Exclusive Offer for Medical Billing Companies

EXCLUSIVE OFFERFOR MEDICAL

BILLING COMPANIES41 Madison Avenue, 25th Floor, New York, NY 10010, USA

Phone: (646) 661-7853 | E-mail: [email protected]

Private & Confidential 2Phone: (646) 661-7853 | E-mail: [email protected]

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



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



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…



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



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!



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



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!



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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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



SOCIAL MEDIA MARKETING



EVEN MORE BENEFITS



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



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



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



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



Ronnie Hastings(646) 661-7853Email: [email protected]

Sun Knowledge41 Madison Avenue, 25th Floor,

New York, NY 10010

For Additional Information, Please Contact…

Exclusive Offer for Medical Billing Companies

Healthcare

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