Waystar RCM Platform: Healthcare Revenue Cycle Management

Key Features

• Eligibility Verification

  Supports the process of verifying insurance benefits for patients.

• Prior Authorization Automation

  Designed to automate the authorization process to help reduce manual administrative work.

• Claim Monitoring

  Allows providers to track claims and manage payer remittances.

• Denial Management

  Tools for avoiding, tracking, and appealing claim denials.

• Patient Estimation

  Helps providers offer cost estimates and price transparency to patients.

• Reporting Analytics

  Generates reports and provides intelligence based on revenue cycle data.

Use Cases

• Financial Clearance

  Using eligibility verification and coverage detection to confirm patient insurance before care.

• Claim and Payer Management

  Monitoring claims and managing attachments to support reimbursement workflows.

• Denial Recovery

  Tracking and appealing denied claims to help recover owed revenue.

• Patient Financial Communication

  Providing patient statements, electronic EOBs, and self-service payment options.

FAQ

Who is Waystar designed for?

Waystar is designed for healthcare organizations of various sizes, including physician practices, ambulatory surgery centers, hospitals, and health systems.

What does Waystar do for the revenue cycle?

It supports tasks across the revenue cycle, including insurance eligibility verification, prior authorization, claim monitoring, and denial recovery.

Does Waystar work with existing healthcare software?

Yes, Waystar is designed to integrate with existing EHR, HIS, and PM systems to help providers manage workflows within their current software.