PriorAuth Online Keeps Its Place Unchallenged in Prior Authorization

Prior_Authorization

PriorAuth Online is the company customized for prior authorization as formed in and functioning since 2007 in the United States of America. We have since then worked with an eclectic mix of clients including DMEs or Durable Medical Equipment, Nursing Homes, Pharmacies, Dermatologists, Dentistry, Rehabilitation, Skilled Nursing Units, Urgent Care Billing etc. Our clients have been happy with us throughout with our razor sharp professionalism, cutting edge communication and digitally aided working format. Prior Authorization being the first and the primary step to a complete and successful revenue cycle management, we take ultimate care to provide our clients optimum practice experience.

The special features of our prior authorization service includes

  • 100% HIPAA and HITECH compliance
  • 97% Accounts Receivable Collection
  • 70% reduction in billing expenditure
  • A complete range of services including filing request, follow up and approval
  • Turnaround time less than 48 hours
  • Low service fees with no hidden cost
  • No binding contract
  • Line of superb references by existing clients
  • Real time audits and custom reporting
  • Excellent visibility and proven expertise
  • Guaranteed reduction of operational cost by 70%
  • Prompt service with a constant rate of accuracy
  • Experience of serving major clients in the medical market
  • Pre-certification services as provided by a chosen few including us
  • Increase in current rate of completed requests by 1.5 to 2x

We follow a stream of continuous and complete practice portfolio in which prior authorization is first initiated by calling and coordinating with payer companies and submitting the request with the required paperwork, Thereafter the same is followed up by checking and confirming the current status of the request with additional submission of requested papers and finally updating the confirmed status od denial or approval in the provider’s system along with the needed service information.

Please visit our website priorauthonline.com to know more about our services. With increasing importance and modifications in the prior auth industry we are constantly customizing ourselves into providing the best possible services to our clients.

Sunknowledge: A 360 Degree Medical Billing & Collections Destination

medical-billing-services

Already a proven healthcare revenue cycle management company, Sun Knowledge has been delivering cutting edge medical billing services to providers across diverse specialties. One of our clear cut advantages in providing result driven practice management and revenue cycle management support stems from the fact that we are working as claims adjudication partners for leading payers in the country. Also, we take pride in its excellent team of medical billers and streamlined processes that help in making claims submission all the more transparent.

Sun Knowledge currently is serving providers across 28 specialties and is a 100% HIPAA compliant company. We believe in innovation in processes and also look to implement our best practices for evolving your denial management efforts. Moreover, our services are competitive and we will work as a desired partner providing your customized urgent care billing services.

 No binding contracts: Leverage the Sunknowledge plan in medical billing & collections

If you want a smarter way of improving reimbursements in your accounts receivable, Sun Knowledge will work in close liaison and will streamline your entire urgent care revenue cycle management. We bring on the table, our years of experience in working in medical billing & collections space, the expert team of resources and robust processes that help you in the seamless transition to a result driven paperless submission of your daily claims.

Our intuitive understanding of the claims adjudication requirements of a payer for your urgent care practice will help in ensuring better collections up to 97% with a coding and billing accuracy of 99%. Sun Knowledge is your one-stop terminal for tailored medical billing services.

Transparency in provider pricing, a clear understanding of the claims adjudication priorities of the payers is going to be hugely important for a medical practice today. Reducing in-house medical billing costs automatically will be impacting your financial health. Developing strong credentials and being accountable in your services process will get reflected in your medical claims.

Let us demonstrate how we offer you a comprehensive medical billing and collections plan. Our team has reduced billing costs by 70% for leading healthcare providers. Our team of medical billers and coders are proficient across all major billing systems and offer you the needed flexibility to improve your cash flow in the best possible manner.

A Company That Guarantees Success in Orthotics Medical Billing

Orthotics Billing

Sunknowledge Services Inc has been the ultimate catalyst for improving the business environment and the working standard of the revenue cycle management industry in the United States of America. We have been in the service of regenerating revenue and improving finances for the medical industry of America since 2007 and Orthotics form a major part of our business profile. It means specially prepared medical equipment for external and everyday use in order to relax pains and ease movements. Examples of orthotics equipment are as follows binders, splints, braces, slings, supports, elastic crisscross, back supports and trimmers etc all of which are designed to make movements easy for patients and relax old pains and cramps.

The highlights of our services which make us next to none in the Orthotics Medical Billing market are as follows. Array of stellar references by top clients, 97% recovery of accounts receivable, 70% reduction in billing expenditures, turnaround time less than 48 hours, real-time audits and custom reporting, 100% HIPAA and HITECH compliance, free medical billing software, real-time eligibly check and fast authorization, rapid claim status analysis in denial management, a free 30 day trial period for the first 30 RCM clients, service charges at 7 per hour including the prior auth charges, service charges sans any hidden cost.

