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Sun Knowledge, Inc.
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Sun Knowledge: Medical Coding, Billing, Revenue Cycle Management, Health Insurance BPO Company
Sun Knowledge: Medical Coding, Billing, Revenue Cycle Management, Health Insurance BPO Company

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A clear-cut roadmap with prior authorization will be instrumental in physical therapy billing. Employing the right checks and balances will help a practice improve financial viability. Constant evolution of disruptive technologies has to find a strong presence in medical claims.

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Employing timely measures, checks with customized prior authorization complemented with excellent processes should be the road ahead. However, challenges are many and the recent figures are a testimony to this fact!

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Additionally, 43% of physicians report that first-time PA requests are often reviewed by an insurer representative who has no medical experience. Therefore, it is too difficult to determine which tests, procedures and drugs need PAs. It is also said that in Ohio, insurers require 748 different paper PA forms for drugs.

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Confidentiality of patient information and transparency in treatment methods is of prime concern today with the federal norms. A good practice in compounding must have the necessary processes to ensure a better approval method helping them find resonance in their financial priorities.

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Accounts Receivable Management for Healthcare Providers by Sun Knowledge

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Health Insurance Prior Authorization Services from Sun Knowledge

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Every year, practices lose millions of dollars that they can use for better infrastructure measures due to a result-driven prior authorization process. In allergy billing, insurance requirements such as repeat testing of allergy within a three year span requiring prior authorization is a pain area for most. A reimbursement policy with allergy testing is confined to a maximum of 60 tests in three years!

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Every year, dermatology practices prescribe thousands of prescriptions requiring Prior Authorization! Obtaining it is a challenge especially with the patients who are looking to seek proper medications. The job of a dermatologist also gets confusing as lot of them does not understand the specifications of insurance with their new modifiers.

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Managing collections with Oncology services become challenging if the provider does not understand the ramifications with faulty medical claims. A substantial proportion in US billing requires quality practice management.

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The changing dynamics in US healthcare is creating a challenging environment for healthcare service providers. Radiology practices likewise will need a billing model that helps them derive maximum reimbursements.
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