How A Reliable Partner Improve Your Prior Authorization Woes

On the 15th of Jan 2021, the CMS finalizes a new rule which will allow providers, payers as well as patients to have electronic access to all pending and active decisions with prior authorization. Many welcomed the announcement which essentially means that patients will no longer have to wrangle with the providers and locate the ancient fax machines for taking possession of their own data.

It is important to note that payers need prior authorization for an oversight as well as control over the prescribing patterns of the providers. With a better exchange of health data between the patients, providers as well as the payers, the implementation of API’s will bring patients, a better experience with their health. Insurance companies will now have 72 hours to make a decision on the prior authorization application for any urgent request and seven calendar days for non urgent decisions.

Sunknowledge has The Answer in Practice Management

As a next gen practice management destination, our team knows how to optimize all your ROI as a reliable operational extension. With over 100s of clients in the RCM space, we know how to take your payments to the next stage.

Our team knows how to work on checking of eligibilities, collecting of all the documents from the physician office, contacting the payer for the auth outcome, enquiring the reason of delay or denial and updating the auth outcome in the practice management system. We know it all and have the ability to ensure 100% prior authorization submission on the same day itself. Also, we increase the current rate of completed requests by 1.5-2X with 100% HIPAA compliance and have a turnaround time of less than 48 hours max.

With real time audits and custom reporting, no binding contracts and with the highest productivity metrics in the entire RCM world, we demystify your prior authorization challenges. Our team promises to reduce your everyday costs in operations by 80%. Let our team give you a complete outline on what difference we bring to the table as a healthcare services powerhouse extending prior authorization support.