Waystar's Denial Prevention and Recovery suite is designed to address the challenges of medical billing denials by automating workflows and utilizing predictive analytics. The platform identifies the root causes of denials, prioritizes claims with the highest likelihood of successful appeal, and automates the generation and submission of appeals. This comprehensive approach reduces manual effort, accelerates reimbursement processes, and minimizes revenue loss, enabling healthcare organizations to focus more on patient care.

Features

• Root Cause Reporting: Provides insights into the underlying causes of denials, facilitating proactive measures to prevent future occurrences.
• AI-Driven Prioritization: Utilizes predictive analytics to rank denials based on the probability of successful overturn, ensuring efficient resource allocation.
• Automated Appeals: Generates and submits prepopulated, payer-specific appeal forms, expediting the appeals process and increasing the chances of reimbursement.
• Customizable Workflows: Allows for tailored, exception-based workflows to align with the unique operational needs of each organization.
• Seamless Integration: Integrates with existing Electronic Medical Record (EMR) or Practice Management (PM) systems, maintaining them as the primary source of truth and streamlining operations.