TRANSFORM YOUR WORKFLOWS AND PRODUCTIVITY

With increasing pressure on performance on ever thinner margins, you need to find ways to get the most out of your resources. That’s where Waystar comes in. With innovative solutions that span the revenue cycle and excel in all care settings and specialties, we surround and supplement your existing systems to help your organization get paid faster, fuller and more effectively.

Find out how

ZIRMED IS NOW WAYSTAR

Waystar has combined the strengths of industry-leading companies, including ZirMed, Navicure, Connance and Ovation, to offer comprehensive solutions for an increasingly complex revenue cycle management landscape. Waystar has already helped hospitals and health systems around the country to collect millions more in revenue and make their teams more efficient.

REQUEST A DEMO

See if Waystar makes sense for your organization. A representative will respond within one business day.

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ADAPT TO THE LANDSCAPE OF TODAY—AND TOMORROW

As patient financial responsibility for healthcare costs continues to grow, patients expect the same convenient experience other industries offer. You need a versatile set of tools to meet those expectations. Check out just a few of the ways you can reduce administrative work, bring in more revenue upfront and increase total collections with Waystar:

EVERYTHING YOU NEED in RCM

With Waystar, you get the best and most complete solutions to help you collect more revenue with fewer staff hours. Here are just a few of the goals you can achieve with our cutting-edge tech:

  • Confirm the details of patients' insurance coverage at or before the time of service
  • Quickly and easily estimate patient financial obligation in real-time
  • Easily process and track all claims
  • Simply manage your payer payments
  • Enhance patient satisfaction through consumer-friendly billing and collections processes
  • Reduce bad debt and write-offs

Request demo

  • Verify eligibility and co-payments
  • Quickly and easily enter patient information
  • Provide easy-to-read patient statements and flexible payment options
  • Immediately process credit, debit, check and cash payments
  • Access valuable propensity-to-pay data without credit checks
  • Use predictive analytics to prioritize which accounts to work
  • Prevent denials and automate appeals
  • Track and manage outside agency performance
  • Ensure charge accuracy
  • Automate the prior authorization process

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PACKAGED FOR YOUR SUCCESS

You’ve chosen a market-leading practice management system in eClinicalWorks, but are you making the most of it? Our new solution bundles are powered by Waystar’s Best-in-KLAS clearinghouse and integrate quickly and seamlessly with your eCW practice management and electronic health record systems. Automate appeals, claim status inquiries and patient eligibility, evaluate a patient’s likelihood to pay, and receive automated workflow alerts—all from your eClinical Works interface.

Experience the Waystar Difference

Powered by healthcare’s largest unified clearinghouse, our Claim Management solution provides the data and tools you need to bring in more revenue—at a lower cost and in less time. Unlock the full power of your core system with a claim engine that:

  • Deploys intelligent algorithms to status claims
  • Uncovers missing deposits and ERAs with automated remit matching and reconciliation
  • Translates confusing payer messages into plain English
  • Limits manual follow-up by automatically notifying you when claims are ready to be worked.

 

Starter Bundle

  • Claims + remits (read only)
  • Eligibility
  • Standard alerts New

New

Advanced Bundle

  • Claims + remits
  • Eligibility
  • Advanced alerts New

PLUS

  • Denial Management
  • Appeals integration New
  • Claim Monitoring
  • Patient Estimation
  • Advanced Propensity to Pay *Coming soon*

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*We also offer a variety of à la carte solutions depending on
your practice’s specific needs

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SIMPLIFY + UNIFY YOUR REV CYCLE

Whether you’re looking for an all-in-one RCM suite or filling in the gaps in your existing systems, we have everything you need to transform your rev cycle.

Request demo

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SWITCH TO WAYSTAR BETWEEN NOW AND 12/20/19 TO GET YOUR FIRST TWO MONTHS FREE.*

*Contract for Starter or Advanced bundle for eCW must be signed by 12/20/19.

“Not only does Waystar seamlessly interface with eClinicalWorks, it offers opportunities to sharpen our processes for eligibility verification, claims submission and remittance.”

EMR IMPLEMENTATION LEAD, ROCKFORD ORTHOPEDICS

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WAYSTAR BY THE NUMBERS

450k+

providers would buy from us again

2b

transactions annually

100%

of clients would buy from us again

98.5%

free pass claims rate

30%

productivity improvement in working claims rejections

100%

paperless appeal packages

2.8x

more coverage found versus peers

*Becker’s Hospital Review, May 2018


OUR PARTNERSHIP BY THE NUMBERS

100%

Lorem ipsum

100%

Lorem ipsum

100%

Lorem ipsum

14+

years and counting

1.8k

practices

14k+

shared providers

98.5%

first-pass clean claim rate

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GET EXTRA INSIGHTS

Looking for more information about how Claims Monitoring can make your staff more efficient? Check out our resources.

