Success Story

Nemours Children’s Health’s
way forward

A pediatric health system’s journey to streamline claims + patient payments

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40%

reduction in patient statement costs

98.11%

clean claim rate YOY

97.65%

perfect pass claim rate YOY

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CHALLENGES

The journey to improve
revenue cycle efficiency

Following the February 2024 nationwide cyberattack, Nemours Children’s Health
furthered their existing partnership with Waystar to streamline RCM operations,
reduce friction in the claim process, and elevate the patient financial experience.

Actions

Steps to increase
revenue cycle efficiency

Leveraging Waystar’s AI-powered software, Nemours Children’s
Health has streamlined the healthcare revenue cycle to maximize
efficiency, cut complexity, and accelerate payments.

The smarter way
to manage claims

Nemours Children’s Health optimizes claims from submission to reconciliation, allowing staff to focus on critical tasks instead of manual tracking.

The seamless way to streamline revenue

Nemours Children’s Health has consolidated clearinghouses — reducing complexity and creating a seamless, efficient process for claims.

The effortless way to accelerate payment posting

Waystar’s EOB conversion and electronic remittance help the health system speed up payments and free up valuable staff time.

Get the full story

Read more about how Nemour Children’s Health transformed their revenue cycle operations to streamline claims and patient payments.

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"Our folks are focusing more on the claims that truly need their attention and things they need to work on, rather than just tracking something that can be tracked automatically."
Alegria Fendt, Director of Revenue Cycle Applications — CBO

Results

Propelling their mission forward

With Waystar’s software and support, Nemours Children’s Health can focus
more on delivering exceptional pediatric care while driving financial and operational efficiency.

40%

reduction in patient statement costs

98.11%

clean claim rate YOY

97.65%

perfect pass claim rate YOY

80

new care
locations opened

60%

of auths obtained
automatically in first year

61%

Epic Pulse score for
authorization*
*Top 25% of all Epic clients

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