Dipak Nandi : Drive Your DME Billing With The Sunknowledge Advantage

Sunknowledge Services Inc goes beyond that just processing your data. We are a next-gen medical billing company with our integrated telemedicine support. Presently, we are working with more than 100 clients on a coast to coast basis across 28 specialties.

We are a complete DME billing company believing in working as your ideal operational extension. At present, we have over 100 references only in the DME space. Also, we are versatile across all major practice management and billing software in the marketplace. Our biggest advantage is an extensive understanding of the claims adjudication demands of the industry. We are working with major insurance companies, giving us the edge to provide you the much-needed support.

The Sunknowledge advantage in DME billing

• Dedicated resources working on special projects
• Continuance of best practices with document management
• Charges only $8 per hour with account management/customized reporting support
• 100’s of references from leading DME clients
• Instant reduction of billing costs by 70%
• Assured collection of 97%
• Task-specific/ Standalone support in ORDER ENTRY, ELIGIBILITY, AND AUTHORIZATION, DOCUMENT COLLECTION, ORDER CONFIRMATION, GENERATION OF DELIVERY TICKET, CLAIMS SUBMISSION, CASH POSTING, AR & DENIAL MANAGEMENT

Our complete process in DME Billing

We provide our dedicated account management and customized reporting support free of any further expenses. At present, Sunknowledge Services Inc provides end to end DME billing for just $8 per hour on a dedicated engagement model. We are currently working with many clients of Brightree, helping them to achieve an instant reduction of 70% in billing expenses, with our tailored support.

Also, our superior understanding of processes, the combination of expert resources in DME billing that is ready work as a seamless extension of your operational practices, helps in providing the much-needed transparency.

Let us look at our complete plan of action in DME billing

Order Processing

A) Account creation

• Patient creation
• Provider entry (if required)
• Insurance entry (if required)

B) Eligibility verification

• Via calls – Benefit level (i.e. copay, coinsurance, deductible, OOP), exclusions, DME limitations, authorization requirements
• Via provider portal - Benefit level (i.e. copay, coinsurance, deductible, OOP)
• Same and similar check for Medicare patients

C) Ordering physician’s office follow-up via calls and fax for notes, charts, therapy reports, Rx etc.

D) Authorization

• Initiation of authorization with payer via call, online or fax
• Follow-up with payer
• Acknowledgment of outcome and uploading document to patient’s account (if required)
• Linking of product with authorization

E) Creation of Sales Order and delivery ticket

F) Scheduling for delivery by contacting patient and coordinating with the client

G) Tracking User Compliance for CPAP users

• New PAP Set up Call (within 0 - 72 hours of the set-up of a machine)
• PAP Adherence call (follow up calls on 5th,15th, 30th, 60th, 90th day)
• Reminder calls to the patient regarding follow-up appointment with ordering physician (post compliance being met)
• Counseling calls to patients who have not met the compliance requirement

H) Confirmation of Order (audit before submission of claim)

I) Claim submission and rejection management

• Clearinghouse rejections
• Payer rejections

J) Payment posting – Patient and Insurance

• Payments received
• Denials
• Adjustments
• Write-offs

K) AR follow-up and Denial Management

• AR follow-up with payers to determine the current status of the claims
• Taking appropriate action for denial management

Let our experts provide you a complete demonstration of what difference we bring to the table. Our team will help you understand our functional best practices in DME billing. Once you work with us, there is no looking back!

This author is a professional writer and also a blogger. His fields of interest is the Healthcare industries.