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. Delayed payments, red-tapes and accumulating account receivables, huge demands all across the globe for ventilators , it may not look good for you as an Orthotics and Prosthetics Billing Supplies Provider.

The world after COVID 19 has changed and eventually staff shortages will be a critical area for businesses to address. As per the New York Times official quote: The Federal Emergency Management Agency (FEMA) had delivered 11.6 million N-95 masks, 5.2 million face shields, 22 million gloves and 7,140 ventilators.

The Trump Administration is relying heavily on the restoration of the supply chain and the might of US manufacturing. The federal government have instructed to start developing critical care products, masks, ventilators.

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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.

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 these services can be a nightmare!

The Advanced & Accelerated Payment Program is indeed a huge boost and Medicare will be extending emergency funding to DMEPOS providers. Medicare PART B providers can avail this funding for three to six months.

Transform Your Orthotics and Prosthetics Billing With us

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 Orthotics and Prosthetics 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, Orthotics and Prosthetics Billing 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.

Our List of Services in Orthotics and Prosthetics Billing:

♦ Rx Order Entry Orthotics and Prosthetics Billing
♦ Patient demographics & insurance entry
♦ Product Code/Rx & Dx Entry
♦ Eligibility verification/Authorization
♦ Collection of complete Rx
♦ Collection of documents for Auth approval
♦ Submission
♦ Rejection/denial management
♦ A/R Follow-up

Orthotics and Prosthetics Billing Process Highlights

  • 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

Sunknowledge guarantees:

  • Reduction of Operational Cost by 70%
  • 100s of excellent client references
  • Highest Productivity Metrics in the industry

Know more on our business synergy approach in Orthotics and Prosthetics billing. Our experts will love to give a tour on how we can serve you with unparalleled productivity standards and consistency.

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.

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