How Can a DME Prior Authorization Expert Impact your Practice Management?

There are many reasons for requiring a formalized DME prior authorization process. Prior authorization is needed when you are prescribed, among other things, higher doses of medication than normal, an expensive drug, a medication that treats non-life-threatening conditions, or an apparently ‘fancy’ therapeutic device. Even medications that are named and categorized under generic or medications that are not usually covered by the insurance company require prior authorization. In the medical billing process, prior authorization is one of the most complex areas. Around more than half of the prescriptions generated meet with a rejection, with only 19 percent of patients ending up going through the prescribed authorization process and 40 percent abandoning therapy altogether for the complex and time taking authorization process. In fact, the burden of the authorization process for some of the physicians has the additional negative impact of causing frustration to them and their patients alike. With lots of steps required in the authorization process, it has a lot of potential for errors and denials. This is why taking resort to an authorization expert has become extremely essential for many healthcare practices.

Sunknowledge – The Key to Successful DME Prior Authorization

For more than a decade Sunknowledge Services Inc. has been serving some of the leading names in the healthcare industry, especially DME, and resolving authorization complications for them. With the highest productivity metrics and a highly streamlined authorization process beyond what one would find in a traditional billing firm, we are an RCM service provider well known for closing prior authorization gaps not only faster but also effectively. With more than 2,000 dedicated employees and a truly seamless authorization approach, we have successful client testimonials delighted with:

• Reduction in operational cost by 80%
• Reduction of billing and collection errors
• 100% authorization submission on the same day
• 97% authorization approval rate (first-pass)
• 99.9% accuracy rate
• Better ROI in a matter of months

Taking care of all the fluctuating payer rules which need to be constantly monitored and revised, we are the leading authorization solution today with excellent industry references. Looking for more information on how Sunknowledge can help you in improving your authorization process? Call us right now for a discovery discussion!