Modern technological advancement has made life much easy for a lot of peoples. Today you will notice more HME pieces of equipment in every household, this is because HME products help old peoples making their life easier and problem-free from issues like diabetic; lifestyle problems; mobility problems etc. This is why the HME is a big business in the US today.

With the rise of the demand for HME the rise of prior authorization is also increasing, so is increasing its options for operational extension.

Today, healthcare providers are looking for an outsourcing organization for its prior authorization mainly for the complex time consuming prior authorization process and outsourcing also help in focusing on patients care.

Now The Question Comes How to Choose The Right Operational Extension?

As choosing the right operational extension plays a vital role in the overall revenue generation and the prior authorization process it is very essential for the healthcare provider to keep these few pointers in mind.

Cost-effective, as the sole motive of outsourcing is reducing the cost

Complete HIPAA and HITECH compliance ensuring full safety and security of the working process.

Highest productivity with operational transparency as it helps the client with a clear picture of the working progress and process.

Always up to date organization is also a must, as the prior authorization regulation is ever-changing. Lack of knowledge can only lead to denial, waste of time and money.

A Successful Way to HME Prior Authorization:

‘PriorAuth Online’ a reliable operational extension is a perfect solution for your HME prior authorization and all other prior authorization for more than 20 specialties. PriorAuth Online is powered by Sunknowledge Services Inc a 100% HIPAA and HITECH compliance task-specific medical billing solution. With excellent industries reference, we offer a full range of authorization stating from initiating; approval and follow-up. Offering an 80% operational cost reduction we help you increase your authorization rate by 1.5-2x with complete operational transparency and robust reporting.

Steps Were Taken by PriorAuth Online Take for Successful HME Prior Authorization Process:

Collection of information – it starts with the collection of required information necessary during the process. This 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.

Reaching the payer- in this process fax phone etc is used to verify and validate authorization request submission. Once this is done we reach out to UM/Prior authorization department and even fax medical notes (if required).

Initiating and follow up actions – our last steps ensues 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. This concludes with providing additional documents/ data if requested by the payer and at last end up updating the authorization result in the billing system.

So get in touch with our PriorAuth Online experts and get a solution to faster HME prior authorization with streamline operation and financial upliftment.