Getting reimbursed on time keeps your business running. When your center keeps running, you’re able to deliver care to more people who need it. The features of a good revenue cycle management (RCM) tool give you control and oversight, so you can easily track reimbursements and identify any issues that need to be addressed.
Key Features of Sunwave Health’s RCM
Security and Reliability
Security and compliance are at the forefront of Sunwave’s platform. Hosted in the cloud with redundancy protocols, the system ensures uninterrupted availability. Each module is fully HIPAA-compliant, safeguarding patient data and meeting rigorous privacy standards. For addiction treatment centers, securing patient information is non-negotiable, and Sunwave’s robust framework provides peace of mind.
Ease of Use
Managing the revenue cycle doesn’t have to be overly complicated. Sunwave’s RCM introduces a user-friendly workflow, offering a bird’s-eye view of billing stages. With everything organized in one intuitive interface, addiction treatment staff save time while minimizing errors.
Unified System
Gone are the days of juggling multiple platforms to manage billing. Sunwave’s RCM is part of the seamless platform that integrates with our EHR, patient engagement, and other systems. This integration eliminates data silos to promote efficiency, accuracy, and transparency.
Insightful Reporting
Data-driven decision-making is crucial for improving revenue outcomes. Sunwave’s RCM solution provides comprehensive reporting capabilities, delivering key performance metrics on claims and collections. Teams can evaluate referral sources, pinpoint inefficiencies, and monitor collection rates in real time. Armed with these insights, centers can optimize their strategies and achieve greater financial success.
Advanced Tools for Optimizing Billing
Sometimes, you need a little extra help to get the job done efficiently. Sunwave’s RCM offers advanced tools that give treatment centers an edge in billing management.
Automatic Claims Validation
One of the standout features of Sunwave’s RCM is the ability to automatically validate claims. This feature leverages a configurable billing rules engine, processing claims through over 150 substance abuse-specific validation rules. For example, the platform adapts to insurance companies’ shifting rules. This ensures clean claims, faster reimbursements, and fewer rejections.
Utilization Review Tools
To succeed in utilization review (UR), addiction treatment centers must meet strict payer criteria. Sunwave simplifies this with automated UR tools, offering a pre-populated census overview that calculates therapy utilization. These insights highlight gaps in meeting authorization criteria, helping centers proactively address issues to maximize revenue.
Benefits of Bringing Billing In-House
By transitioning to Sunwave’s RCM platform, addiction treatment centers gain unprecedented control over their billing processes. Instead of relying on third-party billing companies, teams can manage claims, track authorizations, and post payments with a solution designed specifically for the behavioral health industry. This in-house approach reduces redundancies and builds a more transparent revenue cycle.
A Configurable System Tailored to Your Needs
One size does not fit all when it comes to addiction treatment centers. Sunwave Health’s RCM platform is highly adaptable, allowing organizations to customize rules and workflows to suit unique requirements. The platform grows with you, ensuring that your operations remain efficient even as regulations evolve or patient volumes increase.
Schedule a Sunwave Health Demo
Sunwave Health’s RCM solution is more than just a billing tool—it’s a comprehensive system designed to meet the specific needs of addiction treatment centers. By addressing inefficiencies, improving claims success rates, and offering unmatched security and adaptability, Sunwave Health takes RCM to the next level.
To see how Sunwave Health can transform your revenue cycle, schedule a demo today. Contact us online or call us at 561.576.6037 to speak with us about how we can help optimize your operations and improve your bottom line.
