With the new CMS update that implies insurance payers have to comply with the latest technologies and that they have to respond within a stipulated time for both urgent and non-urgent prior authorization requests which are sent over to them in fact made the authorization process further complicated especially for new untrained staff who is handling the authorization process. Furthermore, with the rising wages and healthcare expenses, the need for an operational extension has not only increased but their demand for complete support for seamless authorization solution and effective cash flow have further increased. However, finding someone who can take care of your payments, ensure a seamless authorization process, help you in complex claims management today is something challenging to get. In fact today the biggest challenge is finding someone who can drive payments and bring about sanity in proceedings for a lot of radiology providers.
This is where Sunknowledge fits in.
Taking care of all your radiology prior authorization, our experts assure complete documentation for your authorization we look for are:
- Standard written order
- Documentation from the medical record to support medical necessity
- Patient needed record
- Prior authorization coversheet indicating quantity and side of prosthetic components
- PDAC verification etc
In fact our complete authorization follows in with:
- Verifying eligibility
- Initiating authorization
- Following-up on the request
- Obtaining and acknowledging authorization
- Scheduling the drug delivery etc
Being a next gen RCM solution, our expert not only helps in operational cost reduction but also reduces your chances of errors and rejection and denials of claims. In fact, we are one of the leading RCM with the highest collection rate of 97% within the first 30 days from the date of billing itself at a cost effective rate of $7 per hour.
So, if you are looking to upgrade your reimbursement process in the best possible manner for your radiology prior authorization, we are the perfect dynamic support in your physician eligibility checks and prior authorization who is just a call away. For more information on what other benefits we offer to improve your authorization process, get in touch with our experts.
