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

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Categories

Solutions

Description

Product Description:
Prior authorizations can include many voices and layers, but the administrative burden doesn’t have to be so heavy. Trade the fax-phone-portal hustle for a real-time intelligence platform that connects directly to your payers, so decisions—and patient care—are free to move faster. Rhyme makes it easy for providers to move from transactions to deeper, more meaningful interactions. Our platform funnels the right questions to the right people at the right time.
About Rhyme:

Prior authorization, minus the frustration. Rhyme connects payers and providers intelligently inside the prior authorization workflow, reclaiming the time lost on back-and-forth efforts and returning it to the patient. Join the largest integrated prior authorization network in the country!

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.

Compatibility level

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Clients

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Use Cases

Description:

Solutions for Providers

Work smarter, not harder.

Prior authorizations can include many voices and layers, but the administrative burden doesn’t have to be so heavy. Trade the fax-phone-portal hustle for a real-time intelligence platform that connects directly to your payers, so decisions—and patient care—are free to move faster.

Rhyme makes it easy for providers to move from transactions to deeper, more meaningful interactions. Our platform funnels the right questions to the right people at the right time.

Solutions for Payers

The wall between payers and providers? It’s gone now.

Providing thoughtful, quality care for your members is hard to do without meaningful provider interactions. Talking over a wall is an antiquated method, so we tore the wall down. The replacement? An intelligent, collaborative, integrated network that makes life easier for everyone.

Pediatric use cases:

None provided

Users:

Providers, Payers

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.

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Other

Hardware Compatibility:

None provided

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

Differentiators

Differentiators vs EHR Functionality:

Faster

Rhyme meets your staff right where they are in the workflow, raising productivity and reducing time and effort spent on prior authorizations by up to 91%. Plus, implementation is fast, easy, and entirely flexible.

Smoother

Say goodbye to silos and separation. Our shared knowledge network brings providers and payers together in real time, eliminating the back-and-forth game and opening the door for collaboration.

Smarter

We believe in transparent, relationship-based payer connections, where everyone’s in the loop and empowered to do better work on behalf of patients.

Differentiators vs Competitors:

With our deep, direct, relationship-based connections, it’s easy to see why Rhyme is the largest and fastest-growing prior authorization network.

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.

Keywords

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Company Details

Founded in 2014

Founded in 2000

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