Review the right cases — faster — with advanced automation and AI
Every missed or delayed status review puts patient care and your revenue at risk. Leveraging Waystar AltitudeAI™, our Utilization Management (UM) software empowers your team to make quick , confident status decisions — allowing them to strengthen compliance, tell a more complete patient story, and boost financial performance.
for first-level review time²
greater productivity efficiency¹
Obs-to-IP conversion medical necessity denial rate¹
avg. annual time saved per client through faster first-level reviews¹
revenue gained from timely observation-to-inpatient conversions²
¹ Waystar annual cohort analysis
² Success story, Genesis HealthCare System, 2025
High case volumes and shifting payer rules can let critical reviews slip through the cracks, leading to denials, underpayment, and records that don’t reflect the appropriate level of care. Waystar’s AI-powered UM solution scans patient records in real-time and flags high-priority cases, delivering actionable insights for faster decisions and fewer delays.
Let's talkStop letting manual and inefficient case reviews slow you down. Waystar’s Utilization Management software uses AI and advanced automation to keep reviews moving forward — summarizing key chart information, surfacing status issues, and satisfying payer requirements for more timely decisions and stronger reimbursement.
If the initial eligibility search returns inactive or subscriber not found, Coverage Detection activates in real time with no intervention from your team, increasing efficiency.
If eligibility is rejected during claim processing, Coverage Detection initiates a search for updated coverage automatically, reducing eligibility-related denials.
When a payer response indicates an eligibility error during claim statusing, Coverage Detection kicks in to find the correct coverage, streamline resubmissions in advance of a denial.
If an eligibility denial is received, Coverage Detection searches for active, billable coverage, helping your team overturn denials and recover revenue faster.
Every overlooked detail in clinical notes can become missed revenue and extra administrative work. Waystar’s AI-powered CDI software helps you identify and close gaps in the record. That helps your team create accurate, comprehensive records that reflect the care provided and justify reimbursement.
How much could your organization gain by closing documentation gaps?
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All metrics on this page are proprietary Waystar data or case studies.
