Every year, more than 185 million medical prescriptions are still getting rejected with prior authorization. An effective streamlining of the PA process that connects the provider, pharmacists and the PBMS/payers improves time to medical therapy and reduce the chances of prescription abandonment.
We already know that prior authorization is costing the healthcare industry $32 billion annually. With the expected Medicare and Medicaid cuts, you have to employ the right checks and balances, make your processes and best practices up to date to keep up the flow of your revenue cycle.
Unless, you make the right plans now, make deliberate attempts to reduce your administrative burdens and time consumed with prior authorization, it can be quite a looming danger to your future financial outcome! Automation today in the process of eligibility verification, referrals and prior authorization will be a key mandate to achieve!
Sun Knowledge has developed its very own platform “prior auth online” incorporating the best practices of the leading practice management systems in the marketplace. We provide our stand alone prior authorization services for $5 per completed auth. Our simple processes, expert team of prior authorization reduces your practice management worries with 100% accuracy.
We ensure all submission of PA requests on the same day. At present, Sun Knowledge processes almost 50,000 prior authorizations on a monthly basis making us your desired vendor to handle any amount of PA volume.
Moreover, we provide you complete transparency and accountability with gathering of procedural information from provider and patient, determining the eligibility coverage, validate and initiate PA request with proactive payer communication, follow up with ordering physicians for additional and relevant documents, checking the auth status and updating the outcome in the PM/billing system.
Our client needed us to obtain prior authorizations for a quasi medical product like Botox, which is primarily used in for cosmetic purposes. We provided our persistence, proactive persuasion with our extensive knowledge of the payer protocols and Rx caveat. As it required more effort than any other case involving conventional medication process, we completed all the tasks with:
Get in touch with our experts! Let us give you a complete demonstration of our best practices, share with you our references from over 100 clients. We guarantee you complete account management support and great process adherence as a 100% HIPAA compliant organization!