WAYSTAR DATA DASHBOARD

WAYSTAR DATA DASHBOARD

See the state of healthcare
by the numbers

Numbers can’t tell you everything, but they do reflect some facets of what’s happening in healthcare. As the industry’s largest unified clearinghouse and claim engine, Waystar has a large volume of anonymized medical claim and remit data. We hope the figures and trends shown on this page give you a new perspective on U.S. healthcare in 2020.

See the state of healthcare
by the numbers

Numbers can’t tell you everything, but they do reflect some facets of what’s happening in healthcare. As the industry’s largest unified clearinghouse and claim engine, Waystar has a significant volume of anonymized medical claim and remit data. We hope the figures and trends shown on this page give you a new perspective on U.S. healthcare in 2020.

Request demo

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COVID-19 + claim data

As COVID-19 tests became available, claims for tests skyrocketed in May, as did positive diagnoses. Although claims for tests rose again in June by another half over May, diagnoses dipped slightly. The figures in the chart below reflect comparisons to the previous month.

Data-dashboard-chart1.png

Both telehealth claims and COVID-19 claims are being processed significantly faster than all other types of claims with especially high clean claims rates.

Data-dashboard-chart2.png

As states restricted elective procedures due to COVID-19, in-person visits, including those for urgent care dropped, which you can see in the chart below. The numbers show the decline—and the rebound—as states have begun to reopen. The figures in the chart below reflect comparisons to the previous month.

Data-dashboard-chart3.png

These numbers reflect those claims on the Waystar platform. 
* Data through 7/24

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Discover the Waystar difference

We’ve aligned our most effective claims and denials solutions to help make your organization as productive as possible. Drawing on the latest tech and predictive analytics, your team will benefit from:

The rise in telehealth—and where it goes from here

Telehealth adoption has exploded since the onset of the COVID-19 pandemic. In fact, we’ve seen the volume of telemedicine claims on the Waystar platform grow by more than 100x, and experts estimate virtual visits are on pace to top 1B by year-end. Many in the healthcare community are asking—is it here to stay? Check out a visualization of our telehealth data below, and click here to read about why our CEO Matt Hawkins thinks telehealth will remain popular even when COVID-19 has abated. We recently surveyed our clients to find out more about their telehealth adoption in the wake of COVID-19, what technology they’re using and what they predict for the future. Read more here.

  • 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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Growth in telehealth patient visits

WR-WAY-Data Dashboard-Graph2.jpg

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Get the latest on RCM + Waystar

Sign up for our newsletter to get the latest RCM thought leadership and industry news from Waystar.

Get the latest on RCM + Waystar

Sign up for our newsletter to get the latest thought leadership, industry and company news, and revenue cycle insights from Waystar.

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Learn about six telehealth-related metrics you should track to ensure billing accuracy, maximize payer reimbursement, and reduce rejections and denials as telehealth adoption continues to grow.

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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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THE SCOPE OF WAYSTAR'S DATA

100%

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2B

transactions annually

450K+

providers

5K+

payer connections

750K+

hospitals and health systems

Claim data for 1 in every 4 patients in the U.S.

What Our Clients Say:

100%

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100%

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75%

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75%

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75%

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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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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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Learn about six telehealth-related metrics you should track to ensure billing accuracy, maximize payer reimbursement, and reduce rejections and denials as telehealth adoption continues to grow.

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90%

Simo ex expercit officabori sima int

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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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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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and denials by payers

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