What are HME Billing Services?
HME (Home Medical Equipment) are a category of devices used for patients whose care can be managed from home. Home medical equipment, and billing for the same, include reviewing every claim before the payer receives it. Managing compliance, ensuring timely submission of claims, managing order entry, eligibilities and authorization, managing denials and collecting from Accounts Receivable, and payment posting – all of these fall under HME billing services.
How Does an HME Billing Service Partner add Value?
Dedicated resources well versed in claim adjudication mandates can make a true difference in the outcome of HME billing efforts. A dedicated partner covers both the front-end as well as the back-end operations. A carefully chosen partner from the many HME billing companies operating today will reduce your backlogs, implement the right checks and balances that will improve your cash flow, and bring down your operational costs. Also, such a partner will indirectly help you in focusing more on your patients. Sunknowledge is a one-stop destination for all billing services for HME providers and works as a dedicated extension to your current billing operations.
What is HME?
It is a medical device which is intended for the repeated use by any patient outside a professional healthcare setting. It includes devices that are used in both homes and other places. It is made to withstand repeated use by any non-professional or patient.
What is HME Coding?
Assigning specific codes in claims for HME items that have been prescribed by a physician, are deemed medically necessary, and have been approved by the insurance company of the patient, is broadly termed as HME coding. Using the appropriate modifiers and codes in HCPCS level 2 as well as Medicare policies for describing the item, is critically important in billing services for HME prescribers. Only then the item can be distributed and payment can also be secured by an HME supplier.
streamlined support in hme billing services with the ‘sunknowledge advantage’
A major number of HME providers are facing challenges in front-end revenue cycle management. As an expert in providing outsourced HME billing services, Sunknowledge Services Inc. extends task-specific support in eligibility verification, prior authorization, denial management, and accounts receivable recovery.
Sunknowledge Services Inc. delivers assistance in both front-end/back-end billing requirements in the HME space. As a reliable operational arm, our team is proficient across all major HME billing systems like Brightree, Kareo, OPIE, Fastrack, CPR+ HME, and many more, offering seamless transitions and quick turnarounds. We are also capable of working on any proprietary platform that our clients may be using. We take care of all the training and on-boarding required in such cases.
At unbeatable pricing standards, superior operational transparency, and top-class productivity metrics in billing services for HME vendors, Sunknowledge is your ultimate destination for increased collections and enhanced profitability. We improve your collections immediately by up to 70% with our quick & accurate prior authorization support. Our pre-billing support for HME lays down a strong foundation for an improved revenue cycle management experience in billing services for HME manufacturers, prescribers and providers.
A 100% HIPAA compliant destination, Sunknowledge Services Inc. is an HME billing services company with a difference. We have a unique ability to offer unparalleled operational transparency with the highest productivity metrics in the HME billing segment, ensuring the best outcome always.
Currently, we are serving the largest HME company in the East Coast and have spread our wings to as far as the Hawaii Islands in the West. Already working with some of the leading names in the HME space, we have earned niche recognition as being a partner that relishes new opportunities and harbors a desire to work as a perfect operational arm for our clients!
With our streamlined account management and seamless communication standards with unparalleled transition support, we understand your processes and work in accordance with your protocols like few others. We are proud of our top-class credentials in the marketplace and have some outstanding references from the healthcare sector of the U.S.
Our full range of Billing Services
Pre Billing
- Eligibility Verification – online
- Eligibility Verification – online (with same/similar check)
- Eligibility Verification – calling (with same/similar check)
- Eligibility Verification – calling (with same/similar check) BCBS
- Prior Authorization
- Prior Authorization (with dr.’s office follow/up) / Re-authorization
- Dr.’s office follow-up
- Order entry (patient, provider, insurance, item, etc.)
- Confirmation
Post Billing
- Rejection management
- Posting – auto (without audit)
- Posting – auto (with audit)
- Posting – manual
- A/R follow-up
- A/R & Denial Management
Support Activities
- CPAP Compliance (with patient counseling calls)
- Patient collections
- Re-supply order calls (to the patient to confirm requirement)
- Hold (eligibility, auth, ins. change, manual hold, etc.)
The reason we are the best in HME billing: A reliable Operational Arm
- Highest productivity metrics with the highest collection rate (97% guaranteed)
- Reduce operational cost by 80% …instantly
- 100% HIPAA compliance
- Real time transaction audits
- 100’s of client references from leading companies in the HME space
- The lowest price, we can meet or beat any price
- Dedicated account manager at no cost/Unparalleled Operational transparency
- No binding contracts/Walkout in 30 days
- Errors of Omission & Commission Insurance support from Hiscox/Geico (Liability Cover of $1 million)
- Daily/Weekly/Monthly Customized reporting standards meeting your protocols
Unmatched Versatility Making us Your HME Billing Services Disaster Management Partner
With our unique ability to deliver actionable support in HME billing services, we are the most preferred RCM destination for HME practices across 50 states. We can start working immediately, and offer our superior pool of resources that are unique and possess unmatched proficiency in managing and executing billing tasks. We guarantee an instant reduction of up to 80% in your overall operational expenses while maintaining the highest production standards, to increase the volume of your patient intake.
FAQ’s
What are Your Rates?
Sunknowledge has a dedicated model of engagement and we offer our resources at affordable pricing. We offer both pre and post billing support which includes all transition-related expenses as well as with complete account management support. We offer it all at that price!
How Equipped are You With after Sales Support?
We do a lot of other activities and offer niche support with patient calling work and after-sales support. In fact, we have a great track record in working with the best CPAP providers, improving their rate of compliance from 40% to 80%. We know that compliance translates to collections.
Do You Have Expertise in The Software we Use?
We have unique experience in working with all the prominent software used in the HME landscape. Our team has been exceptional in working across client proprietary systems as well. We know it all with practice management systems as a complete RCM company.
Do You Have any Referral Discounts?
As per the Sunknowledge loyalty and benefits program, all our clients can refer us to their contacts and get incredible benefits from our team with our services. Discounts will be approved as per our special concessions.
Do You Work With Start-up HME Billing Companies?
We work with the biggest and the best across the HME industry. Also, we work with all tier 2 and tier 3 companies, including startups in the HME business.
What Assistance Do You Offer in Tracking of Delivery?
Right from creating the sales order, entering the patient demographics, collecting the documents in time from the physicians, checking the eligibility, we do it all till the scheduling of delivery. Yes, we have the mechanism of offering effective tracking during the delivery.
What Will be my Benefit if I Outsource my HME Billing to You?
We promise to reduce your operational costs by almost 80%. Sunknowledge delivers actionable HME billing services support and will be working as your operational extension. With us working as your billing partner, you can expect a collection increase by 40% within the first month itself with seamless practice management standards.
How are You With PHI Information?
We adhere to 100% HIPAA compliance and manage PHI information as a complete healthcare RCM destination. Our state of the art processes, robust systems are capable to handle all your PHI information.
How are You With Your Productivity Standards?
We have the highest productivity standards and with our accuracy standards are almost 99.99%. Especially with prominent PMS, we are incredible with our productivity approaches.
How do You adapt to new Technology?
We are open to newer spaces, technology frameworks and are quite advanced when it comes to adoption of new technology. We adapt ourselves as a next gen RCM destination.