Even today there are healthcare practices that use phone, faxes, emails, etc to manage the complex prior authorization process. ending up with more errors and additional administrative burden, delay of patient care, and even at times serious adverse events which were reported by many physicians in a recent survey by American Medical Association.
However, the challenges do not end here, for most of the practice the DME prior authorization further has to face challenges like:
- the need for data consistency
- lack of standards for prior authorization documentation and attachments etc
- limited integration between clinical and administration systems
- lack of expert vendor products
- state requirements for manual intervention
- and limited provider awareness related to changing rules and regulation and prior authorization knowledge
With payers being inconsistent with codes on how the various set of codes are used to communicate prior authorization status, errors, and next steps, along with the clinical documentation which is needed to prove medical necessity also adds up to the authorization experts huddle in processing a seamless authorization process; in fact a barrier to end to end automation.
This is why major industry leaders have been calling for increased transparency and administrative efficiency when it comes to prior authorizations and being one of the most leading RCM solutions, Sunknowledge Services Inc offers complete operational transparency and further ensures in closing the authorization gaps faster along with maintaining administrative efficiency. Reducing the administrative burden, our experts further waste no time in DME prior authorization initiation, approval, and follow-up. Taking care of the complete prior authorization process for more than 28 specialties, we have a track record of 100% authorization submission on the same day with a 99.9% approval rate.
In fact, mastering the complex code which is required in the prior authorization process, our experts are equally proficient in handling various billing software as well. Maintaining stringent checks and balances, we further offer a ” no back-log ” guarantee as we work for 7 days a week. So if you are looking for seamless DME prior authorization transactions, we are your one-stop solution.