DME/HME Prior Authorization Trends in 2021 and its Approach

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The process of prior authorization is one of the complicated affairs and is always changing. According to a survey in 2020, providers have reported of conducting 73 million and even more manual prior authorizations and more than 52 million partially electronic PA transactions. The amount of time spends in the prior authorization were in fact divided into:

  • 21 minutes for the manual prior authorization process
  • 8 minutes in the prior authorization process that is done through a web portal
  • 4 minutes in electronic prior authorization

With such a huge pressure, it practically becomes challenging for many healthcare practices in keeping the track of new authorization regulations. In fact, in the last year itself, the Centers for Medicare and Medicaid Services (CMS) initiated certain changes in the authorization process which are later taken care in 2021 where the key elements includenew service groups and submission guidelines. With such complications, there are many healthcare practices that often missed out on such changes and end up processing delays.

Furthermore, the complexities in the authorization process involve in largely associated track involved patients and follow up on the decision, taking up an extensive amount of the care provider’s time and efforts etc. However, all these can be resolved if you have the right operational extension by your side.

 Sunknowledge Services Inc –  the ideal DME/HME prior authorization solution:

With standardized and clear communication standards, Sunknowledge operational extension today is known for streamline the overall PA process for more than 100s of clients.  

Identifying the specific treatment, correct and relevant documents or medication process needs in the DME/HME prior authorization process, our experts help in speeding up the authorization process. Ensuring a better result with 100% prior authorization submission on the same day, our expert further work on ensuring a DME/HME prior authorization approval of 99%.

Embracing all the software and advanced technology needed for a seamless authorization process, we experts keep track of every clinical documentation, automates prior authorization tasks for better results etc. Reducing both of your physician and administration burden and providing real-time data about patient payment, we have an accuracy rate of 99.9%.

Mitigating the denial rates and increasing your practice productivity, we further ensure a follow-up plan for a successful DME/HME Prior authorization process.

So, if you are looking to improve your DME/HME authorization solution with better ROI and streamlined operation, we are the answer along with the best of industry references.

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