O slideshow foi denunciado.
Utilizamos seu perfil e dados de atividades no LinkedIn para personalizar e exibir anúncios mais relevantes. Altere suas preferências de anúncios quando desejar.

Accounts Receivable & Denial Management Services - Nursing Home

282 visualizações

Publicada em

account receivable outsourcing

Publicada em: Saúde
  • Entre para ver os comentários

  • Seja a primeira pessoa a gostar disto

Accounts Receivable & Denial Management Services - Nursing Home

  1. 1. ACCOUNTS RECEIVABLE FOLLOW-UP & DENIAL MANAGEMENT SERVICES FOR NURSING HOMES 41 Madison Avenue, 25th Floor, New York, NY 10010, USA Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com
  2. 2. Private & Confidential 2Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA WHY SUNKNOWLEDGE
  3. 3. Private & Confidential 3Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA SUNKNOWLEDGE OVERVIEW Key Facts  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 Office at 41 Madison Avenue, 25th Floor, New York, NY 10010
  4. 4. SERVICE PORTFOLIO 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
  5. 5. A UNIQUE EDGE Sun Knowledge is the only Practice Management / Revenue Cycle Management company with a very own Telemedicine platform to be working for both major Payers like HealthCare Partners and Heritage Provider Network and Providers like Hospitals, Orthotics-Prosthetics & DME companies, Nursing Homes, Urgent Care Centers and more, across the US, with equal success! We help our clients leverage this dual exposure and get a unique edge in making their business more successful in a much shorter time. Serving since 2009! PAYERS SERVED BY US PROVIDERS SERVED BY US Serving since 2007! This is just a small selection from the list of hospitals and other healthcare organizations served by us currently Private & Confidential 5Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  6. 6. OUR HIPAA COMPLIANCE SUMMARY SL. COMPLIANCE ASPECT HIGHLIGHTS 1 Physical Access Authorized access only | Bio-metric access | Proximity card system | Photo ID cards | Access log review 2 General Security 24 hour security personnel | Logging of visitor details | Physical register retained for 10 years 3 Monitoring CCTV monitoring (with recording) of production area | Daily review of recording 4 Vendor Access Signing confidentiality agreement before accessing sensitive areas | Accompanied by security personnel/employee during all times 5 Mobile Phones All employees (except managers) are required to deposit mobile phones in the locker box before entering facility 6 Personal Baggage No backpacks or other bags allowed | All baggage to be deposited in locker box before entering facility 7 Network & Application Usage Unique user IDs created using Microsoft Active Directory | Access to storage devices, shared drives, USB/mass storage devices, printers – controlled by Domain Group Policy | No wireless access points 8 Firewall Unified Threat Management System | Internet traffic regulation using multiple filters | Network Address Translation (NAT) | Intrusion Prevention Systems (IPS) | Port-mapping for traffic between Virtual LANs | Default setting to deny all traffic 9 VPN (Virtual Private Network) Site-to-site IPSec VPN tunnels | Authorized access via client-to-site VPN connections | Access authorization controlled by Active Directory's authentication service 10 Redundancy Management Fully redundant network stack | Two ISP links configured in active-active mode | Power backup supplied by 130 KVA UPS and 750 KVA generator | 22 KVA UPS backup for server and network systems 11 Virus & Malware Protection Central anti-malware system | Automatic updates | Extra protection by gateway firewall | Centralized OS patch management system (using Microsoft's WSUS server) 12 Other Measures Fire extinguishers at key areas | Half-yearly fire drills Private & Confidential 6Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  7. 7. ACCOUNTS RECEIVABLE MANAGEMENT Private & Confidential 7Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  8. 8. ACCOUNTS RECEIVABLE IN THE REVENUE CYCLE 360° Revenue Cycle Management Services Eligibility & Authorization Verification Patient Information Entry Coding Charge Entry Claim Submission Payment Posting Accounts Receivable Denial Management Reporting Private & Confidential 8Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  9. 