Tired of the long and exhausting prior-authorization process that is hindering your practice and service delivery? Want to quicken and simplify your prior authorization tasks so that you can focus more on providing better patient care and management?
Get in touch with us for precise and streamlined prior authorization services – that will improve your ROI as well as patient care & management in no time.
At Sunknowledge Services Inc. we provide highly efficient and cost-effective Prior Authorization services for hospitals and various other healthcare centers in more than 30 specialties, without compromising on productivity metrics.
Our highly acclaimed Prior Authorization services cover a wide range of therapies, procedures and medication in over 30 specialties such as
- Gastroenterology
- Cardiology
- Oncology
- Immunology
- Urology
- Rheumatology, and dozens more, such as Bariatric Surgery, Lumbar Spine Surgery, Cochlear Implant, Rhinoplasty, Home Infusion Services, Genetic Testing for Inherited Peripheral Neuropathies, and so on.
Our exceptional services simplify the pre-certification process needed for hospital admissions, surgeries, outpatient procedures, and more. Ensuring that all the payer’s requirements have been fulfilled before submitting a pre-authorization request, to form-completion and document submission, to following up on the submitted request, we provide end-to-end solutions for the smoothest experience through every step of the pre-auth requesting process.
We reduce reimbursement turnaround time by minimizing lengthy paperwork, and our streamlined processes allow us to complete more PA requests with a better success rate.
Contact our experts for unparalleled services so you can focus on core tasks and other responsibilities.
PRIOR AUTH FOR EVERY REASON, FOR EVERY SEASON
Our rich experience in providing immaculate Prior Authorization support to specialties of different kinds and for a countless list of procedures and medication, make us the preferred choice for thousands of healthcare providers and practices across the US in assisting them with all matters related to preauthorization. Whether you need a fresh request to be initiated, or want a Re-Authorization done, or require a Retro Authorization+ – we’ve got you covered.
+Even though we extend full assistance in retro authorization, it is not a guaranteed service as the outcome is extremely Payer-specific and subject to the Payer’s specific guidelines in this regard.
Here is a brief list of some of the most popular specialties we serve, along with the typical drugs and procedures we regularly get preauthorized by the payer.
Gastroenterology: Gastroenterology focuses on the diagnosis and treatment of disorders related to the digestive system, including the stomach, intestines, liver, and pancreas. Some of the common procedures and medication we help GI practices obtain prior authorization on are:
MEDICATIONS | PROCEDURES |
| DUPIXENT | Esophagogastroduodenoscopy (EGD) |
| GATTEX | Endoscopy and Capsule Endoscopy |
| MYTESI | Endoscopic Retrograde Cholangiopancreatography (ERCP) |
| OCALIVA | Colonoscopy |
| SOLESTA | Endoscopic Ultrasound (EUS) |
| ENTYVIO (Vedolizumab) | Replacing/Changing PEG Tube |
| REMICADE (Infliximab) | Fibroscan |
| STELARA, and many more | FLEX sigmoidoscopy, and more |
Cardiology: Cardiology, the study of the heart and its associated circulatory system, deals with conditions such as heart disease, heart failure, and arrhythmias. A few common procedures and medication we help cardiologists with are:
| MEDICATIONS | PROCEDURES |
| CHLOROTHIAZIDE, and other Thiazides | Angioplasty and Stent Implant |
| BENAZEPRIL, and other ACE Inhibitors | TTE w/Doppler |
| CANDESARTAN, and other ARBs | Cardiac Catheterization |
| BISOPROLOL, and other Beta Blockers | Electrocardiogram |
| AMLODIPINE, DILTIAZEM, and other Calcium Channel Blockers | Vascular Study |
| DIGOXIN, and other Cardiac Glycosides | Duplex Scan |
| ATORVASTATIN, SIMVASTATIN, and other Statins | Cardiac CT Scan |
| EPLERENONE, SPIRONOLACTONE, and other MRAs and many more | Heart Valve Surgery, and more |
Oncology: Oncology is the field of medicine dedicated to the prevention, diagnosis, and treatment of cancer, encompassing various approaches like surgery, chemotherapy, and radiation therapy. We serve this rapidly expanding field of healthcare with Prior Auth services for:
| MEDICATIONS | PROCEDURES |
| ABRAXANE (Inj.) | Chemotherapy (Oral & Injectable) |
| AVASTIN (Inj.) | Radiation Therapy |
| GLEEVEC (Oral/Topical) | Surgery |
| LENVIMA (Oral/Topical) | Biologic Therapy |
| TAFINLAR (Oral/Topical), and many more | Stem Cell Transplant, and more |
Immunology: Immunology involves the study of the body’s immune system, exploring how it defends against infections and diseases and how it can be manipulated to treat conditions like autoimmune diseases. Some of the common therapies and medication we cover include:
| MEDICATIONS | PROCEDURES |
| ACTIMMUNE | Immunoglobulin (Ig) Replacement Therapy |
| CYTOGAM | Biological Therapy |
| GAMMAGARD LIQUID | Immunotherapy |
| HIZENTRA | Rheumatic Disease Treatment |
| PANZYGA, and many more | Sublingual Allergy Immunotherapy, and more |
Urology: Urology focuses on the urinary system, including the kidneys, bladder, and male reproductive organs, dealing with issues such as urinary tract infections, kidney stones, and prostate problems. We regularly help urology practices secure prior authorization for:
| MEDICATIONS | PROCEDURES |
| ZYTIGA | Prostate Biopsy |
| XTANDI | Kidney Stone Removal |
| PROVENGE | Penile Implant Surgery |
| REMODULIN | Cystoscopy |
| EXJADE | Cystourethroscopy |
| TAMSULOSIN | Renal ESWL |
| OXYBUTYNIN | Radical nephroureterectomy |
| BOTULINUM TOXIN Type A (Botox®) | Laparoscopic Procedures on the Kidney |