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A TRACK RECORD OF SUCCESS

Since 2005, we’ve helped eClinical Works clients collect more revenue, trim AR days and give patients more transparency into the cost of their care. Check out these case studies to learn more about what it’s like to work with us.

Request demo

Rockford Orthopedics case study
> Download

Columbia Gorge Family Medicine case study
> Download

BAYADA Home Health Care case study
> Read now

Defeat Denials with Data white paper
> Read now

Denials by the Numbers infographic
> Read now

Top 4 Things You Can Do To Bring Down Your Denial Rate
> Read now

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Feature

Waystar

Trizetto

Details

SaaS-based platform to monitor AR

Waystar is a SaaS-based platform. Each claim is time-stamped for visibility and proof of timely filing. Most clearinghouses are not SaaS-based.

Electronic worker’s comp claims

Most clearinghouses have an integrated solution for electronic submissions of e-bills and attachments for worker’s comp, auto accident and liability claims.

Payer response messaging

Waystar translates payer messages into plain English for easy understanding. Other groups message by payer, but does not simplify them.

Claim batch transmission

Some clearinghouses submit batches to payers. Waystar submits throughout the day and does not hold batches for a single rejection. Others only hold rejected claims and send the rest on to the payer.

Electronic appeals

Waystar provides more than 900 payer-specific appeal forms with attachments, templates and proof of timely filing. Other clearinghouses support electronic appeals but does not provide forms.

Batch appeals

Waystar offers batch appeals for up to 100 at a time. Most clearinghouses do not have batch appeal capability.

Automated enrollment

Most clearinghouses provide enrollment support. Waystar will submit and monitor payer agreements for clients. Others require more clients to complete forms and submit through a portal.

Payer-specific edits

Most clearinghouses allow for custom and payer-specific edits.

Client support

Waystar has dedicated, in-house project managers that resolve payer issues and provide enrollment support.

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WHAT DO WAYSTAR CLIENTS SAY?

Current KLAS rankings – Claims + Clearinghouse Segment:

 


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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EXPLORE OUR PLATFORM

Patient
Financial
Clearance

Revenue
Integrity

Claim
Management

Denial
Management

Patient
Financial
Experience

Agency
Management

Patient
Insights

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ELEVATE YOUR EXISTING SYSTEMS

GET THE SIMPLEST SOLUTION TO ONE OF YOUR BIGGEST CHALLENGES

Prior authorization requirements are rising, and yet in 2018, 51% were processed by phone, fax or email and 36% were processed manually. Reduce administrative work and the clerical errors that lead to denials with Waystar's breakthrough, easy-to-use solution. It works with your existing systems and requires no extra training or disruptions, working behind-the-scenes 24/7 for faster approvals at a lower cost.


Request demo

$30B

Prior authorizations are estimated to cost healthcare organizations $30B per year

CLIENT SUPPORT YOU CAN RELY ON

At Waystar, we’re focused on building long-term relationships. That’s why we’ve invested in world-class, in-house client support. We’ll be with you every step of the way from implementation through the transformation of your revenue cycle, ready to answer any questions or concerns as they arise.

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90%

Simo ex expercit officabori sima int

CLIENT SUPPORT YOU CAN RELY ON

At Waystar, we’re focused on building long-term relationships. That’s why we’ve invested in worldclass, in-house client support. We’ll be with you every step of the way from implementation through the transformation of your revenue cycle, ready to answer any questions or concerns as they arise.

RANKED #1 BEST IN KLAS OR CATEGORY LEADER EVERY YEAR SINCE 2010

MULTIPLE BLACK BOOK TOP VENDOR AWARDS SINCE 2012

98% NPS OVERALL SATISFACTION RATING

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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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SEE SAVINGS ADD UP

Did you know it takes 14 minutes on average to manually check the status of a claim? Use the calculator on the right to see how much you could save by automating claims management.

Contact Us

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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BOOST YOUR BOTTOM LINE

It costs up to $118 to work a single denial —and with 15-25% of claims not paid the first time, that cost can really add up. Use our calculator to the right to find out how much more revenue and staff time you could recover by preventing denials, automating workflows and streamlining the appeal process with Denial Management from Waystar.

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Monthly claim volume

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Current denial rate

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Average claim value

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Average number of appeal packages submitted per month

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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)

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Payer Mix (% Commercial)

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Payer mix (% Government)

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Payer mix (% Other/self pay)

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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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LEARN MORE ABOUT MAKING THE SWITCH

We’d love to show you how you can reduce manual work and discover a smarter rev cycle. Fill out the form below, and one of our experts will be in touch shortly.

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