Profiling The Master of Prosthetics Billing

Posted by Willam Smith on September 12th, 2018

Sunknowledge Service Inc, started in 2007, as an organization with ultimate expertise in medical revenue cycle management, has since then managed the medical billing account of more than 28 genres of medical service providers in the USA, championing the cause and almost monopolizing the billing industry. Of the different clients which Sunknowledge deals with, which includes pathology, cardiology, rehabilitation centers, critical care, urgent care, and DME centers, it has mastered the billing and revenue recovery responsibilities of Prosthetic services impeccably. Prosthetics are a part of the DME or Durable Medical Equipment services, which provide medical apparatus as prescribed by physicians for treatment.

Some of the premiere prosthetics as provided by Sunknowledge are dentures, obturators, larynx substitutes, trachea etc. The essential requirements of Prosthetics billing include

• A formal prescription by a practicing physician
• The time limitations of insurance coverage of the related prosthetic object
• Billing of the appropriate modifiers
• Medical certification for some special equipment
• Diagnostic verification of the required object
• Special billing for additional services like repair, replacement etc  

Some of the key steps of prosthetics billing are as follows

• Order entry based on the doctor’s Rx
• Enquiry related to eligibility verification and prior authorization
• Document collection for approval
• Ensuring meeting the payer criteria before delivery
• Generating the delivery ticket
• Preparing the claim
• Submission of EDI
• Cash posting
• Denial management
• A/R follow up

Some of the USPs of Sunknowledge’s Prosthetics billing services are as follows

• Up to 97% collection rate
• Fee at per auth
• Free medical billing software
• Real-time eligibility checks and fast authorization
• 100% HIPAA-HITECH compliance
• Fast claim status analysis in denial management
• Turn around time less than 48 hours
• Low service fees with no hidden cost
• Zero lock up service contract
• Superb references across clients
• Real-time audits and custom reporting

With our online portals providing constant communication and service profile, we are just a call and click away from our prospective clients. We cherish our journey of improving medical services.