9. ACCOUNTS RECEIVABLE MGMT. PROCESS OVERVIEW Our A/R follow-up service is designed to increase the Revenue Collection for our clients. The process begins after the Provider creates and sends Health Insurance Claims (Electronic/Paper claims or Manual HCFA forms) to various Insurance Companies. Depending on the transmission type and length of time since submission, we begin our follow-ups. Private & Confidential 9Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  10. 10. FOLLOW-UP No Remark Claims: Any claim in which absolutely no status is known for the claim. Last Remark Claims: Claims which remain unpaid for various reasons. These claims are routinely followed up on a monthly basis. 2 types of Claims Follow-ups 1 2 Private & Confidential 10Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  11. 11. STEPS IN ACCOUNTS RECEIVABLE FOLLOW-UP  A/R Analysis • 14% of all claims submitted to the payers are denied and have to be resubmitted, appealed or written off by providers • 50% of denied claims are never re-filed • 50-70% of denied claims have higher chance of being recovered  Follow-up with Payer • Aggressive follow up with the insurance company's on all accounts at any stage of the aging bucket plays an important part in A/R follow up activities  Closure of claim Reducing days in A/R, claims submission and improving collection ratio with an increase in the probability of payment through timely follow-up is the responsibility of the A/R team Private & Confidential 11Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  12. 12. STEPS IN ACCOUNTS RECEIVABLE FOLLOW-UP Online Claims Follow-Up Using various insurance company websites and Internet payer portals, we check on the status of outstanding claims. Automated Claims Follow-Up (IVR) By calling insurance companies directly, an Interactive Voice Response (IVR) system will provide the status of unpaid claims. Insurance Company Representative If necessary, calling a ‘live’ insurance company representative will give us a more detailed reason for claim denials when such information is not available by the first 2 methods. 1 2 3 Private & Confidential 12Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  13. 13. AR FOLLOW-UP/DENIAL MANAGEMENT PROCESS Private & Confidential 13Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  14. 14. REASONS FOR DENIAL  Authorization Issues  Referral Issues  Medical Necessity and Medical Records requests  Non-Participation with Insurance Network  Terminated Insurance  Coordination of benefits  Wrong Diagnosis  Inclusive Procedures  Partial Payments  Out-of-network claim status and deductibles  EDI Rejections  No status and No claim on File  PIP cases Private & Confidential 14Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  15. 15. STEPS IN DENIAL MANAGEMENT Claim Correction and Resubmission These are the claims which are corrected, modified, and resubmitted as a corrected claim to Insurance companies. For such claims, every effort is made to resolve the denial to avoid billing the patient. Patients' Responsibility These are claims which cannot be further worked upon and the final bill is sent to the patient for payment collection. The reasons for sending the patient a bill generally include In-Network deductibles and non-covered benefits as per the insurance plan. Patients receive a statement with a clear explanation for the balance due. 1 2 2 Categories of Denial Management Private & Confidential 15Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  16. 16. follow-up with payer Document the comments accordingly IDENTIFY THE OUTSTANDING BALANCE Identify Reason for Non Payment Identify O/S Balance Private & Confidential 16Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  17. 17. Bill the Claims Receive Payment Confirmation Post the Payment Document the Applicable Comments Work on the Identified Rejections Resubmit the claims Follow-up with the Payer Check for Rejections BILL THE CLAIMS (PAID) Private & Confidential 17Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  18. 18. BILL THE CLAIMS (UNDERPAID/DENIED) Bill the Claims Denied/ Underpaid Follow the Appeal Process Document the Applicable Comments Work on the Identified Rejections Resubmit the claims Follow-up with the Payer Check for Rejections Private & Confidential 18Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  19. 