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Leverage The Sunknowledge Opportunity in Infusion Billing

· Infusion Billing

Proactive support in infusion billing, Sunknowledge Services Inc sets the benchmark as a complete RCM destination. The best part, we offer our complete support with exclusive support in pre-billing activities that sets up a strong foundation. Our team is versatile across major billing systems, offer unparalleled support with great consistency and productivity metrics.

With task-specific responsibilities performed in insurance verification, prior authorization, denial management, and accounts receivable collections, we are your one-stop infusion billing destination. Our team promises to improve your collections by 80% with proactive prior authorization support paving the way for improved reimbursements in the longer run.


List of Services in Infusion Billing:

Pre-billing Services:-

  • Eligibility Verification - Online & Calling (with same & similar check for Medicare)
  • Authorization Initiation - Online & Calling
  • Authorization Follow Up
    1. Follow-up with the payer on Authorization
    2. Completion of authorization form based on the
      the outcome of the request
  • Doctor’s Office Follow-up for documents etc
  • Re-Authorization
  • Order Entry
    1. Patient Account Creation
    2. Patient’s demographic entry
    3. Prescription information entry
    4. Insurance entry
    5. Provider’s information entry
    6. Item entry
  • Order Confirmation
  • Scheduling of Delivery

Post-billing Services:-

  • Creation of Claims
  • Claims Submission
    1. Primary/Secondary/Tertiary claim submission
      (via paper/fax/electronic)
  • Claim Rejection Management
    1. Online rejection checking (via Clearing House)
    2. Correction and resubmission of the rejected claims
      (via Clearing House)
  • Payment Posting - Auto & Manual
    1. Patient payment posting and adjustments
    2. Insurance payment posting and adjustments
  • Accounts Receivable & Denial Management
    1. Follow-up on pending AR balance and working on denials
    2. Follow-up on possible reconsideration requests
    3. Filing reconsideration requests & appeals

We have excellent references across the industry and have been working with some of the biggest clients in the DMEPOS/ HME space with great confidence and credentials. Our clients love us as we offer the right customization, deliver according to their mandates with seamless standards in communication and account management. Also, we offer flexibility, a no binding contract advantage! Also, we provide our clients with a liability insurance of $3 Million aggregate with a $1 Million coverage per incident through Hiscox which is a subsidiary of Geico. Let us share our best practices in infusion billing with you over a quick demonstration.

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