During April this year, the federal government charged 24 defendants, which are DME company owners, licensed medical professionals, telemedicine company executives in a $ 1.2 billion scheme for fraud in orthotics and prosthetics.
This fraud has been going through ages this is why the American orthotic & prosthetic Association has been trying effective measures and getting legislation passed, that would advance access to clinically approve care for the beneficiary and end the scam and abuse.
With all this scam in the medical industry where patients care is the only primary goal, peoples with orthotics and prosthetics suffer the most, this why finding the right operational extension easing your medical billing especially prior authorization process is very vital.
Why Sunknowledge a Perfect Solution to Orthotics and Prosthetics Prior Authorization
Sunknowlledge Service Inc is the perfect end to end practice management/revenue cycle management organization. With decades of working excellence in medical billing, we also specialized in faster and effective prior authorization service ‘PriorAuth Online’. ‘PriorAuth Online’ is an operational transparency platform offering 100% prior authorization submission on the same day. We also assured an increased rate of your prior authorization by 1.5-2x for all your orthotics and prosthetics prior authorization and other specialties too.
Services We Offer for Orthotics and Prosthetics Prior Authorization:
- Gather vital information on medical procedure, patient, and provider
- Verify and validate prior auth request with effective payer side communication
- Check the patient’s eligibility
- Initiate the auth request based on the payer mandates
- checking the auth status
- Collating relevant documents from the ordering physicians/follow up
- Providing additional information if any
- update the auth income in the PM/Billing system
- ISO 27001:2013 and ISO 9001:2008 ensuring a 100% HIPAA Compliance.
- Highest Productive metric with 99.9% accuracy.
- Real-time eligibility with operational transparency
- 97% first pass highest collection rate
- Dedicated account manager with customized reporting daily/weekly/monthly according to client protocol
We also offer a standalone/end to end service for:
- Rx order entry,
- The entry of patient’s demographics and insurance,
- Eligibility verification,
- Collection of complete Rx,
- complete collection of documents for approval,
- claims rejection/denial management,
- Account receivable
So call us for an effective solution in increasing your ROI for your orthotics and prosthetics prior authorization problem. We are just a call away!