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Sunknowledge’s DME Eligibility Verification: an Excellence You Can Rely on

· DME Billing
DME Eligibility Verification

Sunknowledge Services Inc is a complete 360 degree DME billing and collection Services organization offering stand-alone/ end to end practice management/RCM services, to leading clients in the DME space. Working for more than 10 years has helped us understand all about claims adjudication mandates, industries regulation and how eligibility verification plays a vital role in a healthcare billing organization.

Offering pre-billing services that no other RCM organization offer, we help in laying down the right checks and balances and even excel in delivering heavy lifting work that improves the cash flow in the long run. As a reliable operational extension, our DME eligibility verification includes:

  • Policy active for date of service
  • DME coverage
  • Copay / Coinsurance / OOP
  • Rx & Dx entry (with appropriate timeframe)
  • Provider status (INN / OON)
  • CSI check
  • Authorization requirement
  • Obtaining authorization
  • Patient responsibility

Offering an 80% operational cost reduction, our team is proficient across all major billing systems like Brightree; OPIE; Fastrack; SOS many more which is an added advantage for all our clients. With a seamless transition, our resources are not only capable of any client proprietary platform and operational transparency but also guarantees 97% highest first pass collection rate.

Understanding of the best practices of the industry, Sunknowledge benefits are:

  • Complete operational transparency with no extra hidden charges
  • 99.9% accuracy rate in the medical billing and coding process
  • 30% shrink in your account receivable bucket from the 1st month itself
  • Exceptional highest productivity metric at a low cost
  • No-cost dedicated account manager
  • 100 satisfied clients with excellent industries references
  • $1 million Hiscox/Geico Insurance coverage for any errors of Omission & commission
  • We bear all costs of transition during your migration from the old vendor
  • No binding contracts with complete operational transparency

Today working with both payers and providers, apart from providing DME eligibility verification we also provide:

  • Order entry (patients, providers, insurance, items, etc)
  • Eligibility verification (both online and calling)
  • Prior authorization with patients calling and doctor’s office follow up for relevant documentation that needed for the process
  • Reauthorization
  • Order Confirmation
  • Scheduling of delivery

Billing and collection:

  • Claims management
  • Rejection management
  • Payment posting auto (with and without audit as well as manual)
  • Account receivable follow-up
  • Account receivable and denial management

To experience a stress-free DME eligibility verification process and see how our experts can bring different to the table, get in touch with us over a 'no commitment call'.

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