Waystar

Waystar's financial clearance module simplifies the front end of the revenue cycle. It offers real-time eligibility verification, automated prior authorization tracking, and patient estimation tools. Providers can offer instant price transparency to patients. The system reduces claim denials by verifying benefits upfront. It also flags outstanding balances for collection before a claim is filed.

The revenue capture feature ensures complete and accurate charge capture. It validates charges against billing guidelines to avoid revenue leakage. The system detects unbilled services using analytics and highlights them for coding. Revenue capture reduces manual efforts with claims scrubbing and billing intelligence.

Waystar's claim manager simplifies claim submission processes. It offers features like automated claim monitoring and attachment management. The system tracks Medicare, Medicaid, and commercial claim workflows. Automated alerts notify users about rejected or pending claims. Claim management improves turnaround time, compliance, and overall reimbursements.

The payment management module streamlines payment posting, ERA reconciliation, and deposit management. It interfaces with multiple payer portals for Electronic Funds Transfers. Users can configure rules-based posting of payments and EOBs. The system calculates contractual adjustments and timely filing deadlines. Agencies can leverage self-service portals to pay invoices online.

Powerful reporting tools offer critical business intelligence. Users access role-based customizable dashboards and reports. They can filter data to spot problems and take prompt action. Standard templates alongside ad-hoc reporting capabilities improve decision-making. Managers can track KPIs, compare performance, and devise strategies with easily understood visuals.