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.
• 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
• LIS Premium • Risk Adjusted Direct Subsidy • Reinsurance Subsidy • Reconciliation of reinsurance subsidy • Low Income Cost Sharing Subsidy • Reconciliation of Low Income Cost • Sharing Subsidy
• Hospitals / Physicians • Durable Medical Equipment • BiPAP and CPAP • Pharmacies • Emergency Medical Services • Urgent Care Centers • And whatever you do for patients
• Accounts Receivable Follow-up and Collection • Eligibility and Authorization Verification • Pre-Authorization Services • Credentialing • Patient Collection • Coding
• 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
• Claims Ajudication • Provider Credentialing • Utilization Management • Customer Care