HME Prior Authorization

How to Develop a Strong HME Prior Authorization Process

Declining Medicare payments and high labor rates are a big challenge area for HME providers. A recent survey done by Homecare Magazine, almost 47% of the providers are not planning to hire any new resources in the New Year. Nearly 24% of them have already reduced the staff while 44% still remains with the same numbers.

Need for front end RCM is a top priority ahead for the HME industry. Managing challenges with documentation, finding a proper communication approach between payers and the doctor’s office is the key. Also, it has become increasingly difficult for providers to manage responsibilities with insurance verification, HME prior authorization, order entry/confirmation, doctor’s office follow up, and scheduling of delivery.

Outsourcing of billing services to a competent vendor can indeed be an excellent move! In most cases, a quality medical billing and collections company offers a superior pool of resources, experts across multiple software systems, offers unparalleled operational transparency, great productivity metrics for an improved RCM experience.

The Sunknowledge Expertise in HME Prior Authorization

Over the last decade, Sunknowledge Services Inc delivers end to end/ stand-alone support that transpires to better ROI for our clients. We are presently working with the “biggest and the best” DME/HME clients across the country, offer easy accessibility, and a dedicated model of engagement. Unlike any other RCM vendor, Sunknowledge Services Inc offers niche support in front end RCM needs with actionable support in:

  • Eligibility Verification – Online and Calling (with same and similar check for Medicare)
  • Authorization Initiation – Online and Calling
  • Doctor’s Office Follow-up for documents etc
  • Re-Authorization
  • Order Entry (Patient, Provider, Insurance, Item, etc.)
  • Order Confirmation
  • Scheduling of Delivery
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We are unique as we are the only healthcare services company that customizes according to our clients’ needs and offer seamless transition support at no additional expenses. Our HME prior authorization support eliminates proven pain points in your RCM mandates. If you are looking for a complete partner that can transform your ROI, leverage the Sunknowledge advantage right now for a better flow of cash and a hassle-free revenue cycle management support.

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