Currently almost 50% of Sunknowledge Services Inc business revolves around DME practice management/ revenue cycle management. Our team understands all the billing systems/ EMR platforms prominently used in the marketplace.

Moreover, we are equally equipped to provide support with any of your proprietary billing platforms as well. Also, we extend our complete assistance that improves your cash flow with fast and action driven prior authorization for DME services.

We have the capability of providing great consistency with after- sales, pre billing requirements and help you with the right checks and balances. CMS has already implemented market oriented reforms to the Medicare’s DMEPOS competitive bidding program.

It has been done primarily to reduce the burden on the suppliers and simplify the bidding process. The three main additional reforms to the final ruling include raising the rates of reimbursements in the CBA’s during the gap in bidding period. Extension of rural relief to all the non competitive bidding areas is also one of major reforms while improv9ing access to liquid oxygen is another.

A Complete Prior Authorization Partner

Our practice management workflow encompass

Order entry based on the Rx received from the Physician

Patient demographics & insurance entry

Provider information entry

Product code entry

Rx & Dx entry (with appropriate timeframe)

If necessary, a telemedicine consultation can be completed to obtain a Rx to expedite the order entry process

Eligibility verification and authorization requirement enquiry

Collection of documents required by payer for auth approval, e.g. face-to-face consultation notes, and obtaining authorization from Payer

We have the capability of delivering an excellent back and forth mechanism with sharing of information. Our prior authorization for DME will help you in eliminating all the pain points in your cash flow, will give you an added edge that will transform in improved collections while eliminating cumulative wait times and help you focus better on your business while we work as your ultimate operational extension. Our team will be sharing all the best practices with you. Leverage the Sunknowledge Services Inc advantage for an improved prior authorization for DME experience.