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WAYSTAR FALL 2020 RELEASE

Explore the latest innovations + solution upgrades for Waystar

Access the complete guide

MEDICARE ENTERPRISE   TRANSFER DRG   PATIENT PAYMENTS   ANALYTICS

ENTER CONTENT

Contact us to learn more

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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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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:

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.

Find out how

  • 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.

Learn more

RELEASE HIGHLIGHT

Electronic delivery of statements


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.

Learn more

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RELEASE HIGHLIGHT

Robust data visualizations for top KPIs

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.*

Find out how

*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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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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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%

Simo ex expercit officabori sima int

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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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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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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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