A Complete Action Plan for a Cleaner Infusion Billing

A streamlined approach, over a 100 clients in the HME/ DMEPOS space, working with some of the biggest names in the industry, a unique presence across both payers and providers, Sunknowledge Services Inc has the answer for your infusion billing needs. The best part, we know it all for what it takes to deliver task specific support in: Eligibility verification, Prior Authorization, Denial Management & Accounts receivable collections.

We have excellent references across the industry and as a complete healthcare revenue cycle management destination, offer seamless consistency and expertise across all major billing systems in use. We have set benchmarks in RCM services and have done wonders for some of leading providers and payers in the healthcare space! With a dedicated pool of resources, we can reduce your operational costs by 70%, improve your financial visibility, providing a streamlined practice management experience.

Our approach for a complete infusion billing experience, unique ability to work as your operational arm makes us a champion healthcare RCM destination. We will be able to give you the right support with a keen understanding of the best practices of the industry. Our team delivers:

Pre-billing Services:-

• Eligibility Verification - Online & Calling (with same & similar check for Medicare)

• Authorization Initiation - Online & Calling

• Authorization Follow Up

Follow-up with payer on Authorization Completion of authorization form based on the outcome of the request

• Doctor’s Office Follow-up for documents etc

• Re-Authorization

• Order Entry

Patient Account Creation Patient’s demographic entry Prescription information entry Insurance entry Provider’s information entry Item entry

• Order Confirmation

• Scheduling of Delivery

Post-billing Services:-

• Creation of Claims

• Claims Submission

Primary/Secondary/Tertiary claim submissionb (via paper/fax/electronic)

• Claim Rejection Management

Online rejection checking (via Clearing House)Correction and resubmission of the rejected claims (via Clearing House)

• Payment Posting - Auto & Manual

Patient payment posting and adjustments Insurance payment posting and adjustments

• Accounts Receivable & Denial Management

Follow-up on pending AR balance and working on denials Follow-up on possible reconsideration requests Filing reconsideration requests & appeals

We also have out of the box capabilities in delivering niche support in CPAP compliance activities, patient counseling calls and increasing rate of compliance from 40% to 80% for some of the leading names in the DME space as we understand that compliance translates to better collections! Alongside we provide our additional activities like:

• CPAP User Compliance tracking and support

• Patient Collections

• Re-supply processing

• Hold projects (CMN/PAR etc.)

• Fax / documentation indexing and management support

Let us share our best practices with you , our understanding of a business synergy with you on infusion billing over a “ no commitment call’. Leverage the Sunknowledge advantage right now!