Waystar makes it easier to get paid in Epic
Let Waystar help you get paid faster and easier using your Resolute Epic revenue cycle management system.
Will it be easy to integrate payer and patient data in Epic RCM?
With Waystar's help, yes. Our Epic Integration means you won't have to rekey data or bounce between systems. Our application program interfaces (APIs), file transfer protocols (FTPs) and standardized Epic file extract formats provide for integrated transactions and workflow for eligibility, claims, claims status, revenue integrity, remit processing, patient payments and print services within Epic RCM.
How do you supplement the work I do today for revenue integrity?
Using predictive analytics, machine learning and continuously updated rules, our system automatically reviews your accounts for missing charges, under-coding, coding variances and overcharging. Our coding auditors check flagged charges to see if they’re consistent with your charging policies, then ensure and abstract supporting medical records documentation, so you can address issues within timely filing requirements. To maximize hospital and professional revenue integrity, Epic Revenue Guardian and Charge Review edits take the first pass and then our system assesses all patient classes for ‘complete’ accounts in either a pre-bill or post-bill configuration. Our comprehensive approach to revenue integrity supports a standardized EAP build and secure link between orderables, performables and chargeables.
Is it true Waystar has helped Epic healthcare clients find millions in missing revenue?
Yes. Hospitals and health systems using Epic systems revenue cycle management with WayStar have recovered millions of dollars in revenue that would have been lost. As an example, Novant Health recovered $7.5 million in missing charges in just 15 months. They also utilized Waystar auditor insights to optimize Epic workflow to help clinicians prevent missing charges. Novant Health’s Revenue Integrity team became the go-to resource as Waystar’s solution complimented Epic’s Revenue and Usage and Charge Router Reconciliation reports.
Can I be confident Waystar can handle my Epic RCM claims processing?
Yes! We provide for a seamless, single source of truth for claims management with Epic External Edit Return (CRD) and Rapid Retest (ACRD) workqueue management. Our commitment to client success has earned us top scores from industry evaluators. Best in KLAS ranked Waystar (the combination of Navicure and ZirMed) #1 in claims processing client service 10 times in the last 11 years. Black Book named us the #1 revenue cycle management vendor for large hospitals for the past seven years. Our solutions earned the Healthcare Financial Management Association’s (HFMA) Peer Review Designation for Claims Processing Management and Charge Integrity.
Will we have dedicated support?
Just ask our Epic healthcare clients. We assign an account manager and a dedicated team experienced in enrollment, implementation and enterprise support. Our teams average 12 years in healthcare and 10 years in support or account manager roles. They know the value of your time. Our average support wait times are less than 60 seconds and we complete 75% of support requests the same day.
How does Waystar accelerate payment processing?
Helping you get paid quickly is our top priority. We use industry-leading rules and an edits engine powered by crowdsourced knowledge to help ensure payers accept your claims for processing. The result? Our Epic RCM clients achieve a 98.6% first pass clean claims rate. We call payers on your behalf to resolve issues so you don’t have to. And, our patent-pending SimpleResponseSM messaging standardizes millions of complex payer rejection messages into 4,000 user-friendly messages with “how to fix” articles, generating up to 30% productivity improvements for Waystar clients. You have the option to incorporate the display of the 277 with our SimpleResponse message within your Epic system.
What makes your payer appeals so great for Epic RCM clients?
With an API that provides for Epic integration, the Waystar step-by-step wizard saves an average of 28 minutes on each appeal. It prepopulates payer forms with remits, claim data and your frequently used payer responses, including 900+ payer-specific appeal letters with required attachments and proof of timely filing. Our expedited reimbursement processing can batch up to 100 appeals and associated attachments to a single payer. Our print and ship service frees up staff time with 100% paperless appeal packages.
Do you provide an enterprise view?
We do, because we know you need this information to make good revenue cycle decisions. No matter what versions of Epic revenue cycle management and other healthcare information systems (HIS) and patient management (PM) systems you have, WayStar aggregates claims, remits, revenue integrity and payer payment variance data to give you enterprise and facility views of your performance.
How easy is it to implement Waystar solutions?
We do our homework to make sure implementation is smooth. In our scoping process, we consider your Epic systems revenue cycle build, organizational structure, internal processes, workflows and payer mix. We have an automated enrollment process and a very proficient team to make switching to our services easy. Our clients consistently give us high marks for implementation:
Can you help us prevent bad debt?
If so, how?
We turn self-pay patients with a high probability for bad debt into payer revenue by routinely finding 5-15% billable insurance and confirming 2.8 times more coverage than our competitors. Our Coverage Detection solution identifies active and inactive insurance coverage for self-pay patients in either a traditional or SBO environment.
What results have your other clients gotten?
Epic healthcare clients partnering with Waystar have improved net revenue, reduced denials and bad debt, increased staff efficiency, improved management of enterprise KPIs and gotten more out of their Epic systems. Catholic Health Initiatives, Novant Health System, Baptist Health and Yuma Regional Medical Center are just a few.
Where would you like to improve your performance now?
  • Uncover missing revenue
    (charge integrity and coverage detection)
  • Expedite payer payment
    (claims, remit and appeal processing)
  • Improve patient collections
    (coverage detection, patient payments)