19. GUIDELINES  Payer/Provider contracts  State Specific Laws  Payer specific guidelines  Provider exceptions  Billing Guidelines Dos  Regular follow-ups on the claim in a span of 30 days  Proper Data Management/Reporting of Work Don'ts  Untimely follow-up on claims  Untimely submission of claims Follow-up Mechanism  Higher $ value claims & Oldest DOS must be worked as priority  Account level work  Oldest DOS must be worked first Private & Confidential 19Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  20. 20. SALIENT ASPECTS  Level of Care  Skilled Care: • Patient requires various therapies, ventilator, and additional care • Physician’s assessment is usually required along with authorization • Usually this will be inclusive in the room & board charges but reimbursement will be at a higher rate • This is usually short term in nature and is covered under Medicare and by Commercial payers  Non Skilled / Custodial Care: • Usually involves elderly who are unable to take care of themselves and does not include therapies • Only room & board charges are billed and cannot be billed with therapies • Such cases are generally long term in nature and is covered by Medicaid or paid privately There may be instances where a patient is shifted from an SKF to a hospice and in such cases if the patient has a Medicare Advantage plan the plan will not reimburse and this has to be billed directly to Medicare Private & Confidential 20Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  21. 21. SALIENT ASPECTS – AR FOLLOW-UP  Secondary to Medicare  It is important to contact the payer to ensure that the claim was crossed over to avoid the possibility of TF denials  Several payers require the claim to be billed again even if Medicare crossed over the claim  If Medicare does not pay on the claim the the secondary payer will not pick up any reimbursement on the claim  It is therefore for imperative to first follow-up on the Medicare claim and get payment and then follow-up with the secondary payer as a Medicare denial will result in an automatic denial from the secondary payer Private & Confidential 21Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  22. 22. SALIENT ASPECTS – AR FOLLOW-UP  Medicare Criteria for SNF Coverage  Benefit period: refers to the days covered by Medicare  QHS: Qualifying Hospital Stay for 3 or more days prior to SNF level of care  SNF coverage: only 100 days (custodial care is not covered) per benefit period which is limited to a maximum of 3 per calendar year  Each benefit period follows a 60 day period of non-skilled care  Medicare Reimbursement  Depends on the RUG (resource utilization groups)score which is an assessment of the level of care needed based on the LTC Minimum Data Set. It is a PPS method of reimbursement.  First 20 days of SNF care is covered at 100% (subject to 2% sequestration)  21st day to 100th day was payable at $164.50 in 2017. The balance is then picked up by: • Secondary / Medigap • Medicaid • Private pay Private & Confidential 22Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  23. 23. CHALLENGES  Understanding the revenue codes along with modifiers  Proper coding of the claim based on the contract provisions: is addressed with timely intervention of the coding department  Untimely follow-up: is avoided by proper tracking of next follow-date  Indentifying / Understanding the different trends like denial, payment, and claims processing  Understanding the proper applications to be used for claims follow-up  Obtaining required information needs extensive research which is time consuming  Medicare EOB not available: AR follow-up can still be worked based on coinsurance amount from value code 09, Medicare paid amount from the transaction history and Medicare paid date from payment posting date  Ensuring patient has Medicaid coverage: Sun Knowledge also carries our Medicaid eligibility checks for clients who offer Medicaid enrollment support as their service. The services involve:  Communicating with physicians’ offices for medical notes/clinical documentation  Communicating with local govt. offices to verify eligibility  Verification of eligibility for patients via state online database  Downloading patients files from state website (where applicable) and uploading to clients’ systems for processing Private & Confidential 23Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  24. 