Streamlined DME Billing for An Improved RCM Experience

Improved ROI, complete versatility across all billing systems like: Brightree, Kareo, OPIE, Fastrack, CPR+ HME, TEAMDME and many more, Sunknowledge is a one stop DME billing company. With rates as low as $7 per hour, exceptional standards of productivity, we promise to reduce billing costs by 80%. Also, we offer unique flexibility with no binding contracts, dedicated account management and customized reporting standards which are unparalleled in the marketplace.

Our DME pre billing services are unique as we offer unparalleled support in:

  • Eligibility Verification – Online & Calling (with same & similar check for Medicare)
  • Authorization Initiation – Online & Calling
  • Authorization Follow Up
    1. Follow-up with payer on Authorization
    2. Completion of authorization form based on the outcome of the request
  • Doctor’s Office Follow-up for documents etc
  • Re-Authorization
  • Order Entry
    1. Patient Account Creation
    2. Patient’s demographic entry
    3. Prescription information entry
    4. Insurance entry
    5. Provider’s information entry
    6. Item entry
  •  Order Confirmation
  • Scheduling of Delivery

Also, we offer task specific support in DME post billing that encompasses:

Post-billing Services

  • Creation of Claims
  • Claims Submission
    1. Primary/Secondary/Tertiary claim submission (via paper/fax/electronic)
  • Claim Rejection Management
    1. Online rejection checking (via Clearing House)
    2. Correction and resubmission of the rejected claims
    (via Clearing House)
  • Payment Posting – Auto & Manual
    1. Patient payment posting and adjustments
    2. Insurance payment posting and adjustments
  • Accounts Receivable & Denial Management
    1. Follow-up on pending AR balance and working on denials
    2. Follow-up on possible reconsideration requests
    3. Filing reconsideration requests & appeals

Also, we have extended our scope of work in following activities

  • CPAP User Compliance tracking and support
  • Patient Collections
  • Re-supply processing
  • Hold projects (CMN/PAR etc.)
  • Fax / documentation indexing and management support

The Sunknowledge advantage

  • Exceptional productivity standards
  • 80% reduction in current billing costs
  • Dedicated account manager at no extra costs
  • 100’s of excellent references
  • $1 million Hiscox/Geico Insurance coverage for any errors of Omission & commission
  • No binding contracts
  • We bear all costs of transition during your migration from old vendor
  • Rates as low as $7 per hour everything included. No other fees included

Let us share with you, how we offer a reliable business synergy as your ultimate operational extension. Leverage the Sunknowledge edge for an improved DME billing experience.

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