Waystar

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

For providers of all kinds, managing claims and denials is one of the most demanding parts of the revenue cycle. With Waystar, you can prevent rejections and denials before they happen, automate claim monitoring, easily send batch appeals and much more. Work claims and denials within our intuitive interface or directly in the PM system or HIS you’re used to. Because implementation and integration are seamless, switching to Waystar has never been easier—or more worth it. Let’s illuminate a quicker, clearer path to reimbursement.

Simplify patient payments with a single integrated platform. From pre- to post-service, every payment channel is centralized and easily accessible, with automated posting and to-the-penny reconciliation.

No matter how many locations you have or how complicated your system, our holistic approach to the patient financial experience helps you seamlessly increase collections, efficiency and satisfaction. 

The Waystar platform offers:

• Purpose-built infrastructure to power all patient payments + communications
• Easy-to-use technology to deliver an intuitive payment experience
• Personalized engagement + affordable payment options to empower fiscal decisions
• Easy, reliable integration with your existing systems
• Automatic reconciliation, every day and to the penny

What our clients are saying:

“After implementing Waystar, payments have increased substantially, patient wallet adoption has doubled and our Net Promoter Score among patients rose to +60, which is incredible. ”

Cole Elmer, VP Revenue Management, BJC Healthcare

In an environment where codes and billing regulations are always changing, ensuring accurate charge capture can be a huge challenge for providers. Waystar handles this to ensure you aren’t leaving money on the table.  

Protect your revenue + prevent revenue loss

• Increase FTE productivity
• Rebill payers with more confidence
• Get deeper visibility into your data to identify root causes
• See just how much Charge Integrity could benefit your bottom line. Click below to get an estimate of your potential ROI.

Implementation is seamless, and you’ll see immediate results.

How is Waystar different?

• Predictive analytics go beyond a basic rule-based approach
• Machine learning algorithms analyze historical data to identify patterns
• Hospital and physician data sets are cross-referenced to identify incompatible codes and missing or incorrect charges
• In-house auditing team of certified coders (AHIMA/AAPC, RHIA, RN, CPC)
• Web-based or HIS-integrated user workflows
• Comprehensive review process across all payers and patient classes

What our clients are saying:

"We don't have time to constantly read journals to find out the latest code--I don't know anyone who does. Just one cardiology code paid for the Charge Integrity product for a few years."

-Assistant Director, Revenue Integrity, Floyd Health Care System

Waystar’s Eligibility Verification solution automates much of the eligibility process so you can say goodbye to the days of searching and interpreting patient coverage and focus on what really matters: your patients. With our powerful technology, you can:

• Prevent more rejections + denials
• Strengthen front-end collections
• Optimize staff productivity
• Elevate the patient payment experience

What makes Waystar the industry’s most accurate eligibility verification tool?

Getting insurance verification right the first time is crucial. Incorrect or incomplete eligibility has a ripple effect across the revenue cycle, from missed authorizations to reworking denied claims.  

Powered by Waystar’s AI + RPA, our Eligibility Verification tool combs through payer data to curate the most accurate and comprehensive benefit information. With richer coverage detail, staff can easily identify eligibility issues. Plus, our eligibility engine seamlessly integrates with all major EHRs.

Features + benefits

• Superior eligibility results with RPA + expansive payer connectivity
• Plan code matching to mitigate registration errors
• Normalization of payer data for more efficient workflows
• Intelligent alerts with actionable guidance for staff

Enriched benefit data

• Utilize RPA + EDI connections to surface complete response
• Expansive payer connectivity for best data in the market
• Enriched eligibility data when no EDI is available

Automated, intelligent workflow

• Integrated workflow for seamless user experience
• Intelligent warnings + Medicare Advantage plan alerts
• Guided next best user actions

Unparalleled financial clearance operations

• Auto-rechecks eligibility whenever account data is updated
• Benefit information is normalized for ease of consumption
• Self-pay validation for coverage verification

What our users have to say:

“ Before Waystar, we were going to a variety of carrier websites and spending a lot of time on the phone to check eligibility. It was labor intensive. Now we have all our carrier information in one location in our system. ”

- Manager of Revenue Cycle Billing & Coding