The 2024 Medicare Advantage (MA) and Part D final rule represents a significant step towards improving prior authorization processes, reducing administrative burden, and ensuring timely access to care for Medicare Advantage beneficiaries.
Today the authorization burden has not only increased by five times but providers are also experiencing frequent burnout leaving practice in a very tough spot; thus, leaving many providers with outsourcing options.  

Why outsourcing?  

Outsourcing the prior authorization process is one of the most convenient and cost-effective solutions as it not only eliminates the headache of frequent burnout but also lessens the authorization burden in no time. 

Alleviating the burden on healthcare providers and streamlining the workflow, partnering with reliable and experienced outsourcing can assist in filling the authorization gaps not only faster but in a more efficient way. With a team of skilled professionals dedicated to managing prior authorization requests efficiently and effectively, partnering with the right support solution can lead to reduced operational costs, improved cash flow, and increased efficiency in managing medical claims. With the support of a trusted partner, healthcare providers in fact can focus on delivering high-quality patient care while ensuring compliance with the new CMS regulations.  

Sunknowledge – an Efficient Prior Auth way out: Streamlining Approvals and Reducing Delays:  

Providing end to end revenue cycle management and prior authorization services, Sunknowledge delivers customized solutions tailored to meet the unique needs of each client. With a team of highly trained and experienced authorization experts, Sunknowledge guarantees a significant reduction in authorization administrative burden, faster prior authorization approvals rate, and improved patient satisfaction. 

Sunknowledge’s robust technology infrastructure, combined with a deep understanding of the ever-changing healthcare landscape, enables the company to provide the necessary support and expertise to help healthcare providers navigate the complexities of the prior authorization process faster. In fact, by staying up-to-date with the latest regulatory changes, Sunknowledge ensures that its clients remain compliant and well prepared for the future and avoid all sorts of fraud and deception.  

Sunknowledge – the suited prior authorization partner:  

Sunknowledge’s comprehensive suite of prior authorization services in fact goes beyond the basic process, and specializes in providing an all-inclusive solution like-  

  • Eligibility and Benefits Verification: Sunknowledge ensures that all patient eligibility and benefit information is verified before initiating the prior authorization request. This critical step helps in reducing denials and streamlining the entire process.

  • Follow-ups and Status Updates: Sunknowledge constantly follows up with insurance companies to check the status of prior authorization requests and provides timely updates to the healthcare provider. This proactive approach helps in expediting approvals and facilitating better patient care. 
  • Denial Management and Appeals: In case of a prior authorization denial, Sunknowledge’s team assists healthcare providers in handling the appeal process, including the submission of additional documentation and required information, to increase the chances of a favorable outcome.

In short, Sunknowledge is committed to continuous improvement and constantly analyzes the prior authorization process to identify areas of the enhancement so you experience better authorization workflow and patient satisfaction. By staying current with industry trends and regulations and offering top-notch service in alignment with the latest regulations that can successfully navigate the challenges associated with the new CMS regulations on prior authorization, Sunknowledge optimizes the prior authorization in no time.