Sunknowledge Services Inc, the medical billing and revenue cycle management company of the United States of America, formed in the year 2007 has been a RCM specialist in the true sense of the word. We enjoy an interesting league of clients availing our end to end as well as standalone services for an eclectic bouquet of medical goods and service providers. Amongst our clients are Nursing Homes, Radiology, Oncology, Dermatology, DMEs, Orthotics and Prosthetics including Pharmacies also. Our services include a complete range of RCM services like Eligibility Verification and Authorization, Patient Information Entry, Coding, Charge Entry, Claim Submission, Payment Posting, Accounts Receivable, Denial Management and Reporting. The particular service of ensuring the insurability of the drugs supplied for a particular treatment profile is called prior authorization for specialty pharmacies.
Sunknowledge’s prior auth services are characterized by certain exclusive features. It is 100% HIPAA and HITECH compliant, a complete range of comprehensive services of request filing, follow up and status uploading with less than 48 hours of turnaround time, low service fees with no hidden cost, zero lock up service period for clients, real time audits and custom reporting and excellent visibility and proven expertise, guaranteed reduction of operational cost by 70%, prompt service with 99.9% accuracy, experience of working with largest market players, rare service of pre-certification, experience of adjudicating large magnitude of claims and finally increase in rate of completed requests by 1.5 to 2x.
Prior Authorization for Specialty Pharmacies means the following process.
Authorization Initiation
Calling and coordinating with the payer company to know the turnaround time, documentation requirement and request filing protocol. Submitting the same following the protocol and tracking the receipt of the same.
Follow Up
Calling and confirming the time to time status of the request submitted along with additional submission of the extra papers as required.
Status Uploading
Uploading the status of the request as per the denial or the approval of the same in the provider’s system along with furnishing of the required service information like start and end date etc.
Please see our website sunknowledge.com to know more about us.
