization process. Even though the process of authorization has been there for ages it still faces a lot of hindrances accruing a faster authorization approval. Even after spending more than 20 hrs on the process still, 20% of authorization rejection is still seen. This is why operational support with extensive prior authorization service is the perfect solution to it.
How to Find The Right Operational Extension:
Cost-Effective – the prior authorization is an expensive affair. This is why find an authorization solution with proper initiation, approval and follow-up at a minimum rate should be the main concern of any providers.
HIPAA Compliance – HIPAA compliance ensure complete security of information as this information can lead to many problems in the future.
Skilled Resources – the prior authorization process is ever-changing. So for effective faster authorization, skilled resources are required with update knowledge and the working process, ensuring a lesser amount of denial claims.
Productive Metric – highest productive metric should be the main criteria while choosing an operational extension
Reporting – the healthcare providers must go for the extension support that offers robust reporting according to their requirement. This helps them understand the progress of the workflow as well as given a complete understanding and clear picture of the work.
How Sunknowledge Fit The Criteria of Perfect Orthotics and Prosthetics Prior Authorization Solution:
Being a 100% HIPAA and HITECH compliance organization and ensuring security and quality work process Sunknowledge Service Inc is the perfect operational extension for such services. It even offers a standalone/end to end service only with a service charge of $7 per hour. Apart from providing a 360-degree effective revenue generation solution for all medical billing process, it has specialized experts in DME, radiology, specialties pharmacies, orthotics and prosthetics prior authorization process ‘PriorAuth Online’. PriorAuth Online is a web-based online portal ensuring operational transparency and 100% prior authorization submission on the same day along with robust reporting according to clients demands.
Step involved in orthotics and prosthetics prior authorization:
- Gather vital information on medical procedure, patient, and provider
- Verify and validate auth request with effective payer side communication
- Check the patient’s eligibility
- Initiate the prior auth request based on the payer mandates
- Checking the auth status
- Collating relevant documents from the ordering physicians/follow up
- Providing additional information if any
- Update the prior auth income in the PM/Billing system
For more information on how our team can help you with effective orthotics and prosthetics prior authorization call Sunknowledge expert.