Waystar's Revenue Capture suite is designed to help healthcare organizations recover lost revenue due to missing charges, coding errors, and Diagnosis-Related Group (DRG) underpayments. By leveraging advanced technologies and a team of certified coding experts, the platform automates the detection and correction of these issues, streamlining workflows and enhancing financial performance. This comprehensive approach ensures that organizations can efficiently capture all entitled revenue while maintaining compliance and operational efficiency.

Features

• Charge Integrity: Automatically identifies incorrect or under-coded claims and missing charges, reducing manual effort and uncovering owed revenue.
• DRG Anomaly Detection: Utilizes AI to audit claims, providing detailed reports and high-accuracy DRG assessments to ensure proper reimbursement.
• Transfer DRG (TDRG) Recovery: Identifies and adjusts transfer DRG underpayments with minimal manual intervention, preventing revenue loss.
• Predictive Analytics: Employs machine learning algorithms to analyze historical data, identifying patterns that lead to revenue leakage and suggesting preventive measures.
• Comprehensive Reporting: Offers customizable dashboards and alerts, enabling tracking of revenue loss trends and facilitating data-driven decision-making.