The One Stop Solution for Orthotics Billing is Sunknowledge Services

Sunknowledge Services Inc has been the catalyst of change in the medical revenue sector of the United States of America. Ever since its inception in the year 2007, it has been setting superlative benchmarks in not only billing but also all aspects of medical revenue cycle management in the states. With almost all the top names of medical service providers in the client list of the company, Sunknowledge knows that the way to ultimate customer satisfaction is uncompromised quality, impeccable professionalism and constant updating of technological expertise. No wonder that it is the undisputed king of medical billing.

The various service providers of the US’s medical circuit who are clients of Sunknowledge are Prosthetics and Orthotics, Pathology, Cardiology, Anesthesia, Rehabilitation Centers, Durable Medical Equipment, Specialty Clinics, Urgent Care centers among others. Of all the different types of clients DME occupies a front running space in Sunknowledge’s clientele. Of the all the DME companies, Orthotics billing is of prime importance to Sunknowledge’s revenue management priorities. Orthotics refer to the medical stream of special external objects as prescribed by the doctor to be used on the body to reduce neuro muscular pain. Some of the different orthotic equipment which Sunknowledge deals with are splints, bands, braces, shoes, insoles, collars, corsets etc.

Some of the pre-requisites of orthotics billing are as follows:

• The physician’s prescription dated before the date of delivery

• Time period limitations within which the orthotic item is covered by the payer

• Billing of the required modifiers 

• Medical certification for certain orthotic devices

• Insurance coverage subject to diagnostic certification 

• Repair and replacement reimbursements usually covered separately

The basic revenue regeneration process of orthotics billing is as follows:

• Rx order entry 

• Patient demographics and insurance entry

• Product code/ Rx and Dx entry 

• Eligibility verification/Authorization 

• Collection of complete Rx 

• Collection of documents for auth approval 

• Submission 

• Rejection/Denial Management 

• A/R follow up

Sunknowledge provides end to end solutions to client’s orthotics billing. It eliminates challenges in the process by ensuring an innovative approach. Examples of the procedure followed are as follows:

• In matters of patient demographics/insurance/preliminary Rx entry, the main challenges are missing data, keying in errors, frequent denials and increased turn-around-time. These difficulties are done away by transaction audit which tracks the missing patient information which often leads to denials.

• Eligibility verification poses challenges like time constraints, requirement of minimum employees, absence of secondary verification. Sunknowledge employs required number of employees, conducts extensive audit and also completes secondary verification.

Sunknowledge goes a long way in changing the standards of medical billing. Yet it is extremely accessible when it comes to communication and customer correlation.