WAYSTAR FOR HOME HEALTH + HOSPICE

WAYSTAR FOR HOME HEALTH + HOSPICE

Increase revenue without adding resources

Home health and hospice providers face unique challenges within healthcare. Industry forces, changing legislation and a complex Medicare Part A reimbursement system have resulted in extended AR days, high claim volume, payment decreases and heightened scrutiny on documentation and compliance.

Waystar can help make things easier and more efficient. We offer technology solutions tailored to the specific needs of home health and hospice teams, including automated Claim Monitoring for Medicare Part A. Watch our short video to learn more about how you can simplify workflows and build a more stable financial future for your organization.

Increase revenue without adding resources

Home health and hospice providers face unique challenges within healthcare. Industry forces, changing legislation and a complex Medicare Part A reimbursement system have resulted in extended AR days, high claim volume, payment decreases and heightened scrutiny on documentation and compliance.

Waystar can help make things easier and more efficient. We offer technology solutions tailored to the specific needs of home health and hospice teams, including automated Claim Monitoring for Medicare Part A.

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Get more out of Waystar

Our newest Medicare package offers a custom set of tools designed to solve the challenges of home health and hospice teams at an exceptional value. Let us show you the Waystar difference + how much you can save by grouping our most popular solutions for home health.

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The easiest way to manage
Medicare Part A

Working with FISS and Medicare Part A demands accuracy and often strains staff productivity. Boost revenue without adding headcount—and ease the manual burden required to process these claims—with a range of tools that automate and simplify onerous tasks across the revenue cycle. Drawing on the latest technology and artificial intelligence, your organization can benefit from:

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Quickly + easily view accurate, real-time episodic care and benefit period coverage

Bypass MACs and save AR days by sending claims and their attachments directly to FISS

Streamlined FISS system access to edit Medicare Part A claims, review eligibility and check the status of claims

All your remits received electronically— from all payers and in one system

Eliminate time-consuming phone calls and website visits by automatically pulling in updated status info for late Medicare claims

The nation’s first 100% paperless comprehensive appeal packages— automatically printed and mailed on your behalf

Simple, yet robust BI tools to see and explore your data your way

Maximize reimbursement with better denial management

Beyond supporting your team with tools to boost productivity, we can also equip you with automated solutions to improve your denial rate.

Our Denial Management solution can help your team more easily track and appeal denials—and even prevent them in the first place—so you’re not leaving revenue on the table. It’s yet another way to increase your collection speed and get reimbursed more fully.

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GET THE NEWSLETTER

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A track record of success

We understand the growing challenges in home health and hospice care, and we have years of experience with practices like yours. Watch our video to find out how you can maximize reimbursement without adding headcount and take administrative burden off your team.

Make your data work for you

Promote accountability and quickly identify payment errors with new Waystar Analytics. With simple-to-use tools, you can draw on a wealth of metrics with dashboards that let you easily assess and make informed decisions about billing, productivity and payer reimbursement.

We’ve helped hospice and home healthcare providers across the country deliver stronger patient care and achieve unprecedented financial performance. Click through the success stories below to learn more.

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$3.7M

Recovered for
BAYADA
Home Health
>Read more

40%

Reduction in AR
days for HomeCare
Maryland
>Read more

98.6%

Clean claims rate achieved for Rehab at Home
>Read more

75%

Rebilled in inappropriately denied claims for Preferred Home Health Care
>Read more

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Everything you need to know for a smooth PDGM transition

Check out the resources below for background info and tips for success.

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Get the full rundown on PDGM with our webinar
> Watch webinar

Learn more about PDGM basics
> View fact sheet

Make sure your team is ready with our PDGM checklist
> Get checklist

Three tips for transitioning to the new home healthcare landscape
> Read blog

Results that matter. Experience that counts.

Waystar helps home health agencies significantly streamline operations while securing reliable revenue streams. Learn more by reading a couple of our success stories.

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Results that matter.
Experience
that counts.

Waystar helps home health agencies significantly streamline operations while securing reliable revenue streams. Learn more by reading a couple of our success stories.

How BAYADA decreased denial rates by 72%
> Read case study

How Preferred Home Health rebilled $4.1M in claims
> Read case study

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Get the tips + insights you need

Looking for more? Check out the Waystar blog and explore the state of hospice and home healthcare with thought leadership, strategies for success and the latest on developing industry trends.

