Trim Down the Prior Authorization Delay with Sunknowledge Support

Prior authorization is a time consuming and tedious job. Last year according to the AMA survey, 93% of physicians reported prior authorization leading to care delay and also one of the topmost factor in contributing to physicians' burnout. 

Furthermore, the survey has also stated that the delays in the authorization approvals at times even ended up with abandoning of treatment as well. In fact, leading to a lot of stress and deterioration of patient physical and mental health, failure to access a faster authorization has also caused severe and permanent damages or even death for patients in many cases as well.

Being one of the time consuming tasks, today more than 53% of practices end up hiring experts solely to perform/work on authorization complications. This is because on average weekly physicians end up working on 41 prior authorization where 69% of their time is devoted to authorization work.

Even though there have been many efforts to make the prior authorization process easy and seamless, healthcare practices still end up struggling for the same.

In fact, practices are still confused despite several steps taken like - AMA and MGMA supporting legislation introduced in Congress that would increase the transparency of Medicare Advantage prior authorization requirements, standardize processes for routine services and establish an electronic program for submitting documentation.

This is why you need an expert which is why we are here to help.

Sunknowledge - the ideal prior authorization support:

Helping many leading names in closing all the authorization gaps efficiently, Sunknowledge has helped many in optimizing their prior authorization process.

Taking care of the authorization work like initiation, approval follow up and more faster than other RCM organizations or any in-house team, we further guarantee timely claims submission and 97 % authorization approval rate.
Ensuring 100% prior authorization on the same day, we have reduced 80% of the operational cost of many by taking authorization responsibility exclusively.
We guarantee a better authorization solution and a faster result that you have always dreamed of. With us, you no longer have to suffer due to any kind of prior authorization intricacies anymore.

4 Operational threat to your HME billing business and tips to resolve it

 

Does it seem like managing your HME billing operation is getting harder every year? Making a profitable HME billing business is a struggle? There are many reasons why healthcare practices are failing to obtain a seamless HME billing operation, especially today.

 

Common problems in HME billing operations:

 

·       Labor costs are rising – finding the right resources and an experienced team of experts for working your HME billing operation at a cost effective rate is quite impossible today. This is because the cost to hire an experienced biller has risen over the past few years. In fact, today the higher demand for coders due to the shift in ICD – 10 and the constant change in the billing regulation have made the struggle real in finding a cost effective billers and coders for many.

 

·       Retaining resources and billers is a struggle – holding your long term billers and coders can be effective but is highly expensive. Furthermore, with every new biller, you not only end up wasting your valuable time in training them but also lose a lot of money on the same.

 

·       Maintaining the cash flow is a constant battle – productivity needs constant attention. Without proper concentration, you can not only run into claims issues but also errors related to data and more; reducing the cash flow.

 

·       Manual process increases the error rate – it is no secret that manual processing is labor intensive and error prone. In fact, at times it can be quite challenging to keep up with those automated systems that catch eligibility issues, erroneous codes and more.

 

Sunknowledge support in reducing all your HME billing operational threat:

 

Providing customized solution at a reasonable rate, Sunknowledge for the last 15+ years have reduced the denial claims rate for many leading practices in the industry. With the correct coding process and modifiers, Sunknowledge caters to all your operational needs that significantly threaten your business.

 

Taking the complete pre and post HME billing responsibility, our experts today in fact are known for –

• Speeding up your revenue cycle in no time
• Ensuring the highest productivity metrics in the industry
• Ensure effective documentation with a 99.9% accuracy rate
• Always assuring code to the highest level of specificity
• Complete RCM solution with 80% operational cost reduction at only $7 per hour

 

In fact, our experts further being proficient in various billing software like Brightree, DME works, Kareo and more additionally ensures no revenue left on the table. So get in touch with us if you are facing operational threats related to your HME billing operation as we understand the value of seamless billing operation.

Sunknowledge – A Solution for Skilled Nursing Facilities Staffing Crisis

Today managing skilled nursing facility billing is one of the most difficult jobs. According to a recent report, 400,000 people have left jobs in the nursing facilities and residential care facility sector since the beginning of the recent pandemic crisis for reasons like being underpaid and overburdened with SNF responsibilities.

 

Today, threatening patient health and revenue generation, healthcare practices are facing a lot of issues due to a shortage of experienced staff and skilled workforce.

Bringing the total number of employees down to a level that is not seen since July 2007, today healthcare practices are facing a rift mainly because of the vulnerabilities of their patient population.

In fact, staffing shortage furthermore leads to various other problems like-

• Higher rate of medical billing and coding errors
• More burnout
• An increased number of claims rejections and denial of claims are observed and more.

 Moreover, with regulations like CMS monetarily penalize nursing homes if their staff remains unvaccinated and facilities that lack vaccinations by 25th February 2022 may even lose their Medicare and Medicaid contracts are in fact further adding to the existing problems.

 

Moreover, these shortages today are proving to be harmful to patients’ health and may also increase the mortality rate as well.

 

Today when skilled nursing facilities throughout the US struggling to maintain essential staff and proper patient care, you have Sunknowledge Services Inc for your help.

 

Leverage Sunknowledge benefits for your skilled nursing facilities' billing and coding operation:

 

Providing complete support for your pre and post skilled nursing facilities billing and coding work, Sunknowledge experts today are known for ensuring the highest productivity metrics in the industry.

Taking complete responsibility, our experts with a 99.9% accuracy rate, continuous follow-up and constant monitoring further reduces the chances of rejection and claims denial.

Improving your ROI in no time, our expert works on improving your accounts receivable bucket leaving no cash on the table.  

 

Delivering customized reports daily, weekly and even monthly so you have a complete understanding; our experts delicately work on improving ROI ensuring a better billing approach and for you to focus on patient care.

 

When the healthcare sector is worried about the rising cost and shortage of experienced staff, Sunknowledge pool of expert billers and coders are here offering customized solution to improving the RCM and coding operation at only $7 per hour.