Embrace a Streamlined Support for Your Prior Authorization Challenges |
Posted: June 27, 2018 |
Almost 90% of the physicians believe that prior authorization is a serious delay to a patient’s access to care. Both physicians as well as the staff are spending two full business days every week on prior authorization. On a cumulative average, practices are completing more than 37 prior authorizations p[er week. Let us clear the air; these are fact finders from the AMA itself! Ultimately prior authorization that was supposed to be shield against misuse of drugs and exploitation of patients with costly treatments has turned out to be a menace. It is important to note that almost all primary care physicians will be under huge pressure with surging paperwork and painful practice management priorities. Securing reimbursements will be a challenge and proper communication between the payer and the provider has to be enhanced. Although electronic prior authorization has been there for almost a decade, yet it can be said that payer processes are still obsolete and outdated. Individual payer processes map with their own workflows making it almost impossible for a proper reconciliation. To achieve a more meaningful shift to value based care, challenges with prior authorization has to be eliminated. At the present moment, almost $32 billion is the cost of prior authorization which can be used elsewhere with elevated care management efforts. Why choose Prior Auth Online: The SunKnowledge model SunKnowledge Services Inc has developed their proprietary platform “ Prior Auth Online” keeping in mind the grueling demands with prior authorization. We are the best when it comes to handling all your practice management needs with a no nonsense approach. We believe in a combination of manual as well as electronic process and our back and forth sharing of information makes us an ideal destination for delivering fast and proactive prior authorization services. For your information, SunKnowledge Services Inc currently processes more than 50,000 prior authorizations a month, making us equipped to handle any volume by working as your reliable operational extension. Our team will be covering: • Gather vital information on medical procedure, patient, and provider • Verify and validate prior auth request with effective payer side communication • Check the patient’s eligibility • Initiate the auth request based on the payer mandates • Checking the auth status • Collating relevant documents from the ordering physicians/follow up • Providing additional information if any • Update the auth income in the PM/Billing system We are going to reduce your billing costs by 70% by laying down the right checks and balances. Also, we will be eliminating all the pain that you face with your prior authorization, free your staffs to focus better on their patient care responsibilities. Leverage the SunKnowledge advantage to accelerate your practice management priorities in the best possible manner.
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