The process we follow for our orthotics medical billing includes order entry based on the Rx received from the client, eligibility verification and authorization entry, collection of documents required for prior authorization, determining that the payer criteria are met before the delivery of the goods, generation of the delivery ticket, creation of claim after the confirmation of the delivery , submission of EDI or paper claims to the payers, cash posting, rejection and denial management, accounts receivable follow up.

We are one company which works with a team of free and dedicated accounts managers all the year round. We provide end to end as well as standalone Orthotics Medical Billing solutions for our clients. Please visit our website sunknowledge.com to know more about our practices and profiles.

A Company That Stands for Quality Prior Authorization Services

prior authorization

PriorAuth Online has been the symbolic essence of professionalism, perfection and predominance in the field of prior authorization in the United States of America since its formation in the year 2007. Prior Authorization being the first and crucial step in the overall process of Revenue Cycle Management, prior auth online takes care of the various details of the prior auth filing process, status check up and confirmation. We specialize in detailed communication, flawless following of intricate legalities and excellent customer relationship. As a result we stand apart in terms of 100% customer satisfaction and zero attrition rate.

The highlights of our prior authorization services are as follows

  • 100% HIPAA and HITECH compliance
  • An exhaustive range of services which includes authorization request, follow up, approval
  • Turnaround time less than 48 hours
  • Low service fees without any hidden cost
  • Zero lock up service contract that can be cancelled at anytime
  • Array of excellent references by top medical clients
  • Real time audits and custom reporting
  • Excellent visibility and proven expertise
  • A guaranteed reduction of operational cost by 70%
  • Prompt service with a consistent accuracy rate of 99.9%
  • Experience of serving major health care organizations in prior authorization
  • An increase in current rate of completed requests by 1.5 to 2x
  • PriorAuth Online being the selected few prior auth organizations specializing in pre-certification
  • Experience in adjudicating claims of major magnitudes
  • Free daily/weekly/monthly customized reports
  • Free transition tracker
  • 1 million HISCOX insurance covered
  • Free and dedicated accounts managers
  • The lowest and the best rates in the market

We follow a three course rule in implementing our prior authorization services which is Authorization Initiation, Authorization Follow Up and Authorization Acknowledgement. The first step is about filing the request following the payer protocol of turnaround time, documentation and tracking the receipt of the same. The second step being the follow up practice of knowing the status of the filed request and the third step is about updating the auth information in the provider’s system.

Orthotics Billing Services, a Company Which Commands The Captaincy for Which

Orthotics Billing Services

Sunknowledge Services Inc has been working relentlessly for over the last decade in the United States of America and has earned enviable goodwill as one of the most prolific and professional medical billing and revenue cycle management organizations of the states. We provide ends to end as well as standalone solutions to the billing requirements of our eclectic clientele, which includes DME or Durable Medical Equipment, Orthotics and Prosthetics, Dermatology, Oncology, Pathology, Dentistry, Rehabilitation Centre, Urgent Care Billing and Skilled Nursing Units among others. Out of these Orthotics Billing occupies a prominent place in Sunknowledge’s billing portfolio.

Orthotics Billing

The USPs of our Orthotics Billing Services are as follows. 100% HIPAA and HITECH compliance, 97% Accounts Receivable collections, 70% reduction in Billing Expenses, A free and dedicated group of accounts managers working all the year round, a no strings attached service contract that can be cancelled anytime, a 30 day free trial period for the first 30 RCM callers of the company, real-time audit and custom reporting, real-time eligibility check and fast authorization, turnaround time less than 48 hours, low service fees at $7 per hour including the prior auth charges and superb references by clients across the state.

We deal with a range of orthotics equipment like Splints, Bands and Bards, Shoes and Insoles, Collars, Corsets and Supports, Bandages and Calipers, AFO or ankle-foot orthotics, KAFO or knee-ankle-foot orthotics, TLSO or thoracolumbosacral orthotics, spinal orthotics etc. The procedure followed by Sunknowledge is as follows.

Eligibility Verification and Authorization followed by Patient Information Entry, Coding, Charge Entry, Claim Submission, Payment Posting, Accounts Receivable, Denial Management and Reporting. The basic requirements of orthotics billing services as met by Sunknowledge are as follows.

  • A prescription by the related doctor
  • Time limit considerations as per the policy
  • Billing of the appropriate modifiers
  • Prescribing letter and diagnostic certificates
  • Repair, replacement and supplies billings

We are always available to our existing and aspiring clients for advice and solutions. DO visit our website sunknowledge.com for more information about us.

