Improve claims processing and claims collection.
Revenue Cycle Management
Sunwave’s RCM module will help your billing team process better claims, optimize their collections efforts, give you more transparency into your revenue cycle, and tie back return to campaigns and referral partners.
It’s not just claims & tracking…
Let’s explore some of the features of Sunwave’s comprehensive billing solution for behavioral health providers.
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 one-stop dashboard that helps them manage sessions, update schedules, and send forms or payment requests for completion.
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
Better Claims, Better Results
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 that are sent from your facility are clean and get paid quickly, with Sunwave’s validation engine.
Claims get 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 the 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 comprehensive telehealth solution, you can manage the full process from forms through payment.
- Full transparency with upcoming authorizations required, claim submission dates, outstanding balances, total collections.
- Automate the process of calculating total usage of individual and group therapy.
- Improve your collections and revenue by tracking all your claims and financials real-time.
