At the beginning of 22nd July this year DMEPOS (durable medical equipment, prosthetics, orthotics and supplies will see an expansion in the range of device that requires prior authorization under Medicare. Since the US Centers for Medicare and Medicaid Service (CMS) will add 12 more items to the list.
Five of the 12 codes are related to pressure-reducing support surfaces and seven are related to power mobility. Whereas the additions follow last year’s introduction of the 31 DMEPOS items, which gained nationwide prior authorization by CMS which were limited to a demonstration project only in 18 states only.
With the regular ever-changing prior authorization norms one has to be regularly up to date, in order to excel in the process of prior authorization.
Why Choosing the Right Orthotics and Prosthetics Prior Authorization is so Important?
An effective prior authorization solution help in the authorization process faster along with the proper submission. There also helps in a leaser claims rejection and incorrect information, resulting in lesser denial claims. In fact, the right orthotics and prosthetics prior authorization solution will help in reducing the burden of the authorization process and even help healthcare, focusing more on patients care and other vital aspects.
An Effective Answer to the Prior Authorization Process:
Sunknowledge Service Inc, being a premium effective solution, offering solution for all your DME, radiology, genomic lab, specialties pharmacies, orthotics and prosthetics prior authorization is not a problem.
As with years of working with both providers and payers, Sunknowledge excels in such prior authorization services ‘PriorAuth Online’. Providing complete operational transparency at a service charge of $7 per hour, we excel in cutting down on the errors and limits the denial rate too. In fact, our 99.9% accuracy rate resulting in the highest productive metric and have also earned us excellent industries reference. With a 100% prior authorization submission and increase rate by 1.5-2x, we provide 97% highest first pass collection rate to our clients.
Prior Authorization Process we Follow:
Sunknowledge guarantees 80% instant cost reduction, 30% shrink in AR bucket and a standalone/end to end services. Sunknowledge prior authorization experts start the process by gathering vital information on medical procedure, patient, provider after which we verify and validate prior auth request with effective payer side communication. This again is followed by checking the patient’s eligibility. Once it is complete authorization request is initiated, based on the payer mandates. This is succeeded by checking the auth status, collating relevant documents from the ordering physicians/follow up and providing additional information if needed. At last, we follow updating the auth income in the PM/Billing system.
With a no binding contract, robust reporting about the work progress and dedicated account manager solving only your orthotics and prosthetics, prior authorization problems; is definitely worth a try.
