There are many reasons for requiring a DME prior authorization process. The prior authorization is needed when you are prescribed to higher doses of medication than normal, an expensive drug, a medication that treats non-life-threatening conditions. Even medications that are named and categorized under generic, medications that are not usually covered by the insurance company etc all require prior authorization.
In the medical billing process, the prior authorization is one of the most complex areas. Around 66 percent of prescriptions get a rejection, 29 percent of patients end up going through the prescribed authorization process whereas 40 percent end up abandoning therapy altogether for the complex and time taking authorization. In fact, the burden of the authorization process for some of the physicians further has a negative impact as well; which at times causes frustration to patients and physicians.
With lots of steps requiring in the authorization process, it too has a lot of potential for errors and denial this is why having an authorization expert has become very essential for many healthcare practices.
Sunknowledge – a key for successful DME prior authorization:
Sunknowledge Services Inc. for more than a decade has been serving many leading names in the industry and resolving authorization complications for many.
With the highest productivity metrics and a seamless authorization solution beyond the traditional billing firm, we are a well know RCM solution in closing all the prior authorization gaps not only faster but also effectively.
With more than 2000+ dedicated employees and our seamless authorization approach, we today have successful client testimonials stating:
- Reduction in operational cost by 80%
- Reduction of billing and collection errors
- 100% authorization submission on the same day
- 99 percentage of authorization approval rate
- 99.9% accuracy rate
- Better ROI in a matter of months
Taking care of all the fluctuating payer rules which need to be constantly monitored and revised, we today are the leading authorization solution with excellent industry references. Looking for more information or what to know how Sunknowledge can help you in improving your dme prior authorization process? Call us right now!