| SILDENAFIL | Urethra and Bladder Transurethral Surgical Procedures |
| TERBUTALINE | Colporrhaphy |
| TADALAFIL, and many more | Robot Hysterectomy, and more |
Rheumatology: Rheumatology specializes in the diagnosis and treatment of disorders affecting the joints, muscles and bones, including conditions like arthritis, lupus, and osteoporosis. Some of the common drugs and treatments that we help physicians with in matters of prior authorization include:
| MEDICATIONS | PROCEDURES |
| AMJEVITA | Arthrocentesis |
| HUMIRA | Bone Biopsy |
| OTREXUP | Muscle Biopsy, and more |
| RITUXAN | |
| TRUXIMA, and many more |
For more than 16 years, we have been working on many applications, platforms and billing systems. These include surescripts®, DrFirst®, Arrive Health® (formerly RxRevu), and many more. Our experience with CoverMyMeds® is a long and rich one, an alliance that we proudly describe as ‘Pure Gold’. Here is a brief snapshot of our experience in working with CoverMyMeds®, one of the most popular electronic prior authorization (ePA) solution providers, helping healthcare providers and pharmacists streamline the prescription approval process.
Our comprehensive Prior Authorization Services:
As a leading prior authorization service provider, we offer an extensive range of services to support healthcare providers in simplifying their revenue cycle management.
Our pre-authorization solutions comprise:
1. Verification Services
We meticulously verify each patient’s insurance to confirm that the prescribed treatment or medical procedure is covered under their plan, thereby reducing errors and denials.
2. Documentation Services
At Sunknowledge Services Inc., we use a cutting-edge documentation approach to ensure a smooth and trouble-free prior-authorization process in medical billing. In fact, our standard approach significantly speeds up the overall pre-authorization process.
3. Hassel-free Claim Settlements
We have experts with a complete understanding of the present industry mandates and authorization guidelines, possessing extensive knowledge of insurance eligibility processes, ensuring hassle-free claim settlements on the first attempt of up to 97%.
4. Managing Complex Coding
With a comprehensive understanding of the coding environment, our trained coders help utilize the correct ICD-10 diagnosis codes for prior-authorization documentation to prevent delays and eliminate denials.
5. Follow-Up Services
Our authorization specialists monitor all pre authorization requests to eradicate communication gaps between the parties. We guarantee swift authorization services approvals and seamless claim settlements. We also follow up consistently with Medicare teams to prevent delays.
Client Success Story
Complete DME Prior Auth and Billing Support
A highly reputed and third-largest Durable Medical Equipment (DME) practice in the US faced challenges in obtaining timely authorization. They were keen to maximize the earning potential by reducing the practice expense and were looking for ways to improve the authorization process and the bottom line. Read the Case Study >>
Why Choose Sunknowledge for Prior Authorization Services?
Sunknowledge Services Inc. is among the top prior-authorization service providers with 16+ years of extensive experience. The advantages of partnering with us for your pre auth needs include:
+ Affordable Pricing -We provide our services at incredibly competitive rates, with prices starting at $7/per hour and no hidden fees.
+ Data Security – We are an ISO 9001:2015 and ISO 27001:2015 certified company, ensuring complete safety and security of the data you share with us.
+ HIPAA Compliant Services – We initiate every project only after signing the HIPAA agreement, ensuring that all patient data is secure and not disclosed to any third party.
+ Maximized Reimbursements – Our end-to-end process guarantees seamless and efficient handling of pre authorization, reducing write-offs and the denial rate.
+ Fast Turnaround Time – Our systematic approach ensures rapid documentation and swift approval rate.
+ Reduced Operational Costs – Our pre authorization services help you save up to 80% on operational cost, thereby boosting your profits.
Other Services You Can Benefit From
Medical Billing Services
Physician Billing Services
Full Revenue Cycle Management
Outsource Prior Authorization Services to Sunknowledge
Sunknowledge Services Inc. is a leading pre-authorization company offering a variety of services dealing with all your billing needs to clients worldwide. Our team of experienced professionals is dedicated to
help healthcare providers simplify the complex pre authorization process, allowing them to focus on delivering exceptional patient care.
By partnering with Sunknowledge for your prior authorization needs, you can benefit from our expertise in…
- streamlining workflows
- reducing operational cost
- maximizing reimbursement outcome
We are committed to providing cost-effective and reliable solutions to meet the unique needs of healthcare organizations of all sizes in more than 30 specialties.
So what are you waiting for? Experience the benefits of outsourcing prior authorization services to Sunknowledge Services Inc. and allow us to optimize your practice while ensuring full compliance with industry standards and regulations. Our smooth transition process will help you get set up in a matter of days.
Contact us today to learn more about our prior auth services and receive a customized solution tailored to your specific needs over a ‘no commitment’ call.
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TESTIMONIALS
You and your team are doing a wonderful job! We are very fortunate to have Sunknowledge and your expertise in the authorization process. Thanks again for all you do. Read More >>