WAYSTAR FALL 2020 RELEASE

Explore the latest innovations + solution upgrades for Waystar

Access the complete guide

MEDICARE ENTERPRISE | TRANSFER DRG | PATIENT PAYMENTS | ANALYTICS

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Contact us to learn more

See the latest innovations included in the Fall 2020 release that are here to help you improve financials and create greater transparency for your patients.

Check out our Fall 2020 Release Guide for resources such as training videos, user guides and guidance on how to use the newest features from Waystar.

Access the complete guide

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RELEASE HIGHLIGHT

Optimize + simplify your Medicare reimbursements

Medicare Enterprise allows clients to connect and edit claims directly with Medicare's adjudication system, getting providers paid accurately and faster. Complete reporting and analytics delivers actionable insight to ensure clients collect the full Medicare payment.

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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RELEASE HIGHLIGHT

Discover + recover underpayments faster

Almost half of all Medicare discharges are coded as transfer DRGs. While your health system works to recover transfer DRG underpayments, it may not find 100% of them. Start capturing all your underpayments today with Waystar.

RELEASE HIGHLIGHT

Electronic delivery of statements

Go paperless – it’s safe, simple + convenient. Replace paper statements sent in the mail with Waystar’s text and email delivery statements. Patients can securely view + pay statements from their mobile device or desktop with Waystar’s Patient Center/Patient Notebook eDelivery feature.

RELEASE HIGHLIGHT

Robust data visualizations for top KPIs

Waystar’s new Analytics solution gives you access to accurate data in seconds with actionable insights across your entire revenue cycle. Analytics Pro can be activated in seconds, offering built- in reports and advanced KPIs* while Analytics Peak offers unlimited dashboards and report customization.*

*Existing Analytics RCM clients will be upgraded to Analytics Pro in the upcoming months and will have the opportunity to upgrade to Analytics Peak

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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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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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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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