Waystar is a cloud-based revenue cycle management platform for healthcare systems. The solution is used by organizations of all sizes to manage administrative and clinical functions. Key features include insurance verification, coverage detection and claims management.
Waystar uses machine learning algorithms to predict claim denials and sends workable denials to the assigned workgroup. It automates the prediction of revenue leakage as well. Users can manage contracts through a centralized repository. Real-time contract loading and modeling is also offered. Reports can be generated to assess payer contract performance and other key performance indicators at the enterprise level.
Waystar integrates payment processing across the hospital information system, performance management system and electronic medical records system. It offers features such as on-the-fly editing and the ability to automatically split remits among various providers. It also provides an automated patient payment workflow.
The solution is available on a monthly subscription basis and support is available via phone.
Altrina T. Especialidad: Hospital y atención sanitaria Número de empleados: 51-200 empleados
what I like most about waystar/zirmed is the ability to perform most of the functions I need with one program, I can verify most of the insurances we use including medicare and getting same/similar information from medicare. i love the rejected claims dashboard and how I can sort to be able to notice trends. they show the claim rejected by waystar/zirmed and claims rejected by the payer. patient payments are easy to use to make payments and have the ability to email a receipt immediately for a payment you took. but what I like most about the patient payments is the ability to set up an autopay this can be done with ca credit card or through a bank account. there are so many great functions with this I cannot possibly write them all down. a new function that was added when they switched from Zirmed to Waystar was the homepage. it allows you to set a homepage so now when log in it takes me the remit tab where I can see payments. we use waystar as our clearinghouse and submit and receive claims, remits electronically and can autopost payments from waystar to our billing software which cuts down on time if we would have to manually post.
I would like to them to add a way to have an open-ended autopay. if we have a patient on oxgyen and it rents forever we still have to put in a total amount so at some point it will stop.
Mike J. Especialidad: Hospital y atención sanitaria Número de empleados: 13-50 empleados
Before we got Waystar (Zirmed), we would either submit the claims on paper (which is hard to track) or through the payers provider portal. We would need to maintain a dozen or so username and password for various websites. You would need to sign up for a lot of websites.
With Waystar, all you need is one username and password. You can electronically submit claims to various payers with one click. Waystar will scrub the claim to see if there are any front end rejections. If the payer rejects the claim, you can correct it within Waystar without having to go back to the EMR and correct it. You can track your claims within Waystar. You can download an excel spreadsheet with the information you need.
You have the ability to correct claims that get rejected by the insurance company. Waystar will scrub your claims even before they sent it off you the insurance company. The layout is very user-friendly and straight forward. If the Payer allows it, remittance advice can be downloaded and uploaded to the EHR software. Claims can be copied if you have to enter them manually. YOu don't need to reenter the whole patient information over and over again.
You'll need to call in order to add a child account. The claims status should be updated if the claim has been paid. Right now, the last status you'll get us if the claim is recieved by the Payer.
Derek C. Especialidad: Práctica médica Número de empleados: 13-50 empleados
Day to day insurance validity checks and billing that has a set price per bill instead per page. National address database check before sending bills to the wrong clinic
Able to run my clinic day to day knowing that patients have valid insurance and possible deductible amount. Allows us to give best patient care without unknowing giving the patient a big bill that will be from care rendered and deductible amount. Zirmed increases my clinic's ability to inform patient of deductible amounts prior so that patient understands amount they may be billed and the reason for the bill. From this, it gives patients the autonomy in their care. Zirmed also has a billing service that allows for import from billing software with set prices per bill (not page) and it checks a national database with address to make sure the bill is going to the correct patient.
The may con I have had with this is that our clinic representative left the company and we were not informed and the phone number wasn't reassigned or disconnected, which left me waiting for a return call that never came. After calling customer service, I was then reassigned
Jenny B. Especialidad: Práctica médica Número de empleados: 13-50 empleados
efficient claims processing, denials management, great reports with comparrisons to others in the same industry.
Their customer service lives up to the 3 ring rule. Customer service are very pleasant and helpful on the phone. If your question is beyond that department they listen to all of your questions or concerns and directly transfer you to the right person/department to help with your needs. I am been very happy with their live training. The videos for additional tools and training are very specific you are able to accomplish what you need to learn. I have found the sales team to be very accommodating when renewing products. I have found their fees for the credit card /Payleap to be the best prices out there.
Not able to interface payments directly in to our EMR software. I know they have plans to eventually make this happen. I am hoping it will be soon.
Brittany E. Especialidad: Práctica médica Número de empleados: 13-50 empleados
We were a fairly small practice when we started with Navicure (8 physicians) and grew to almost 30 providers. Navicure worked great even as we grew.
The messaging system you can use for issues/questions is usually responded to pretty quickly, reps are nice via telephone also. Easy system, user friendly. Didn't require much training. it gives you the option to correct claims directly in Navicure, or cancel and resend from your billing system. Printable reports when needed, easy sorting.
There aren't really any I recall, but it would have been very nice to have two way communication (meaning the changes made in Navicure would be sent back to the billing system). For this reason we chose to cancel the claims and correct them in the billing system to avoid the possibility of forgetting to update in the billing system after it was done in Navicure.