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Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:
There’s a wealth of powerful data within your EHR—you just need real-time insights and seamless integration to make it actionable. Our Prior Authorization solution, powered by Waystar’s Hubble: - Automatically verifies, initiates, statuses and retrieves comprehensive authorization details - Enables efficient, intelligent automation by initiating authorizations at twice the speed of manual processes - Integrates directly with all major HIS and PM systems - Provides end-to-end authorization platform, including authorizations submissions for unscheduled admissions, as well as auto-generating ABNs or Notice of Non-coverage forms for Medical Necessity - Adapts to constantly shifting payer rules and requirements - Was built and is maintained by our in-house team of experts
About Waystar:

Waystar delivers innovative technology that simplifies and unifies healthcare payments. The company’s cloud-based platform helps healthcare providers across all care settings streamline workflows, improve financial performance and bring more transparency to the patient financial experience. Waystar solutions have been named Best in KLAS or Category Leader by KLAS Research 16 times (across multiple product categories) and earned multiple #1 rankings from Black Book. The Waystar platform is used by more than half a million providers, 1,000 health systems and hospitals, and 5,000 payers and health plans—and integrates with all major hospital information and practice management systems. On an annual basis, Waystar’s AI-powered solutions process $5B in patient payments, generate $4B in out-of-pocket estimates and process claims representing approximately 40% of the U.S. patient population. For more information, visit www.waystar.com.

Product Description:

For hospitals, it is 4x harder to collect from patients than insurance payers. Patients now make up to 30% of hospital revenue but are 4x harder to collect from than insurance payers1 due to complexity, regulation and patient means. 

Sift Healthcare provides advanced analytics and machine learning integrations to optimize patient payments. Sift combines patient payment expertise and AI-driven intelligence to equip providers with an integrated toolset to optimize patient financial engagement.

Patient collections should be a dialogue, not a solicitation. Sift integrates AI into your patient engagement platform to guide patient communications activities – maximizing collections while improving patient engagement.

  • Account Segmentation
  • Patient Contact Strategy
  • Payment Plan Provisioning
  • Improved collections, increased payment plan adoption, and reduced inbound/outbound calls

Propensity-to-pay for a person, not a number. Sift goes beyond credit scores, leveraging historical data to determine the best engagement approach for each patient.

  • Improved Patient Satisfaction
  • Pre-service patient financing and collection recommendations that help avoid surprises and set expectations
  • Lookalike predictive models, not credit scores and rule logic
  • Increased upfront collections with more empathy
About Sift Healthcare:
Sift Healthcare provides intelligent and accessible solutions for provider systems that need to extract meaning and value from their vast stores of payments data. Sift organizes and normalizes all of your payments data in one location, providing a holistic view of collections. Our denials and patient collection dashboards, payer scorecards, propensity to pay tools, market intelligence reports and enriched patient profiles enable revenue cycle teams to optimize workflows and accelerate cash flow.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

With over 300+ payers and a broad array of deployable service lines and patient types, we provide a full cycle automation solution for prior authorization: from pre-scheduled prior auth submission, status checking and denial prevention worklist alerts, as well as medical necessity verification and notification of admission.

Pediatric use cases:

None provided

Users:

Pre-service financial clearance teams, auth cert teams, any prior authorization staff doing medical necessity as well as authorization for services at acute care facilities or OP areas.

Description:

Sift's intelligence tools and integrated ML recommendations around patient payments enable health systems to:

  • Pre-clear patients upfront.
  • Get more patients on payment plans, earlier.
  • Execute omnichannel contact across the entirety of the patient journey.
  • Help patients commit to meeting their financial obligations before service.
  • Utilize an integrated view of insurance-patient responsibility to optimize resolution and present patient responsibility, early and more accurately.
Pediatric use cases:

None provided

Users:

VP or Revenue Cycle, PFS executives, PFS team, SBO and CBO personnel, Patient Payment Collections Team

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Patient portal, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner, Meditech, Allscripts

Hardware Compatibility:

None provided

Client Types

Differentiators

Differentiators vs EHR Functionality:
Many hospitals, health systems, and IDNs have invested in billion dollar EMR/EMRs which are an extraordinary vehicle for clinical and billing functions -- but lack the ability to elevate automation in key business areas such as prior authorization. This is due to their lack of payer connections and the absence of advanced intelligent software. Together, Waystar brings the intelligence that powers today's EMR/EHR platforms and automation efforts.
Differentiators vs Competitors:
With nearly a decade in the business of automating prior authorizations, we are known for our internal expertise when it comes to payers, process change, and technology. We believe pushing the envelope in know-how across all 3 is what gives our clients the edge on automation. With more payer connections, more relationships with payers, and greater flexibility in accessing payer data we can access the best and most timely data. We not only seamlessly integrate with EPIC but offer full-stack integration capabilities or a powerful stand-alone application -- all because each patient access team is different. And powered across our Hubble platform (a blend of RPA, machine learning, NLP, and advanced auth rules) we are well positioned to power your automated enterprise.
Differentiators vs EHR Functionality:
  • Unified and normalized data sets that are accessible and provide a full view of patient payment behavior 
  • Dynamic machine learning based workflows, rather than rigid rules-based logic
  • Intelligence that enables the most effective use of EHR functionality 
Differentiators vs Competitors:

None provided

Keywords

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Company Details

Founded in 2000

Founded in 2017

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