Providing billing services for Prosthetics & Orthotics can be a time-consuming and tedious affair. Among other things, it requires in-depth knowledge of reimbursement guidelines of Medicare, Medicaid and Commercial Plans, and their caveat. It also requires a constant adherence to quality and staying abreast of all the changes happening in reimbursement regulations and coding & documentation requirements.
The lifeline of any business is a steady flow of cash. It ensures, among other things, the regular availability of funds that is required to maintain continuity of core processes. Unfortunately, the real scenario is rife with issues involving delayed payments, red-tapes and accumulated account receivables. To add to the problem, there are rejections, denials and cases involving inaccurate billing or erroneous invoices. It’s no wonder that getting paid for services rendered so often turns into a nightmare!
This is an unfortunate state of affairs for service providers like you who are in the business of selling prosthetics and orthotics equipment and services. To put it in simple words, after all the time and effort you have spent on providing the best quality products and services to your clients, not getting paid at the end of the day does leave a bitter taste in the mouth.
Advantage of Prosthetics & Orthotics Billing Services
Sunknowledge has a highly capable team of DMEPOS billing experts who can make life easier for you from the very first day. With Sunknowledge by your side, you can leave all your Prosthetics & Orthotics billing worries to expert care. Outsourcing your billing requirements to us will allow you and your staff to concentrate on marketing, growing and running business operations, rather than managing a billing and collections department.
Our experience shows that the process for DMEPOS billing can be cumbersome due to its inherent nature, viz. the order getting generated from a physician’s office. This increases complications and the turn-around time as dependencies increase. DME, Prosthetics & Orthotics companies need to devote much time coordinating and communicating with the ordering physician’s office for a valid Rx, medical/therapy notes, etc. Equipment that requires prior authorization also involve innumerable follow-up calls. This is managed effectively by us through our methodical and streamlined process that tracks each request in detail ensuring timely follow-up. Payer guidelines are specific to diagnosis and a thorough knowledge of this result in drastically reducing denials.
Our diligent physician and payer follow-up activities also help reduce turn-around time and improve cash flow. The process starts with entry of orders and ends when the account has zero balance. This includes conducting eligibility checks, obtaining authorization, creating sales orders, scheduling delivery, submitting claims, managing rejections and denials, and proactively following-up AR.
- Follow-up on incomplete prescription with physician’s office
- Follow-up for document collection (diabetic verification forms, LMN, CMN etc.)
- Error free patient entry
- Error free sales order creation
- 100% HIPAA compliance
- Real time transaction audits
- Primary and secondary insurance verification
- Insurance verification for rental items
- Obtaining authorizations & extending authorization
- Open order audit and clean-up
- CPAP user compliance tracking and counseling calls to non-compliant patients
- Claims submission within 48 hours of receiving proof of delivery
- Rejection follow-up within 24 hours
- Tracking and follow-up of partial or incorrect payments
- Denial management based on detailed analysis
- Methodical and proactive AR follow-up
- Timely payment posting to reflect accurate AR
- Customized reporting
Get started today!
We welcome you to explore our widely acclaimed range of solutions crafted especially for healthcare service providers just like you. We will be glad to offer you our powerful yet cost-effective services to help you take your business to the next level of success.
To find out more about how we can help you, simply fill out the form below and send it to us. Whether you are looking for more information or wish to receive a free, no-obligation consultation, we are waiting to hear from you.