exclusive offer for medical billing companies
Post on 10-Feb-2017
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EXCLUSIVE OFFERFOR MEDICAL
BILLING COMPANIES41 Madison Avenue, 25th Floor, New York, NY 10010, USA
Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
Private & Confidential 2Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
SUN KNOWLEDGE OVERVIEW
Key Facts Awards, Affiliations & Certifications
‘Onshore /Offshore’ KPO & BPO Services Serving US healthcare industry since 2007 Robust & scalable infrastructure State-of-the-art technology and systems Highly skilled and trained staff with good
communication skills and in-depth knowledge of process
Structured training, feedback and coaching HIPAA-HITECH compliant State-of-the-art office inbuilt with all redundancies –
power, infrastructure and others
ISO 27001:2013 and ISO 9001:2008 certified CMMi-SVC implementation in progress under KPMG
guidance Member of NASSCOM, the Governing Industry body for
IT/ITES in India Awarded ‘Best Emerging BPO Company of the year 2010’
by The Economic Times, India Recognized as one of the foremost 'Emerging companies in
Eastern India' by NASSCOM in 2011 Awarded Asia-wide “Healthcare BPO Provider of the Year”
at the Asia BPO Excellence Awards ceremony hosted by Asia BPO Summit on 14th February 2013 in Mumbai, India
Awarded the prestigious “Outsourcing Service Provider of the Year” award in the Asian Outsourcing Excellence Awards ceremony hosted by CMO Asia on 1st August 2013 in Singapore
Awarded “Highest New Job Creator (IT/ITES)” by STPI (Software Technology Parks of India) on 3rd December 2015
Office at 41 Madison Avenue, 25th Floor, New York, NY 10010
OUR SERVICES
Provider SupportMember SupportMember Retention ProgramClinical Help Desk
Contact Center
Utilization ManagementMedication Therapy ManagementHospital Re-admission
ManagementTherapeutic InterchangeFormulary Management
Clinical Services
Medical Coding & BillingClaims AdministrationEnrollment Processing &
MemberFulfillmentCredentialing Premium billing and collections
Administrative Services
Analytics
Telemedicine ServicesRemote Patient MonitoringApplication Development & SupportTechnical SupportTechnical Documentation
IT Services
Claims /Drug Utilization AnalysisPDE AnalysisRAF AnalysisPayment Reconciliation
We provide services to
Providers – – Physicians, Hospitals, DME, P&O, Urgent Care, Home Health Care and Pharmacies
Payers – Commercial Plans, MA Plans, Medicaid HMOs, MAPD/PDPs, IPAs, MSOs, TPAs, PBMs and RBMs
Private & Confidential 3Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
SUMMARY OF SERVICES
PRACTICE MANAGEMENT
Scheduling
Eligibility & Authorization
Verification
Prior Authorization
Customer Care
BILLING & COLLECTIONS
Coding
Charge Posting
Claims Submission
Payment Posting
Denial Management
Accounts Receivable
PAYER SERVICES
Claims Adjudication
Credentialing
Utilization Management
Customer Care
TELEMEDICINE
Telemedicine
Remote Patient Monitoring
Private & Confidential 4Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
SERVICE AREAS
We provide turnkey revenue cycle management services in the following areas:
Prosthetics & Orthotics Durable Medical Equipment Urgent Care
Physical Therapy Occupational Therapy Skilled Nursing Facilities
Allergists EKG Pharmacies
Cardiology Specialty Clinics Orthopedic Surgery
Anesthesia Family Practice Radiology
Rehab Centers Dermatology Physicians
Healthcare Facilities and more…
Private & Confidential 5Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
PARTNER WITH US
SUN KNOWLEDGE PRESENTS A UNIQUE OPPORTUNITY FOR YOU TO SERVE MORE CLIENTS BY USING OUR SKILLED MEDICAL BILLING PERSONNEL TO WORK FOR YOU
Private & Confidential 6Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
HIGHLIGHTS
RETAIN YOUR ACCOUNT MANAGERS
& SALES TEAM
BILL YOUR CLIENTS AT YOUR USUAL RATES
SERVE MORE CLIENTS WITHOUT INCREASING
OVERHEAD
GET A FREE R.O.I. ANALYSIS BEFORE YOU HIRE US AND BE SURE!
Outsource only your billing and coding processes
Pay us only at our low, hourly rate
(calculated on a per FTE basis)
No need to hire new billers, buy computers or expand
infrastructure – we can be an amazingly affordable extension
to your current setup!
Let us show you how much you will benefit by partnering with us… even before you join us!
Private & Confidential 7Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
HOW IT WORKS
Outsource your medical billing & coding projects to us. We provide a wide range of à la carte services such as:
Insurance verificationPrior authorization Coding Payment PostingClean claim submission Accounts receivable Denial management
Our ISO 27001:2013 and ISO 9001:2008 certified operations, along with full HIPAA compliance and stringent quality checks, produce the maximum collections for our clients in the shortest time.
You outsource
the medical billing of your clients to us
We execute everything perfectly &
anonymously
Your clients pay you for the services at your rates
You pay our low, fixed
charges and keep the rest for yourself!
