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Health and Fitness · October 25, 2019

The Right Optional Extension for Your Braces Prior Authorization Improving Your ROI

As the Medicare Advantage Open Enrollment has already started from 15th October and will end on the 7th of December, it gives opportunities to more than 60 million people to choose between traditional Medicare and Medicare Advantage plans. With the premiums, cost-sharing, extra benefits, drug coverage, quality of care, and provider networks it is often seen people opting for these services.

In fact, in a survey it is seen:

  • 80% of Medicare Advantage enrollees are in plans that need prior authorization for at least one Medicare-covered service
  • 70 % of enrollees are in plans that require prior authorization for durable medical equipment, skilled nursing facility stays, Part B drugs, and inpatient hospital stays.
  • 60 % of enrollees are in plans that require prior authorization for the ambulance, procedures, home health,and laboratory tests.
  • and more than half of enrollees are in plans that require prior authorization for mental health services

In general, Medicare Advantage plans typically use the complex prior authorization for approximately high-cost services used by enrollees with significant medical needs.  As prior authorization is very important and it is no secret that for ages it has caused a huge burden for all physicians, patients, providers and all. This is why a prior authorization operational extension helping you solve all your authorization problems including HME, orthotics, prosthetics, Braces prior authorization etc is what everyone is looking for.

PriorAuth Online: The Perfect Plan for Braces Prior Authorization:

With more than 1 million claims every month PriorAuth Online powered by Sunknowledge Services Inc today is the leading operational extension for more than 28 specialties. Providing the perfect authorization platform and helping in closing the operational gaps faster and effectively, PriorAuth Online ensure 99.9% accuracy rate along with complete operational transparency.  Starting from your authorization initiation, approval and follow up for all specialties authorization like HME, braces prior authorization etc PriorAuth Online the one-stop destination. Working for years has not only helped us in mastering what we do but also helped us understand the industries’ mandate that helps in delivering the right action plan improving the cash flow in the long run. Reducing 80% of your operational cost we ensure 100% prior authorization submission on the same day.

In fact, we are the only RCM organization with the highest first-pass collection rate of 97% and highest the productivity metric with a service charge as low as $7 per hour.

To Leverage PriorAuth Online benefit, call our experts over a ‘no commitment call’. Let our expert team illustrate our expertise and value proposition as a next-gen prior authorization solution for your braces prior authorization.