Waystar Charge Integrity
Experience more efficient + accurate revenue capture.
Overview
Waystar's Charge Integrity solution is designed to address the significant revenue loss healthcare providers face due to charge capture issues. It moves beyond simple rule-based systems by using predictive analytics and machine learning algorithms to analyze historical data and identify patterns of incorrect coding, under-coding, and missing charges. The solution is supported by a U.S.-based auditing team that validates suspected errors before they are sent to the provider's team for resolution, increasing efficiency and ensuring accuracy.
✨ Key Features
- Predictive analytics and machine learning algorithms
- Pre- and post-bill configuration
- U.S.-based auditing team for validation
- Web-based or HIS-integrated workflows
- Root cause analysis and data visibility
- Automated identification of missing charges and coding variances
🎯 Key Differentiators
- Use of predictive analytics and machine learning over basic rules
- Hybrid approach combining technology with a human auditing team
- Focus specifically on charge capture and integrity rather than just file maintenance
Unique Value: Combines advanced AI with expert human validation to accurately identify and recover revenue from missing charges and coding errors, moving beyond traditional rule-based systems.
🎯 Use Cases (4)
✅ Best For
- Automatically identifying and recovering missing charges before claims are submitted
- Using predictive analytics to find under-coded claims
💡 Check With Vendor
Verify these considerations match your specific requirements:
- Organizations looking for a tool primarily for chargemaster file maintenance and pricing
🏆 Alternatives
Offers a more sophisticated, analytics-driven approach to finding revenue leakage compared to solutions that focus solely on maintaining the chargemaster file itself.
💻 Platforms
🔌 Integrations
🛟 Support Options
- ✓ Email Support
- ✓ Live Chat
- ✓ Phone Support
- ✓ Dedicated Support (Standard tier)
🔒 Compliance & Security
💰 Pricing
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