Revenue Cycle Management (RCM) is the process that healthcare organizations use to track patient care episodes from registration and scheduling to the final claim payment. Behavioral health revenue cycle management aims to optimize revenue generation and collections while reducing the cost of billing and accounts receivable management.
In order to achieve this, behavioral health RCM must be able to effectively track patient data and utilize that data to generate accurate bills. RCM must also be able to quickly and efficiently process claims so that providers can get paid in a timely manner.
Sunwave Health’s software platform allows the patient’s entire behavioral health treatment journey to be closely evaluated. It includes an RCM module that decreases inefficiencies in billing and results in greater collections with fewer errors in claims processing. The RCM module forms part of a comprehensive suite of clinical and operational behavioral health tools that would benefit any treatment facility. Call 561.576.6037 today to learn more.
Features of Sunwave's Behavioral Health RCM
Secure & Reliable
Security and privacy are a primary focus for Sunwave – every module in our platform is HIPAA compliant and hosted in the cloud with redundancy for maximum reliability.
Easy-To-Use
Your team members will love the workflow kanban board, which provides a unique bird’s-eye view of where your opportunities are in the funnel.
Fully Responsive
Whether you’re at your desk or on the go, Sunwave’s fully responsive platform has got you covered. Switch from PC to tablet to mobile and always have a great user experience.
Insightful Reporting
Get a complete view of your claims and processing – understand the performance of your collections, optimize your efforts based on key metrics, and determine your best referral sources.
Better Claims, Better Results: Behavioral Health Revenue Cycle Management with Sunwave Health
Sunwave allows you to bring billing in-house with a reliable platform that helps ensure you are submitting clean claims.
With Sunwave’s Master Census, you’ll have a birds-eye view of where all your claims and signatures stand. This enables you to quickly assess what needs to be completed for your claims to be successful.
Automatic Claims Validation
Ensure that claims sent from your facility are clean and get paid quickly with Sunwave’s validation engine.
- Claims are generated automatically, applying more than 150 validation rules specifically for substance abuse treatment centers to ensure that the claims are clean.
- Sunwave’s billing rules engine is completely configurable, so as insurance companies change their rules, you can adjust your claims to continuously meet them.
- Automatically split hours across multiple claims based on rulesets you create for insurance providers.
Utilization Review
Sunwave gives you the tools to ensure you are being efficient with your utilization review process in a substance abuse treatment center.
- Get a comprehensive view of individual and group therapy minutes with total utilization calculated for you.
- Identify gaps in meeting UR authorization criteria in our pre-populated census overview.
Optimized Efforts
With Sunwave’s newly launched comprehensive telehealth solution, you can manage the full process from forms through payment.
- Complete transparency with upcoming authorizations required, claim submission dates, outstanding balances, and total collections.
- Automate the process of calculating the total usage of individual and group therapy.
- Improve your collections and revenue by tracking all your claims and financials in real time.
Discover Behavioral Health RCM from Sunwave Health
With Sunwave’s RCM, you’ll have a purpose-built platform for behavioral health organizations. With years of experience in the industry, we have the knowledge and expertise to help you streamline your operations and improve your bottom line.
Sunwave’s RCM is a complete solution that includes everything you need to manage your billing, from claims submission to payment posting. We offer a wide range of features and modules that can be customized to fit your organization’s unique needs.
To learn more about how Sunwave Health can help your facility, call us today to schedule a demonstration of our comprehensive behavioral health software platform at 561.576.6037. Alternatively, you can contact us online, and a representative will be in touch with you shortly.