A Company That Gives Importance to Urgent Care Billing

Urgent Care Billing

Urgent Care is a special branch of the medical unit which takes care of patients demanding immediate medical attention for urgent reasons, in the absence of which one can end up in hospital in a severe situation. GoTelecare is the medical billing and revenue cycle management company which prioritizes Urgent Care Billing unlike its counterparts and ensures regular income generation for the same keeping the payer, patient and provider relationship in place. We also provide a free telemedicine platform for our clients where far-flung patients can avail free medical advice from physicians of their choice.

The essential highlights of our Urgent Care Billing can be enlisted easily in form of a few quick points. A free 30 day trial period for the first 30 RCM callers followed by a low service fee at $ 7 per hour inclusive of the prior auth charges, 97% Accounts Receivable Collections, 70% Reduction in Billing Expenditures, Less than 48 hours of Turn Around Time, Real Time Audits and Custom Reporting, Free Medical Billing Software, Real Time Eligibility and Fast Authorization, 100% HIPAA and HITECH Compliance, No Binding Contract on Clients, Claim Status Analysis using Rapid Automation Technology, Excellent references by existing clients across the globe.

The process of Urgent Care Billing is divided into a number of steps which are as follows.

Eligibility and Authorization Verification, Patient Information Entry, Coding, Charge Entry, Claim Submission, Payment Posting, Accounts Receivable, Denial Management, Reporting.

The billing process, in particular, can be broken down as follows

Order entry based on the Rx received, Eligibility Verification and Authorization Requirement Entry, Collection of documents as required by Pre Auth Protocols, Meeting the payer criteria before administering the treatment, Generation of the Delivery Ticket, Claim Creation, Submission of EDI, Cash Posting, Rejection, and Denial Management and Accounts Receivable Follow Up.

In spite of being the number one medical billing company of the United States of America, we are extremely accessible to our existing and would be clients. Please visit our website gotelecare.com for the better understanding of our business profile and work process.

Accounts Receivable Management, The Ultimate Step to Successful Billing

Accounts Receivable Management

Sunknowledge Services Inc has been the medical billing organization whose contribution has been instrumental in changing the working dynamics of the medical billing industry. We follow a standardized pattern of revenue cycle management which has to lead to a better system, better yields and better synchronization of services holistically. The process that we follow can be summarized as under

  • Eligibility Authorization and Verification
  • Patient Information Entry
  • Coding
  • Charge Entry
  • Claim Submission
  • Payment Posting
  • Accounts Receivable
  • Denial Management
  • Reporting

Hence, Accounts Receivable is the penultimate step in revenue cycle management which decides the success or failure of the entire process. Accounts Receivable refers to the unpaid amount of the total claim which needs to be followed up with the payer company to close the same. In case the entire account is not met and part of the payment is refused denial management plays its part. Sunknowledge helps in the successful management of every Account Receivable with the help of its years of experience, superb claim status analysis, and business communication. The modus operandi of our accounts receivable management is as follows.

The A/R follow up starts depending upon the transmission type and the time elapsed since submission.

  • A/R analysis

14% of all the claims submitted to the payers are denied and have to be re-submitted, re-appealed or written off by the providers

50% of the denied claims are never re-filed

50-70% of the denied claims have a higher chance of being recovered

  • Follow up with the payer

Aggressive follow up with the payer company at all stages of the A/R tenure in order to ensure successful closure of the claim

  • Claim Closure

The highlights of our services include

  • A/R rate at 2% of the collections
  • 97% collections of the A/R receivables
  • 70% reduction in billing expenditure
  • 100% HIPAA and HITECH compliance
  • Stellar references of top clients across the states
  • Turnaround time less than 48 hours

Please visit our website sunknowledge.com to know more about our services and profile.

Sunknowledge offers The Best Medical Billing Services in Business

Medical Billing Services

Medical billing or Revenue Cycle Management is the business of generating income for the medical practitioners by recovering the financial worth of the medical good and/or the service provided to the patient by the provider from the insurance company in form of compensation. Earlier, this business of revenue recovery was practiced by the clerical staff of the medical service providers themselves. But after the formation of Sunknowledge Services Inc, which introduced professional expertise and standardized practice format, the medical billing services industry changed for the better. Sunknowledge, since then has been the torchbearer for its counterparts in the practice management of medical billing.

At Sunknowledge, we maintain a certain standard of services, which makes us stand out of the crowd. Some of our service highlights are as follows.

  • Service charges @ $7 per hour
  • 100% HIPAA and HITECH compliance
  • 97% Accounts Receivable collections
  • 70% reduction the billing cost
  • Unabated service by our dedicated accounts managers on the all the working days of the year
  • A free 30 day trial period without any binding contract for the first 30 customers for RCM
  • Real-time eligibility checks and fast authorization
  • Claim status analysis using Rapid Automation Technology
  • Turnaround time less than 48 hours
  • No hidden cost
  • Zero locks up the service contract
  • Stellar references of the top clients across the states
  • Real-time audits and custom reporting

The process of medical billing can be broken down into the following steps.

