Sunknowledge Services Inc

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646-661-7853
41 Madison Avenue, 25th Floor, New York, NY 10010 New York, NY 10010 40.738634 -73.982937

Ends to Your Orthotics and Prosthetics Prior Authorization Problems

Apr 29, 2019

The reason for prior authorization is to reduce unnecessary utilization, improper payments and lessen expenditure. In fact long back to measure the effectiveness CMS (Center for Medicare and Medicaid Services) has begun using Prior authorization in Medicare through a fixed length demonstration. Where it was found that according to GAO’s analyses expenditure for item and service which was demonstrated has decreased.

In the process of demonstration, CMS officials said prior authorization played a vital role in reducing expenditure.


Today with the passing years and changing time as well as competitive bidding program the demand of DME, Orthotics and prosthetics Prior authorization has also increased, creating a burden for healthcare providers and DMEPOS suppliers. This is why finding the right operational extension is very essential.



Sunknowledge Service Inc an organization with its years of experience specialized in such prior authorization service. It has a specialized section is known as 'PriorAuth Online', which eliminated duplication and reduces errors providing faster work transparency for the clients. Working with more than 100 clients including Medtronic we also have a track record of 100% prior authorization submission on the same day. We also guarantee an increase in the current rate of prior authorization by 1.5-2x and 99.9% accuracy.


Sunknowledge also specialized in additional support for CPAP compliance:


CPAP user compliance activities including:

•   Tracking

•   Contacting and advising non-compliant patients

•   Contacting compliant patients and providing appointment alerts

•   Scheduling appointment with doctor’s office

•   Contacting ordering physicians with compliance reports


Sales Support by reaching out to:

•   Existing CPAP users regarding supplies if eligible

•   Existing diabetic/incontinence users regarding supplies if eligible

•   Previous patients regarding CPAP supplies and DME products


The other service Sunknowledge Service Inc offers as standalone/end to end services starts with entering the Rx and Dx along with patient’s demographics and insurance details as well as a complete collection of Rx. Next comes eligibility verification, complete collection of all the documents for authorization approval, submission, rejection/denial management and also account receivable follow up is also done by Sunknowledge Service Inc.


Contact Sunknowledge to leverage its benefit:


For more information about how our no-cost dedicated account manager can help you with an effective solution for profitable revenue generation for orthotics and prosthetics prior authorization and other medical billing services. Call Sunknowldege experts we are just a call away!

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