The overwhelmed physicians, primary care centers as well as the other providers, obtaining prior authorization in a timely manner can be a huge challenge. On an average, almost $869 million hours get spent on just obtaining prior authorization. The annual cost of prior authorization is worth $31 billion. It is pertinent for a better shift towards value-based care that payer-provider communication is improved.
Ultimately, it is observed that the patients bear the brunt of the lengthy prior authorization process. Delays in medical procedures, prescription cancellations become a huge torment for both healthcare providers as well as the patients. It is critical for the providers to ensure active steps and implement the right methodology that will help them eliminate proven challenge areas with everyday practice management.
Leverage The “PriorAuth Online” Advantage
Sunknowledge Services Inc is a complete revenue cycle management company delivering stand out assistance by laying down the right checks and balances. Our proprietary platform “Prior Auth Online” is simple, linear as well as reliable to provide you with the needed support. Our superior understanding of claims adjudication mandates helps us deliver you proactive prior authorization support in the best possible manner.
Our resources are versatile across all major practice management and billing software, helping us provide tailored support for your every day prior authorization needs. We provide you with the perfect benchmark and will set the standards in your eligibility verification and authorization mandates. Our team will be
- Gather important procedural information from the patient as well as provider
- Determine the eligibility coverage
- Validate prior auth request with effective payer communication
- Initiate PA request as per payer requirements
- Checking for authorization status
- Follow up with ordering physicians with documents of relevance
- Provide additional information as per payer requests
- Update the authorization outcome in the PM/ billing system
At present, Sunknowledge Services Inc processes 50,000 PA’s on a monthly basis, making us competent to provide you support with any amount of PA volume. Our experts are ready to share with you our functional best practices. Let us share with you our extensive credentials, transparency in processes.