WAYSTAR FOR HOME HEALTH + HOSPICE

Unite all payers on a single platform

Home health and hospice providers are facing a new level of disruption. Industry forces, changing legislation and a complex Medicare reimbursement system have resulted in increased claim volume and AR days, less revenue and heightened scrutiny on documentation and compliance.

Waystar makes things easier and more efficient for your team with solutions tailored to the specific needs of those in the home health and hospice space. And, with our recent acquisition of industry pioneer eSolutions, we’ve only elevated our Medicare offerings with direct, real-time access to FISS, helpful compliance tools and much more. Waystar is now the only market-leader offering access to government, commercial and patient payments

Unite all payers on a single platform

Home health and hospice providers are facing a new level of disruption. Industry forces, changing legislation and a complex Medicare reimbursement system have resulted in increased claim volume and AR days, less revenue and heightened scrutiny on documentation and compliance.

Waystar makes things easier and more efficient for your team with solutions tailored to the specific needs of those in the home health and hospice space. And, with our recent acquisition of industry pioneer eSolutions, we’ve only elevated our Medicare offerings with direct, real-time access to FISS, helpful compliance tools and much more. Waystar is now the only market-leader offering access to government, commercial and patient payments.

Contact us

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UPGRADE + SAVE

For a limited time only, we’re waiving implementation fees and delaying payments on our new Medicare-focused solutions until April 1, 2021.* Click below to connect with a Waystar team member about this special offer.

Activate exclusive offer

*Waived implementation fees and delayed payments until 4/1/2021 for qualifying accounts. Contract must be signed by 12/31/2020. Other terms may apply.

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A track record of success 

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We understand what home health and hospice providers are up against in the current landscape. We have more than 20 years of experience working with organizations like yours to help them tackle their biggest rev cycle challenges. In fact, we’re proud to work with over two thirds of the country’s top 100 home health and hospice providers.

Our team is working hard to integrate eSolutions’ market leading Medicare suite into the Waystar platform you’ve come to rely on. Together, Waystar and eSolutions also offer access to a larger combined data set all in one place, which in turn drives faster, smarter automation.

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Special features for home health + hospice agencies

  • Easily manage and track Requests for Anticipated Payments (RAPs) + help prevent RAP takebacks
  • Get daily reporting on affected claims with our special RAPs at Risk report and Cancelled RAP Monitor
  • Never miss a Notice of Election (NOE) deadline again and submit NOEs directly to Medicare, eliminating manual data entry
  • Make monitoring simple with our NOE Tracker and NOE Benchmarking features

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A track record of success 

We understand what home health and hospice providers are up against in the current landscape. We have more than 20 years of experience working with organizations like yours to help them tackle their biggest rev cycle challenges. In fact, we’re proud to work with over two thirds of the country’s top 100 home health and hospice providers.

Our team is working hard to integrate eSolutions’ market leading Medicare suite into the Waystar platform you’ve come to rely on. Together, Waystar and eSolutions also offer access to a larger combined data set all in one place, which in turn drives faster, smarter automation.

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JOIN US FOR A WEBINAR

Top 5 proven strategies to optimize the patient financial journey

Join us on , at

During this webinar, you will:


RSVP today

nye_nicole_1 (2).jpg

SPEAKER:

Nicole Nye, VP, Product Management, Waystar

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“Medicare Claims Editor is my favorite product because of how easy it makes our billing process. It’s great to use a product that takes all of the guess work out for you.”
Nicole Caffall, Lead Biller, Harbors Home Health and Hospice

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What Our Clients Say:

100%

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What Our Clients Say:

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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.

Contact us

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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

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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.

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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 insights you need

For decades, we’ve helped clients collect more revenue, trim AR days and give patients more financial clarity. Check out the resources below to learn more about the latest trends in hospice and home healthcare as well as some solutions of ours that could really benefit your organization.

Manage the RAP phase-out
> Read white paper

Optimize Medicare reimbursement
> Read data sheet

Learn more about PDGM
> Read FAQs

Submit and track claims with ease
> Read data sheet

Home care & hospice billing org cuts denials to 1%
> Read case study

Hospice provider trims AR days by 62%
> Read case study

Hospice organization reduces rejections by 53%
> Read case study

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Feature

Waystar

Other

Details

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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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Patient
Financial
Clearance

Revenue
Integrity

Claim
Management

Denial
Management

Contract
Management

Patient
Financial
Experience

Agency
Management

Patient
Insights

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90%

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90%

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CLAIM MANAGEMENT

   

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

     

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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

+

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Your data unified on an end-to-end RCM platform

PRO

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PEAK

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Unlimited custom dashboards + reports with simple, yet robust BI tools to see and explore the data your way

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Tailored insights with custom defined calculations, definitions and KPIs unique to your organization

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Ad-hoc data analysis tools for deeper insights into every facet of your revenue cycle

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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.

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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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Join our clients in reducing rejections
and denials by payers

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Contact us

We're excited to help you succeed through the PDGM transition and beyond. Fill out the form below and a Waystar expert will be in touch shortly.

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