24. CHALLENGES - MEASURES Key Initiatives Required  Need to know about the exceptions on the claim billing  All the claims must be followed up / touched every 30 days  Need to check on the older inventories to identify the trends  Timely follow-up on the claim to avoid nonpayment of claims Best Practices & Pro-active Steps  Continuous approach in trying to gather the claims processing information specific to payers helps in determining the further steps on the claims  Timely follow-up on the claims helps to reduce the outstanding AR balances (collection or valid denial adjustments )  Proper share of knowledge specific to the claims follow-up based on the provider-payer contract Follow-up Mechanism  Claims follow-up must be payer specific  Necessary post review actions should be taken simultaneously to avoid any delay in resolving the claim balance Private & Confidential 24Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  25. 25. Payer Challenges BCBS BCBS has separate guidelines for claims processing specific to the states and the Home & Host plan for MSP. BCBS usually pays out the claims in the first attempt. The challenge is to get the status update from BCBS on the claims for older dates of service. Although BCBS usually pays out the claims in the first attempt, payments might get recouped against any over-payment recovery as the plan benefits are not considered primarily. Aetna For Aetna, often it is seen that when claims are priced by a pricing vendor for the out of network providers, the provider is asked to contact for negotiating the claims based on the member’s plan benefit for a settlement agreement. General Web portal access is helpful for resolving claims with better accuracy as most of the payers direct to their Websites for claims information. It also helps to validate the denials. PAYER SPECIFIC CHALLENGES Private & Confidential 25Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  26. 26. OVERALL COMPLEXITIES Complexities arise due to untimely follow-up on the claims and incorrect approach towards the denials. The most frequent denial types are re listed below: Past timely denials: Untimely submission of claims does not get paid unless there is a valid reason for untimely submission/follow-up. Most of the times, after the timely filing limit is crossed, re-appeal for the initial denial of the claims can be made. However, it can be cost consuming in case the claims do not get approved. No Authorization / Non Covered services: During eligibility verification and benefits checks, the authorization requirement based on the services to be rendered to the member needs to be checked. It also needs to be checked if the services are covered under the plan benefits. If the auth is not obtained, then it might be needed to re-appeal, providing the medical records of the member. Private & Confidential 26Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  27. 27. STEPS IN DENIAL MANAGEMENT Claim Correction and Resubmission These are the claims which are corrected, modified, and resubmitted as a corrected claim to Insurance companies. For such claims, every effort is made to resolve the denial to avoid billing the patient. Patients' Responsibility These are claims which cannot be further worked upon and the final bill is sent to the patient for payment collection. The reasons for sending the patient a bill generally include In-Network deductibles and non-covered benefits as per the insurance plan. Patients receive a statement with a clear explanation for the balance due. 1 2 2 Categories of Denial Management Private & Confidential 27Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  28. 28. DISTRIBUTION OF DENIED CLAIMS 24% 11% 3% 35% 17% 10% Distribution of Denied Claims Auth Related Coding Correction Required OON Issue Others Patient info missing Timely Filing Claims denied as Others are due to the following reasons:  Claim denied as duplicate  Claim previously paid  Patient not eligible on DOS  Payer didn’t receive EOB from primary payer  Provider needs to verify if item billed is rental or purchase  Bill Primary  Patient not covered due to pre-existing condition  Plan doesn’t cover medical services such as DME  Not covered by member’s plan  Claim exceed maximum number times it can be billed Private & Confidential 28Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  29. 29. BENEFIT HIGHLIGHTS Reduction in accounts receivable by 30% within 1 month Expert handling of accounts receivable by highly experienced staff Same attention to every cash amount regardless of its size or source Demonstrated expertise in working on difficult-to- recover aging A/R Over 7 years’ experience in claim adjudication for major US insurance plans Private & Confidential 29Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  30. 