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Prosthetics Billing, The Priority Profile of Our Medical Billing Company

Sunknowledge Services Inc, the quintessential medical billing company which was formed in the year 2007, has served an eclectic mix of clients in the medical domain for the longest time. We have prioritized our billing ambition with Prosthetics billing ruling the roost. Prosthetics refer to artificial medical equipment used for enhancing the physical attributes of the patient’s body. The various prosthetic elements we deal with are as follows.

  • Prosthetic knees
  • Exo-skeletal
  • Artificial arms
  • Artificial limbs etc

The highlights of our Prosthetics Billing are as follows

  • 100% HIPAA and HITECH compliance 
  • 97% Accounts Receivable collections
  • 70% reduction in billing expenditure
  • Service charges at $7 per hour including the Prior Auth services
  • Free medical billing software
  • Real-time eligibility and fast authorization
  • Rapid claim status analysis
  • Turnaround time less than 48 hours
  • Low service fees with no hidden cost
  • A string of excellent references form clients across the US
  • Real-time audits and custom reporting

The process of our prosthetics billing can be summarized as under

  • Eligibility and Authorization Verification
  • Patient Information Entry
  • Coding
  • Charge Entry
  • Claim Submission
  • Payment Posting
  • Accounts Receivable
  • Denial Management
  • Reporting

The billing steps broken down are as follows

  • Order entry based on the Rx given by the doctor  
  • Eligibility verification and authorization requirement entry
  • Collection of documents meant for pre-auth submission
  • Meeting the payer criteria before the delivery of the goods as per the policy
  • Delivery ticket generation
  • Claim creation
  • Submission of EDI
  • Cash posting
  • Rejection management
  • A/R follow up

The essential criteria to be met for prosthetics billing are

  • A prescription form the ordering physician
  • Meeting the time limit considerations of the policy
  • Billing of the appropriate modifiers
  • Letter of medical necessity and diagnostic certificates justifying the prescription
  • Repair, replacement and supplies billing

Please do visit our website to know more about our profile.

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