The biggest pain area for any medical practice today will be to straighten their priorities with practice management. It is true that prior authorization costs huge time and money, almost 869 million hours are spent in obtaining prior authorization from the insurance companies. With Medicare and Medicaid cut approaching, it is pertinent for any healthcare practice to make the best use of technology and best practices that improves and accelerates the prior authorization process.
Sun Knowledge has developed its proprietary platform, “prior auth online” that has been developed incorporating the best practices of the best practice management systems in the marketplace. They believe in combining electronic and manual prior authorization provides flexibility and addresses to the payer protocols in the best possible manner.
A key member of the leadership team recently cleared the air and observed “We are a 100% HIPAA compliant company that takes pride in working with both payers and providers in the country. Right from the collection of vital information from provider and patient, effective payer side communication, checking eligibility, initiating PA as per mandates, follow up on auth status, collation of relevant and additional documents, updating the auth outcome, we are your one-stop destination”.
At present, Sun Knowledge ensures 100% submission of prior authorizations on the same day itself and that too with 99% accuracy. Simple, linear processes that combine well with expert resources, they are currently processing over 50,000 prior authorizations on a monthly basis. It will be an interesting episode to see how the company takes the stage with its stand-alone support in the prior authorization. They believe in providing the significant reduction in prior authorization approval cycle through timely initiation and proactive follow-up with timely authorization initiation- improved cash flow and payment realization by 10% with the significant reduction in denied authorization– increased revenue by 12%!
New York, NY USA