To qualify for the Medicare coverage, the therapy for enteral nutrition must be given through the enteral feeding tube. Medicare does not extend provisions for covering supplements of oral nutritional nature. The beneficiary must be enrolled with Medicare Part B for receiving the coverage for enteral nutritional therapy. Medicaid must cover the enteral formula if it is medically necessary, there is no such mandate for the private insurances.
Complete versatility across all billing systems, Sunknowledge Services Inc has the perfect understanding of delivering powerful solutions that accelerate cash flow for leading providers of the country. Already, we are working with some of the top names across the DMEPOS, HME industry and have excellent references, making us a desirable medical billing and collections company.
We have the best understanding of delivering proactive solutions that reduces billing costs by 80%, increase collections with a first pass rate of 97%. Our team specializes in delivering task specific support in enteral nutrition prior authorization and offers both pre and post billing assistance.
We offer the following services:
|Pre Billing||Eligibility Verification - online|
|Eligibility Verification - online (with same/similar check)|
|Eligibility Verification - calling (with same/similar check)|
|Eligibility Verification - calling (with same/similar check) BCBS|
|Prior Authorization (with dr.'s office follow/up) / Re-authorization|
|Dr.'s office follow-up|
|Order entry (patient, provider, insurance, item etc.)|
|Post Billing||Rejection management|
|Posting - auto (without audit)|
|Posting - auto (with audit)|
|Posting - manual|
|A/R & Denial Management|
|Support Activities||CPAP Compliance (with patient counseling calls)|
|Re-supply order calls (to patient to confirm requirement)|
|Hold (eligibility, auth, ins. change, manual hold etc.)|
Looking to know more on how we extend superior support by working as an extension of your operations. Let us share with you, how we make a difference in your ROI. Leverage the Sunknowledge advantage in enteral nutrition prior authorization. We believe in eliminating proven challenges in your cash flow by catering front end/ back end RCM support with admirable distinction.