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

0 review

PersonaPay™
PersonaPay™

0 review

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:

PersonaPay™ offers patients an easy way to set up and manage self-serve payments, payment plans, financing options and financial assistance all based on each patient’s individual need. Patients can also set up personalized notifications and preferences for electronic statements, stored card or banking information, auto-pay and digital communication preferences via email or text. All of this is designed to promote self-service payments, reduce the number of customer service inquiries and help patients to fulfill their financial obligations.

In more complex billing situations, PersonaPay ensures your customer service and front desk staff benefit from the same patient-specific insights. PersonaPay eliminates guess work by helping your team guide patients through an empathetic financial conversation. 

The combination of built-in dynamic scripting—and access to the same information patients see on their portal—gives your staff the tools they need to be successful. Team members gain secure access to the patients’ account summary, recent activity, wallet information, preferences and payment schedules, all of which empowers them to effectively support patients. Secure payments also can be taken over the phone using PersonaPay’s marquee Deviceless Payments™.

RevSpring’s Deviceless Payments™ provides a safe and secure way for your team to accept patients’ credit card and ACH payments. Deviceless Payments can initiate payments via phone, text or email, mitigating PCI compliance risk by bypassing direct interaction with the patient when processing card or banking information. This protects patient privacy while conveniently and expeditiously fulfilling their payment obligation. You also will reap the cost-saving benefits by not having to procure or manage costly devices.

About RevSpring, Inc.:

RevSpring leads the market in healthcare engagement and payment solutions that inspire patients to participate in and pay for their healthcare. We’ve built Engage IQ™, the industry’s only connected patient engagement suite designed to coordinate patient interactions from pre-care to post-care to payment. RevSpring’s intelligent, holistic platform puts patient understanding at the center of one connected personal experience, allowing providers to fully optimize patient satisfaction, data accuracy, staff efficiency and financial outcomes. The company’s OmniChannel communications and payment solutions are backed by intelligence, analytics, contextual messaging and user experience best practices. RevSpring was rated #1 for Most New Capabilities in Patient Engagement by KLAS in 2023 and Best in KLAS in Patient Communications in 2024.

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

Product Capabilities

RevSpring's True Estimate solution determines the patient’s financial liability by using the hospital’s chargemaster (CDM) and the contracted payer rates. It combines the chargemaster amount, the contracted payer rate, and the patient’s insurance benefit details to calculate the patient’s financial responsibility after insurance. It also implements logic to apply prompt-pay and self-pay discounts when arranging for payment.

RevSpring eliminates the friction that exists when healthcare organizations separate the billing and payment experience for multiple procedures tied to one encounter, fail to consolidate hospital and physician charges, and complicate the billing and payment experience because they have multiple EMRs. Patients experience a consolidated and consistent print and digital billing experience through our PersonaPay™ portal. Patients pay faster—and make significantly fewer calls to your customer service center—when they receive one clear, combined statement.

RevSpring offers digital delivery of patient communications. Providing important financial information to patients using SMS/text messages and email allows patients to act on that information sooner and at a lower cost. Because patients who engage digitally tend to pay digitally, by reducing lockbox and human-assisted call center payments, providers can carve out costs using more cost-effective channels.

Patients have different preferences for how they make payments. That’s why we offer a broad range of payment options—print statements, portal, IVR, text-to-pay, email, and deviceless payment options—all designed to increase patient convenience, reduce staff burdens and increase payments. Patients can easily set up and manage self-serve payments, payment plans, financing options and financial assistance all based on their individual needs.

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:

RevSpring leverages what we know about your patients to predict likely payment outcomes. Our unique model drives the best payment outcomes—for your patients and for you—based on sound intelligence.

This knowledge is then translated into action. For example, based on in-depth demographic data, PersonaPay has the knowledge to present one patient with a pay in full call to action, while another could be

presented with flexible payment plans to ensure you are maximizing your receivables in the shortest possible timeframes.

  • Clear payment options tailored to a patient’s unique needs
  • An easy way to set-up and manage self-serve payment payments, payment plans, financing options, and financial assistance
  • Notifications and preferences for electronic statements, stored card and banking information, and contact information
  • CSR scripting for consistency and accuracy
  • Deviceless Payments for secure payments over the phone
  • Integrated with major EMW solutions and RevSpring Merchant Services
  • Proven implementation methodology for requirements gathering, data integration, portal configuration and resources
Pediatric use cases:

None provided

Users:

IDN/Health Systems, Physician Groups, Pharmacies and other Specialty Providers, including Urgent Care, Ambulance Services, ASCs, Orthopedics, Dermatology, Women’s Care, and more

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, Ancillary EMR, Patient portal, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, MEDHOST, MedWorx, QuadraMed, Point Click Care

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

RevSpring's goal is to match our solutions to the strategic investments you’ve made in your software platforms. Beyond that, we strive to integrate seamlessly. That means blurring the lines between your HIS systems and ours, elegantly filling the gaps that may exist in your platforms, and helping you deliver a positive patient financial experience.

Differentiators vs Competitors:
  1. Active integrations with 97% of the EHR market
  2. We don’t endeavor to compete with the EMR/EHR functionality, we complete it
  3. 7 integrations in the Epic’s Connection Hub and/or Epic’s Toolbox (a leading number)
  4. Dedicated integration team focused on new and expanding integrations to meet our client’s business and technology needs

Health Equity

Keywords

Images

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Videos

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Downloads

No content provided

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PersonaPay_Bro (1).pdf

Alternatives

Company Details

Founded in 2000

Founded in 1997

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