30. SAMPLE REPORTS Private & Confidential 30Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  31. 31. SAMPLE OF AGENT-WISE A/R REPORT User ID Touched Accounts Note Count Days Worked Hours Worked Notes Per Hour Max Note Time Average Note Time XX12_GT 37 37 1 8.22 4.5 0:20:06 0:02:00 XX13_GT 50 51 1 8.83 5.77 0:35:44 0:05:45 XX14_GT 37 37 1 8.9 4.16 0:15:26 0:02:19 XX15_GT 41 41 1 8.65 4.74 0:38:47 0:09:48 XX16_GT 34 48 1 9.32 5.15 0:23:57 0:03:45 XX17_GT 83 83 1 9.63 8.62 0:42:35 0:02:37 XX18_GT 50 50 1 9.3 5.38 0:35:14 0:05:18 XX19_GT 45 46 1 9.65 4.77 0:24:11 0:05:05 XX20_GT 53 53 1 8.87 5.98 0:33:47 0:04:01 XX21_GT 14 14 1 9.93 1.41 0:37:20 0:08:23 Total Touched 444 460 Total time 91.30 5.04 Average Touched 44 46 Average time 9.13 Private & Confidential 31Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  32. 32. SAMPLE OF A/R AGING REPORT Sunknowledge WEEKLY AR AGEING REPORT FOR Client X Inc. - 07/06/2015 through 07/12/2015 PAYER >120 Days 91 – 120 Days 61 – 90 Days 31 – 60 Days Claims Completed Remaining Claims Completed Remaining Claims Completed Remaining Claims Completed Remaining AARP HEALTH CARE OPTIONS 26 23 3 17 16 1 44 41 3 37 32 5 AMERICAN TRANSIT INSURANCE COMPANY 12 11 1 6 5 1 15 15 0 10 10 0 BCBS 28 24 4 16 13 3 41 37 4 32 30 2 MAGNACARE 13 12 1 9 9 0 23 22 1 11 10 1 HIP_PALLADIAN HEALTH 6 6 0 12 9 3 12 10 2 15 15 0 MANAGED PHYSICAL NETWORK 12 10 2 8 7 1 10 10 0 10 8 2 MAGNACARE 7 7 0 11 9 2 5 5 0 8 3 5 OXFORD 12 9 3 17 12 5 23 22 1 22 16 6 STATE FARM INSURANCE 7 6 1 4 4 0 5 5 0 4 4 0 TOUCHSTONE HEALTH 5 5 0 8 6 2 6 4 2 16 12 4 UNITED HEALTHCARE 31 28 3 23 20 3 49 43 6 41 39 2 Private & Confidential 32Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  33. 33. Sunknowledge will make outbound calls to reach out to the Payers to gather information about the status of claims as per the list provided by Customer. Key tasks involved in carrying out this work are detailed below.  Planning to start calling Payers as per the list of claims based on the downloaded AR Reports  Research details of the claims in the AR list in the Clients system  Making outbound calls to the respective Payers for claims aged 31 days and more  Document finding of the calls  Preparation of claims reports with status information gathered during the call Modifications, removal or adding tasks to this are agreed upon between client and Sunknowledge. … SAMPLE SOW OF A/R FOLLOW-UP Private & Confidential 33Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  34. 34. SUMMARY OF BENEFITS  Very Little Risk • Proven track record in providing healthcare BPO/KPO services • Experienced in providing services to both payers and providers • Experienced working with various software platforms • Quick and efficient resource for special projects requiring technical and process expertise  Significant Upside Potential • Great 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 Time at All Times  ISO 27001:2013 & HIPAA Compliance for End-user Data Privacy and Protection Private & Confidential 34Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  35. 35. TESTIMONIALS Private & Confidential 35Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  36. 36. CLIENTSPEAK “We have had the pleasure of working with the Sunknowledge 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 Sunknowledge.” 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 Private & Confidential 36Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  37. 37. CLIENTSPEAK “My firm has evaluated an outsourcing transaction with Sunknowledge. 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 “Our company is very pleased with the administrative, and business analytical solutions which Sunknowledge 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 Private & Confidential 37Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA
  38. 38. CLIENTSPEAK “I was always against the idea of outsourcing our back end claims processing work but I was wrong. Sunknowledge provided extraordinary deliverables on a timely basis which led to cost cutting considerably for us.” CEO of a leading MA-PD Plan Private & Confidential 38Phone: (646) 661-7853 | E-mail: ronnie.hastings@sunknowledge.com 41 Madison Avenue, 25th Floor, New York, NY 10010, USA For Additional Information, Please Contact… Ronnie Hastings Phone: (646) 661 7853 Email: ronnie.hastings@sunknowledge.com Sunknowledge Services Inc. 41 Madison Ave., Suite 2503, 25th Floor New York, NY 11001, USA READ ALL TESTIMONIALS

×