As a disciplined revenue cycle management company, Sunknowledge is your proven resource for tailored support in medical genomic lab billing. We provide our end to end practice management/ revenue cycle management support and improve your denial management priorities. We provide you a comprehensive prior authorization process with gathering of information in –
GENOMIC LAB BILLING SERVICES
♣ Patient / Subscriber information: Name, DOB, Insurance
♣ Servicing provider information (LAB) : Name, NPI, Tax ID, Address, Phone#
♣ Ordering provider’s information: Name, NPI, Tax ID, Address, Phone#
♣ Place of Service
♣ Procedure / CPT codes
♣ Diagnosis codes
♣ Estimated date range for Pre-authorization
Also our team is perfectly equipped to deal with all your payer contact requirements with
♣ Determine the process for prior authorization request submission, i.e. portal, fax, phone etc.
♣ Contact for UM/Pre-Authorization department
♣ Fax to send medical notes
♣ Expected turn-around time
♣ Limitations/exceptions (if any)
We will also check and determine the eligibility of the patient based on the eligibility criteria of the payers. Also we will be initiating pre-authorization request that will be based on the insurance mandates along with complete medical records and information.
We will be providing the test panel description as well as the date range on an estimate of 3 months from the date of initiating the request. We will also be performing the outbound calls for checking the status of the authorization.
Also we will be following up with servicing provider/ordering provider for the additional documentation in relation to the medical and clinical notes.
All the additional requirements will be our responsibility and we will provide the same to the payer for quick approval on your prior authorization.
Partner with Sunknowledge and leverage from our stand out processes and expert resources. We are just a call away and will be providing you with a comprehensive support in genomic lab billing. Get in touch with our experts on how we reduce your billing costs by 70% and improve your collections by 97%.