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WE’RE HERE TO HELP

Thank you to our clients in all care settings who are working to keep our communities healthy. We are dedicated to supporting you however we can.

Make the PDGM transition smart + simple

The Patient-Driven Groupings Model (PDGM) represents one of the biggest adjustments to home healthcare in 20 years. The new payment model, which went into effect on January 1, 2020, relies more heavily on clinical characterizations and patient information—and is projected to double claim volumes.

Waystar is here to help. We’ve built a resource library to help home health agencies like yours transition to PDGM, as well as technology solutions to help you succeed in the new regulatory landscape.

Contact us to learn more

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KEY CMS UPDATES

The Centers for Medicare & Medicaid Services (CMS) are responding to COVID-19 with expanded telehealth benefits, new codes and more. See a snapshot of the most up-to-date changes below.
  • CMS has expanded Medicare TeleHealth benefits, removing restrictions such as location and proof of being an established patient
  • New HCPCS codes and a CPT code have been released for Coronavirus testing
  • CMS has announced several emergency blanket waivers, loosening Medicare requirements on hospitals and providers
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UPCOMING WEBINARS

Please click the links to the right for updated information about coding, emergency waivers and more. We’ll be hosting webinars regularly to keep you informed about regulatory changes and how Waystar can help you navigate them.
COVID-19: How to support your stakeholders through the crisis
Tuesday, April 7 at 2 p.m. ET
COVID-19: Electronic claim processing with Waystar & NGS
Thursday, April 9 at 2 p.m. ET

UPCOMING + RECENT WEBINARS

We’ll be hosting webinars regularly to keep you informed about regulatory changes and how Waystar can help you navigate them.

How to support your stakeholders through the crisis

Watch on demand            View presentation

Electronic claim processing with Waystar & NGS

View presentation

Telemedicine revenue cycle readiness

Watch on demand            View presentation

How to ensure your healthcare organization is prepared for reopening

Watch on demand

Coding for telemedicine and COVID-19

Register now

  • Automated pre-claim eligibility detection
  • Automated secondary claims processing
  • Aging claim worklists
  • Industry-leading denial and appeal management
  • Automated Medicare Part A claim status checks
  • Extensive user productivity reporting
  • Analytics packages with end to end transparency
  • Industry-best client service and support
  • Custom edits built free of charge

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WAYSTAR’S PREPAREDNESS

  • We continue to offer our #1 in KLAS customer service with no disruption in operations or call center service hours.
  • We’re monitoring updates from the CDC, CMS, and commercial payers daily.
  • We have ongoing communication with our business partners and payers to mitigate any disruption in business services.
  • We have ensured our products are equipped to handle the billing and edit changes around telemedicine and will continue to monitor and update as needed.
  • We have updated our products to accept the new COVID-19 codes as needed.
  • EDI services are operating at full capacity, reducing the need to make payer phone calls and saving your users time
  • Accelerated and advance payments for providers
  • CMS list of covered telemedicine services
  • Read the overview of CMS FFS response to COVID
  • We are in excellent shape to operate our business with a distributed workforce. Read more about Waystar's secure network.

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TELEMEDICINE HPCPS + CPT CODES

102X

Waystar's telehealth volume has grown 102x since 3/16 indicating our customers are rapidly converting the care from office based to telehealth based since the onset of COVID-19

15%

On two dates in late April (4/26 and 4/28), Waystar’s telehealth volume was greater than 15% of the total volume of claims processed on a daily basis

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A NOTE FROM MATT HAWKINS, CEO

From all of us at Waystar, we salute every single person working in healthcare through this extraordinarily challenging time.

With our healthcare system under enormous strain, we know how crucial it is to cut through the clutter to keep your organization running as smoothly as possible. We hope you find the resources collected here useful as you navigate the rapidly evolving COVID-19 crisis.

You can rely on Waystar to provide you exceptional service without disruption, now and always. We are honored to support you.

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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

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SPEAKER:

Nicole Nye, VP, Product Management, Waystar

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  • Expanded telemedicine services by CMS > Read now
  • New COVID-19 coding guidelines > Read now
  • Emergency blanket waivers > Read now
  • Waystar’s COVID-19 response > Read blog
  • Operationalizing Virtual Visits > Read now

THE RESOURCES
YOU NEED
RIGHT NOW

Please click the links to the right for updated information about coding, emergency waivers and more.

Contact us

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WAYSTAR'S CUSTOMER SUPPORT

2,388

Calls handled this week

:08

Average hold time

4.75

Customer satisfaction score

75%

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What Our Clients Say:

100%

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100%

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75%

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THE RESOURCES YOU NEED RIGHT NOW

Check out these links for updated information about coding, emergency waivers and more.

Read our blog on Waystar’s COVID-19 response.

Read blog

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Expanded telemedicine services by CMS
> Read now

New COVID-19 coding guidelines
> Read now

Waystar telehealth resource center
> Get the facts

Operationalizing virtual visits
> Read now

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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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UPCOMING + RECENT WEBINARS

We’ll be hosting webinars regularly to keep you informed about regulatory changes and how Waystar can help you navigate them.

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

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

How to support your stakeholders through the crisis
> Watch on demand          > View presentation

Electronic claim processing with Waystar & NGS
> View presentation

Telemedicine revenue cycle readiness
> Watch on demand          > View presentation

How to ensure your healthcare organization is prepared for reopening
> Watch on demand 

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Learn More

THE RESOURCES YOU NEED RIGHT NOW

Please click the links below for updated information about coding, emergency waivers and more.

Read our blog on Waystar’s COVID-19 response.

Read blog

Expanded telemedicine services by CMS
> Read now

New COVID-19 coding guidelines
> Read now

Waystar telehealth resource center
> Get the facts

Operationalizing virtual visits
> Read now

Regulatory Changes to Help U.S. Healthcare System Address COVID-19 Patient Surge
> Get the facts

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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

+

+

+

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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At vero eos et accusamus

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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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At vero eos et accusamus

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo.

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At vero eos et accusamus

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo.

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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.

At vero eos et accusamus

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo.

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At vero eos et accusamus

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo.

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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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HOW CAN WE HELP?

We’ve got your back. Let us know what you need and we’ll find a way to connect you to the right information.

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