  • Coding
    Inpatient/Outpatient hospital coding
    Physician Coding
  • Billing
    Demographic entry and insurance information
    Fee schedule
    Editing the entries for clerical correctness
    Claim submission
    Patient statements
    Payment posting
    Charge reconciliation
  • A/R follow up
    Denial management

Resubmission of claims
A/R calls as follow up
Claim closure

The various medical clients with whom we work are as follows

  • Nursing home
  • DME
  • Wound care
  • Cardiology
  • Physical therapy
  • Rehabilitation centers
  • Prosthetics and Orthotics
  • Dentistry
  • Urgent care
  • Radiology
  • Others

Visit us on sunknoeledge.com to know more about our services.

Go Telercare, The Company Which Endorses Long Term Care Billing

Long Term Care Billing

Go Telecare is the ultimate medical billing and revenue cycle management organization which has made a mark in the US market of revenue regeneration since 2007, the year it came into existence. Since then it has experienced an enviable array of dedicated clients from all walks of medical practices. We have experienced a zero attrition rate and 100% client satisfaction over the year, which has led to our unbeatable reputation. Of all the various medical service providers whom we extend our impeccable services on, long-term care billing has been our forte for more than a decade.

Long Term Care Billing

Long-term care units are those medical care centers which cater to patients requiring prolonged medical attention due to age, genetic disorders, lifestyle problems etc. The various factions of long-term care units include nursing homes, skilled nurse’s centers, speech therapy units, and other specialty care units which need to administer their help over a long time for the best results. Our service highlights for these special care units are as follows.

  • 100% HIPAA and HITECH compliance
  • Up to 97% A/R collection
  • Billing cost reduced by 70%
  • A free 30 day trial period for the first 30 RCM callers without any binding contract
  • Real-time audits and custom reporting
  • Turnaround time less than 48 hours
  • Stellar references of clients across the states
  • Claim status analysis using Rapid Automation Technology
  • Low service fees with no hidden cost

The long-term care billing process, if broken down into steps can be divided as follows

  • Coding: Inpatient/Outpatient coding, Physician Coding
  • Billing: Demographic entry, charge entry, editing entries, claim submission, patient statements, payment posting, charge reconciliation
  • A/R follow up: Denial management, AR calls and claim closure

The various processes of the revenue regeneration system are as follows

  • Eligibility verification
  • Patient information entry
  • Coding
  • Charge entry
  • Claim submission
  • Payment posting
  • Accounts receivable
  • Denial management
  • Reporting

Visit our website sunknowledge.com to know more about our repertoire of work and modus operandi.

This is Where Skilled Nursing Facility Billing Looks Easy

prior authorization

Sunknowledge Services Inc has been the leader in medical billing and revenue management services in the United States of America since its inception year in 2007. Since then it has been handling numerous clients in various avenues of the medical domain. That includes DMEs, Orthotics and Prosthetics, Rehabilitation Centers, Oncology, Radiology, Dermatology, Nursing Homes, Long Term Care Centers, Urgent Care Centers, and Pharmacies. Skilled Nursing Care units are a part of Sunknowledge’s service repertoire which belongs to the Long-Term Care Units. Long-Term Care means those medical service providers which cater to patients demanding prolonged periods of treatment.

Skilled Nursing Facility Billing refers to the revenue cycle management of units which provide trained nurses for personalized treatment. It is mostly required for reasons like

  • Wound care
  • Fracture rehabilitation and joint replacement rehabilitation
  • Terminal illness
  • Stroke treatments
  • Diabetic complications
  • Parkinson’s disease

The expense accounts under skilled nursing facilities which are covered by an eminent federal service provider like Medicare are as follows

  • Semi private or shared rooms
  • Meals
  • Professional therapy
  • Nursing care
  • Speech-language therapy
  • Medical social services
  • Medications
  • Medical equipment
  • Medical transportation
  • Diet consultancy

The three essential steps of Skilled Nursing Facility Billing are as follows

A/R analysis

Payer follow up

Closure of claim

The essential points of our professional services include

  • Free 30 day trial period for the first 30 RCM customers
  • Up to 97% A/R collection
  • Free medical billing software
  • Real-time eligibility checks and fast authorization
  • 100% HIPPA and HITECH compliance
  • Claim status analysis using Rapid Automation Technology
  • Turnaround time less than 48 hours
  • Low service fees with no hidden cost
  • Zero locks up the service contract with no hidden cost
  • Superb client references across the states
  • Real-time audits and custom reporting

Though we are a top medical billing company in the US we just a click or call away on sunknlowledge.com for all our prospective clients to collaborate with us on billing ventures.