Billing / RCM

End-To-End and Targeted Revenue Cycle Management Solutions to Make Your Life Easier

First To Last Health Services Solutions, Inc is the exclusive services broker for Sun Knowledge in New England including Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, and Connecticut. Sun Knowledge can meet all of your revenue cycle management and medical billing needs.

Premium billing and collections services

• Medical Coding & Billing • Charge posting • Claims submission • Payment posting • Denial management • Claim correction and re-submission • Patient’s responsibility acquisition • Accounts Receivable • Payment Reconciliation • Claims Administration • Enrollment Processing & Member • Fulfillment • Invoice generation

CMS Payment Forecasting

• LIS Premium • Risk Adjusted Direct Subsidy • Reinsurance Subsidy • Reconciliation of reinsurance subsidy • Low Income Cost Sharing Subsidy • Reconciliation of Low Income Cost • Sharing Subsidy

End-To-End Billing Services

• Hospitals / Physicians • Durable Medical Equipment • BiPAP and CPAP • Pharmacies • Emergency Medical Services • Urgent Care Centers • And whatever you do for patients

Stand-Alone Billing and Revenue Cycle Management Services

• Accounts Receivable Follow-up and Collection • Eligibility and Authorization Verification • Pre-Authorization Services • Credentialing • Patient Collection • Coding

Accounting Services

• Monthly reporting of region-wise cash flow • Reconciliation of direct subsidy • Computation of risk sharing/ risk corridor cost • Computation of period-wise P2P payables, receivables and reconciliation

Payor Services

• Claims Ajudication • Provider Credentialing • Utilization Management • Customer Care