The way it works
Private & Confidential 8Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
OUR STRENGTHS
Our medical billing & collection services come with many benefits that you, and your clients will love, such as
Low service fees with no hidden cost
Up to 97% in overall collection, including aging accounts receivable
Real-time eligibility checks & fast authorization
100% HIPAA-HITECH compliance
Instantaneous claim status analysis in denial management using Rapid Automation technology
Turnaround time less than 48 hours max.
Zero lockup service contracts that can be cancelled anytime
Excellent references from reputed clients across the US
Real-time audits for uncompromised quality and custom reporting
We are currently serving major medical billing companies and helping them experience tremendous revenue growth!
Private & Confidential 9Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
PROPOSAL SUMMARY
Hire our Practice Management / RCM services for clients who contact you for similar services
We work anonymously under your brand, either exclusively, or as an extension to your current RCM team
Leverage our low rates for higher profitability; take on more projects without having to hire more
in-house staff
Take full advantage of the huge demand for professional medical billing services in the market!
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Private & Confidential 10Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
MORE BENEFITS WE PROVIDE
Very Little Risk• Proven track record in providing healthcare BPO/KPO services
• Experienced in providing services to both Payers and Providers
• Experienced in working on various software platforms
• Quick and efficient resource for special projects requiring technical and process expertise
Significant Upside Potential• Deep understanding of the Healthcare Industry. Operation scale-up with a short notice
• Extremely competitive rates, greater productivity, improved quality, increased member and provider satisfaction
Proven Process Performance• Low denial rate reduced collection time increase in revenue collection
• Billing & Coding Accuracy > 99.9%; TAT: 24 – 48 hours
• Adherence to CMS billing requirements
Clear Communication and Quick Response at All Times
ISO 27001:2013 & HIPAA Compliance for End-user Data Privacy and Protection
Private & Confidential 11Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
SOCIAL MEDIA MARKETING
Private & Confidential 12Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
EVEN MORE BENEFITS
Private & Confidential 13Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
ACTIVE BRANDING & VIGOROUS LEAD GENERATION THROUGH SOCIAL MEDIA MARKETING
3.4Million
HealthcareProviders
Tap into our massive, and ever-growing, database of over 3 million healthcare providers from every corner of the US, and discover your next client!
Active Multi-
ChannelMarketing
Targeted, high quality lead generation through various digital channels for B2B marketing such as Email marketing, SEO (Search Engine Optimization), LinkedIn® marketing, PPC (Pay Per Click) advertising, and more!
DISCOVER MORE…
The brief scope of this presentation does not permit the whole concept to be explained in full.
Why not give us a call now and schedule a brief discussion?
Call to schedule a free, no-obligation call with one of our senior managers
(646) 661-7853
Private & Confidential 14Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
CLIENTSPEAK
“We have had the pleasure of working with the Sun Knowledge team throughout the few months utilizing their services for patient data entry and eligibility verification. They are a devoted and responsible team that is highly experience in what they do. They are always concerned about the client’s needs and are always there to help. I highly recommend the services offered by Sun Knowledge.”
COO of a leading medical billing and credentialing company in New York
“Your team amazed me with the manual and the amount of info you provided with that short training session.”
Practice Manager of a major Dermatology group in New York and New Jersey
“My firm has evaluated an outsourcing transaction with Sun Knowledge. They provide superior service at a very attractive rate and have demonstrated to us their commitment to this partnership. Their expertise across various process areas in the PDP/MAPD domain and unique cost structure puts them in an incredible position to work with plans throughout the healthcare industry.”
Chairman, President and CEO of a major New York based Health Plan
Private & Confidential 15Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
CLIENTSPEAK
“Our company is very pleased with the administrative, and business analytical solutions which Sun Knowledge delivers to our company from a quality & cost perspective. They have been a true partner in bringing industry expertise, and innovative solutions to the table. Their ability to grow with our evolving needs for higher end services such as clinical services is a significant differentiator among healthcare business process outsourcing firms.”
Executive Vice President of Operations of a leading MSO
“Sun Knowledge had been working with our affiliated entities for the past several years and had done and continues do an outstanding job. I consider Sun Knowledge a part of my team. I am always very impressed with the accuracy in what they do for us, which is an array of managed care functions.”
CFO of a West Coast-based major Health Insurance conglomerate
“It has and continues to be our pleasure to work with Sun Knowledge. …The staff is knowledgeable and very easy to work with. I would highly recommend Sun Knowledge to any office requiring the assistance in patient demographic entry, insurance verification, obtaining authorizations, billing, payment posting, and reporting.”
A major southern Prosthetics & Orthotics practice
Private & Confidential 16Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
LET’S TALK…
“I was always against the idea of outsourcing our back end claims processing work but I was wrong. Sun Knowledge provided extraordinary deliverables on a timely basis which led to cost cutting considerably for us.”
CEO of a leading MA-PD Plan
Private & Confidential 17Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
41 Madison Avenue, 25th Floor, New York, NY 10010, USA
Ronnie Hastings(646) 661-7853Email: ronnie.hastings@sunknowledge.com
Sun Knowledge41 Madison Avenue, 25th Floor,
New York, NY 10010
For Additional Information, Please Contact…
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