In healthcare, revenue cycle management (RCM) is the heartbeat of every operation—tracking patient care from the first step of registration to the final payment. But in behavioral health, it’s more than just a process; it’s the key to keeping your organization running smoothly, ensuring every detail is aligned from start to finish.
At Sunwave, we believe RCM should be effortless. Our automation does the heavy lifting—selecting the right codes, matching the right documentation, and streamlining every step for you. No guesswork. No wasted time. Just clean, compliant claims that reduce manual tasks and cut down errors so your team can focus on what matters most.
And because it’s part of our unified platform, there’s no need for separate logins or clunky workarounds. EMR, CRM, and RCM—all under one roof, speaking the same language. Sunwave’s RCM keeps your operation flowing, making the complex simple and the routine remarkable.
Features of Sunwave's Behavioral Health RCM
Secure & Reliable
Security isn’t just a feature—it’s the backbone of everything we do. Every module is built with HIPAA compliance from the ground up, hosted in the cloud for ultimate reliability, and backed by redundant systems. Your data is guarded every step of the way, accessible only when you need it, and always protected. Because trust starts with security.
Easy-To-Use
Clarity and control—right at your fingertips. Our billing workflow gives you a complete bird’s-eye view of every patient interaction, from time requirements to signatures and authorizations. Everything billers need is in one place, making complex processes intuitive and ensuring no detail is ever missed.
Unified System Benefits
Simplify billing with a single source of truth. Because all your data is under one roof, your team can manage claims with automated documentation and insurance verification built right in. Fewer errors, faster reimbursements, and a smoother workflow that keeps everything moving forward.
Insightful Reporting
See the bigger picture. With Sunwave’s powerful reporting tools, you gain a full view of claims and collections performance so you can optimize efforts based on what truly works. Identify your top revenue channels—whether from referral sources or targeted campaigns—and refine your approach to maximize impact.
Better Data, Better Claims, Better Results: Behavioral Health Revenue Cycle Management with Sunwave Health
Billing shouldn’t be guesswork. Sunwave brings your billing in-house, putting control back in your hands with a system built to produce flawless claims every time. The Billing Census offers your team a clear, real-time view of all claims and signatures—no missing details, no blind spots. Track every task, address any issues, and submit with confidence. Because when you have the right data, every claim is a success story waiting to happen.
Financials Management
Managing finances shouldn’t feel like a burden. With Sunwave’s Financials module, every transaction, every report, and every decision flows seamlessly—allowing you to focus on what truly matters. From a unified general ledger to intelligent, automated adjustments, we’ve transformed financial management into a strategic tool.
A Ledger Without Limits – Every credit, every debit—organized perfectly, guided by segmentation rules that adapt to your needs.
Adjustments, Automated – Forget manual tracking. Our system auto-applies adjustments based on payer rates or your own historical data—accuracy, without the effort.
See the Bigger Picture – Real-time insights and reporting that let you see exactly where you stand whenever you need it.
Custom Periods, Perfectly Matched – Define accounting periods to fit your exact calendar so everything lines up effortlessly.
Because financial clarity is more than just numbers—it’s the confidence to move forward, knowing your operations are built on a solid foundation.
Learn more about how Sunwave’s Financials can redefine your strategy.
Automatic Claims Validation
Clean claims. Faster payments. No headaches. Sunwave’s powerful validation engine does the heavy lifting for you. With over 150 configurable rules built specifically for substance abuse treatment centers, every claim is generated with precision—automatically. And as insurance requirements change, your billing rules adapt in real-time, keeping you one step ahead. Because submitting a claim shouldn’t slow you down. It should just work.
Accuracy, Every Time – Applying over 150 configurable validation rules to ensure each claim is spot-on.
Adapt on the Fly – Update rules instantly as payers change requirements—ensuring compliance without downtime or disruption.
Speed Meets Precision – Generate multiple claims simultaneously based on your custom settings—streamlining every step to get you paid faster.
Utilization Review
Efficiency in care starts with clarity. Sunwave puts the power of utilization review in your hands, ensuring every patient receives the care they deserve—without a single step missed. Because ensuring the best care shouldn’t be a challenge—it should be seamless.
Track Every Detail – Monitor authorized services versus rendered care, ensuring patients receive the full scope of their treatment.
Never Miss a Beat – Get real-time alerts when authorizations are due, keeping your team ahead and patient care uninterrupted.
Optimized Efforts
With Sunwave’s comprehensive platform, you can see the full picture—effortlessly.
Complete Transparency – Monitor authorizations, claim submissions, balances, and collections in one clear view.
No More Guesswork – Automatically align rendered services with authorizations for precise billing.
Real-Time Financials – Track claims and financial data as it happens, making every decision sharper and every process smoother.
Discover Behavioral Health RCM from Sunwave Health
With Sunwave, it’s more than just revenue cycle management—it’s a solution built specifically for behavioral health. Years of experience have shaped our platform, designed to streamline every aspect of your operations.
Sunwave’s RCM goes beyond billing. From claims submission to payment posting, every feature is crafted to fit your unique needs. It’s a comprehensive, customizable platform, purpose-built to support your success at every step.
Ready to see the difference? Call us at 561.576.6037 to schedule a demo, or contact us online to connect with a representative.
