DRG Anomaly Detection

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