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Waystar

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Waytstar

Category
Average

Overall Score

95.7

87.3

% Clients Satisfied

73

N/A

Best Vendor Relationship

95.2

84.3

Product

94.2

86

Value

96.9

86.6

Operations

95.5

88.9

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90%

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90%

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CLAIM MANAGEMENT

Most popular

Starter

Simplify Denials Management

Core

Reach Workflow Excellence

Performance

Get visibility into the claim lifecycle

Premium

Achieve Revenue Cycle Automation

	Expanded claim lifecycle visibility through date tracking and proof of timely filing reports
Automated front-end claim editing and scrubbing		●	●	●	●
View and edit claims in customizable workgroups for prioritization and staff assignment		●	●	●	●
Payer response clarified and simplified with Simple Response™ technology		●	●	●	●
Hundreds of crowdsourced rules and edits		●	●	●	●
Claim process lifecycle visibility with date tracking and proof of timely filing reporting		●	●	●	●
Dashboards and reports for key rev cycle performance and user productivity metrics		●	●	●	●
Real-time claim status inquiries with approximately 5-7 second payer responses		●	●	●	●

	Make eligibility and benefit coverage inquiries
Leverage 1,200 payer connections		●	●	●	●
Verify eligibility and co-payments		●	●	●	●
Quickly and easily enter patient info		●	●	●	●
Expedite check-in by accessing real-time plan information in seconds		●	●	●	●
Automated provider enrollment		●	●	●	●
Denial prevention with automated pre-claim eligibility verification		●	●	●	●

	Streamline denial management
Flexible workgroups and automation to close non-workable denials		●	●	●	●
Eligibility integration to check patient coverage within denial workflow		●	●	●	●
Root cause reporting to reduce preventable denials		●	●	●	●
Robust outcome reporting and dashboards for user-friendly resubmissions and payer follow-up		●	●	●	●

	Simplify appeal processes
Appeals wizard that allows you to create three-step, 100% paperless appeals packages		●	●	●	●
More than 600 payer appeal templates available and pre-populated with remit and provider data, including proof of timely filling		●	●	●	●
Custom and dynamic attachments and saved responses streamline submission		●	●	●	●
Ability to batch 100 similar appeals to same payer		●	●	●	●

	Automate claim status checks
Custom schedules to accommodate follow-up workflow			●	●	●
Proactive claim status checks based on predictive analytics that determine optimal timing			●	●	●
Automatic claim status checks without the need for batch files			●	●	●
Early notification of pended claims			●	●	●
Payer response clarified and simplified with Simple Response™ technology			●	●	●
Ability to work by exception with focused workgroups			●	●	●

	Visualize your performance and deliver actionable insights
Custom dashboards and reports				●	●
Alerts to drive corrective action when KPIs deviate from target range				●	●
All-in-one, standardized rev cycle analytics for financial performance clarity				●	●
Intuitive drill-down capabilities to identify key details in the health of the rev cycle				●	●

	Automate bank reconciliation processes
Automated identification of missing or inaccurate deposits and ERAs					●
Streamlined payment posting workflows to avoid posting delays that increase AR days					●
Aggregated reporting for payment information —even if you use more than one bank					●

	Convert paper EOBs to electronic files
Indexing of checks and documents for historical tracking					●
Automated payment posting and reconciliation					●

FEATURES

ANALYTICS PRO

ANALYTICS PEAK

Expanded claim lifecycle visibility through date tracking and proof of timely filing reports PRO + PEAK +	+	+
Dynamic, interactive, easy-to-use data visualization tools that allow for a deeper understanding of your rev cycle PRO + PEAK +	+	+
Your data unified on an end-to-end RCM platform PRO + PEAK +	+	+
Unlimited custom dashboards + reports with simple, yet robust BI tools to see and explore the data your way PRO PEAK +		+
Tailored insights with custom defined calculations, definitions and KPIs unique to your organization PRO PEAK +		+
Ad-hoc data analysis tools for deeper insights into every facet of your revenue cycle PRO PEAK +		+

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Number of claims you follow up on monthly

< >

Number of FTEs dedicated to payer follow-up

< >

Fully loaded annual salary of medical biller

< >

Total savings per year

$204,327

These numbers are for demonstration only and account for some assumptions. Contact us for a more comprehensive and customized savings estimate.

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Monthly claim volume

< >

Current denial rate

< >

Average claim value

< >

Average number of appeal packages submitted per month

< >

Total additional revenue recovered per year

$204,327

Total staff hours saved

These numbers are for demonstration only and account for some assumptions. Contact us for a more comprehensive and customized savings estimate.

Gross patient revenue

Net patient revenue

Patient mix (% Inpatient)

< >

Payer Mix (% Commercial)

< >

Payer mix (% Government)

< >

Payer mix (% Other/self pay)

< >

Note: The above values need add up to 100%

100%

$1.8M

$2.2M

$3.3M

$7.9M

OUTER RANGE: Likely cash impact range for a system of your size

INNER RANGE: Most probable range given your specific information

Benefit range accounts for benefit to be attained through missing charges, CPT coding errors and DRG assignment errors. This calculator is designed to be educational in nature based upon limited information. It is therefore not a guarantee of performance. 1 HFMA blog, 2016

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