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

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.

Ambience Healthcare’s AI technology for scribing, coding, referrals, and patient summaries has been deployed at health systems such as UCSF Health, St. Luke’s Health System, John Muir Health, and Memorial Hermann Health System. Ambience is the only AI scribing and coding solution designed to support 100+ specialties and subspecialties, and is directly integrated with Epic, Cerner, athenahealth, and other leading EHRs. 

By partnering with Ambience, healthcare systems reduce documentation time by an average of 80%, improve clinical documentation integrity, and achieve at least a 5X return on investment with more accurate E&M coding. Ambience is also the only AI solution that provides clinicians with AI-assisted CDI support. Ambience surfaces precise diagnosis codes for clinicians to review based on patient conversations, then structures documentation to support selected codes. 

Ambience Healthcare’s AI technology for scribing, coding, CDI, and patient summaries has been deployed at health systems such as UCSF Health, St. Luke’s Health System, John Muir Health, and Memorial Hermann Health System. Ambience is the only AI scribing and coding solution designed to support 100+ specialties and subspecialties, and is directly integrated with Epic, Cerner, athenahealth, and other leading EHRs.

Ambience provides health systems with end-to-end integrations with Epic, Cerner, Athenahealth, eCW, Elation, and other leading EHRs. 

Platform - Ambience Healthcare supports clinicians with a suite of AI applications across the entire continuum of care, including scribing, CDI, after-visit summaries, and patient referrals.

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Coding awareness - Ambience Healthcare is the only solution that surfaces precise codes for clinicians to review based on the patient encounter. Documentation is also structured to support coding and billing at the point of care. 

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Specialty coverage - Ambience Healthcare is the only solution designed to generate comprehensive documentation for the unique care models, workflows, prior-authorization and coding and billing requirements of each specialty and subspecialty. 

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Impact and ROI - By capturing the nuances of patient and clinician conversations and surfacing precise codes for clinicians to reivew, Ambience enables clinicians to get credit for work they’re already doing. This enables health systems to achieve positive financial ROI, without needing to ask clinicians to see more patients.