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

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Categories

Solutions

Description

Product Description:

Waystar leverages AI to automatically audit claims, build out detailed reports on the process and generate high-accuracy DRG assessments. DRG Anomaly Detection also gives you increased visibility into coding opportunities, case data and areas to target for improvement.

With Waystar’s DRG Anomaly Detection, your team can easily:

  • Track and trend revenue loss with customizable reporting, dashboards + proactive alerts
  • Employ rigorous DRG error verification
  • Implement post-bill + move to pre-bill configuration
  • Record detailed notes, reducing time spent reviewing performance down the line
  • Categorize populations + account subsets for assessment in a pre-bill or post-bill state
  • Send a ‘bill-hold’ file preventing claims with qualified DRG errors to be released for billing
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:
R1 Revenue Integrity Solutions leverage advanced technology and analytics, a proprietary rules engine, and extensive project management and healthcare expertise to help providers gain accurate reimbursement for the care provided. Building solid and compliant foundations for pricing, coding and charging while monitoring reimbursements for accuracy is at the core of any revenue integrity initiative.
About R1 RCM:
R1 RCM is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. R1’s proven and scalable operating models seamlessly complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. To learn more visit: r1rcm.com.  

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Use Cases

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EHR Integrations

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Client Types

Differentiators

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Company Details

Founded in 2000

Founded in 2003

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