As a powerful RCM hub, Sunknowledge Services Inc has defined cash flow for leading specialties across the country. We have the ability to provide seamless consistency with our expertise and understanding of the practice management mandates of the industry.

Our team is competent to work across all leading practice management systems, accelerates your cash flow by providing specialized intervention. Our team understands the prominent practice management systems of the industry and provides the right checks and balances that transform collections for leading providers of the country. Sunknowledge Services Inc provides:

Gathering of important information on procedure from the patient and the providers

Check the patient’s eligibility

Initiate PA request as per payer protocols

Communicate with the payer to validate prior auth request

Checking of auth status with payers doing effective follow up

Follow up with referring provider for additional documents

Provide additional documents as requested by payer

Update the auth outcome in the client PM/Billing system

It is almost impossible for a physician to stay ahead as the rules change on a constant basis. The formularies differ widely among the healthcare insurance companies while the office databases become outdated quickly. The overwhelmed physicians, the primary care physicians in general, challenges with prior authorization are many!

Some of The Prevalent Pain Areas Will be:

Phone calls and the fax lines ties

Takes days to complete PA

Patients remain untreated

Delay can anger / frustrate the patients

Patients blame the pharmacists/physicians

Time waste due to waiting of the decisions

Productivity loss/ paperwork or digital connections needs to be completed

Additional administrative expenses

The primary purpose of prior authorization is to make treatment less costly and desirable. However, the cancellation of prescriptions/ treatments is quite harsh for the patients. Ultimately, patients receive the brunt of the delays due to tedious prior authorization process.

We Have The Plan in Prior Authorization for Dermatology

Our understanding of prior authorization for dermatology centers defines cash flow with a proactive understanding of the claims adjudication mandates of the industry. We will successfully liaison with the insurance company, contact the specialty pharmacy in charge of delivering the service as well as the prescribing physician for securing payments on a maximum basis.

Sunknowledge Services Inc has an excellent case study in prior authorization for Botox services and will be accomplishing the following tasks: eligibility verification, authorization initiation, obtaining/acknowledging prior authorization and scheduling drug delivery. Leverage the Sunknowledge opportunity and transform your collections with a next gen RCM company.