A Company Which Specializes in Radiology Prior Authorization

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On Nov 1, 2018
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Sunknowledge Services Inc has been the major driving force in the medical billing and revenue cycle management industry of the United States of America. We practice all the services of the total medical billing procedure on a standalone as well as on an end to end basis. Our clients are all the different medical practitioners from a range of medical goods and services providers, who have experienced ultimate client satisfaction and as a result given us a steady clientele with zero attrition rate over the years. The different medical avenues as served by us are Dermatology, Oncology, Rehabilitation Centre, Nursing Homes, Pharmacies, Nurse’s Care Centre, Urgent Care Centre, DME or Durable Medical Equipment, Prosthetics, Orthotics and Radiology. 

Radiology makes for an important revenue cycle management client for Sunknowledge Services Inc. Radiology refers to a special medical practice of using imaging for diagnosing and treating of deceases. Under radiology a wide variety of imaging technologies are used for the medical treatment which includes, X-ray, Radiography, Ultrasound, Computed Tomography, Nuclear Medicine which is comprised of PET or Positron Emission Tomography and Magnetic Resonance Imaging (MRI) among others. The expenses involved in the arrangement and administering the radiology treatment are recovered later in form of insurance compensation by Sunknowledge on behalf of the eminent radiology centers who are our clients. The first step that is involved in this process of revenue recovery is prior authorization.
The steps that are followed by us under radiology prior authorization include the following.

  • Authorization Initiation: Calling and coordinating with the insurance company to find out the process of prior authorization and turnaround time, collecting the pre auth form and the relevant information documents required for the pre auth request, submission of the authorization request, tracking of the auth receipts.
  • Authorization follow up: Communicating with the payer to check the status of the pre auth request along with furnishing the required documents as additionally asked for by the payer
  • Authorization Acknowledgement: Updating the auth status of approval or denial in the provider’s system with the required service information.              
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