Waystar Revenue Cycle Technology Software

4.56 / 5 (74)

Our advisors have recommended this product 3 times in the last 30 days

About Waystar Revenue Cycle Technology


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.



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Supported Operating System(s):

Mac OS, Web browser (OS agnostic), Windows 8

74 Reviews of Waystar Revenue Cycle Technology

Average User Ratings

Overall

4.56 / 5 stars

Ease-of-use

4.5

Value for money

4.5

Customer support

4.5

Functionality

4.5

Ratings Snapshot

5 stars

(50)

4 stars

(18)

3 stars

(4)

2 stars

(1)

1 stars

(1)

Likelihood to Recommend

Not likely

Very likely

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Showing 1-20 of 74 reviews

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December 2018

altrina from buffalo wheelchair inc

Company Size: 51-200 employees

Review Source: Capterra


Ease-of-use

5.0

Value for money

3.0

Customer support

4.0

Functionality

4.0

December 2018

Waystar/Zirmed

Pros

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.

Cons

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.

January 2019

Mike from Liberty Consulting and Management Services, LLC

Company Size: 11-50 employees

Review Source: Capterra


Ease-of-use

5.0

Customer support

5.0

Functionality

5.0

January 2019

Waystar (Formerly Zirmed)

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.

Pros

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.

Cons

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.

June 2018

derek from EAST JEFFERSON MEDICAL CLINIC

Company Size: 11-50 employees

Review Source: Capterra


Ease-of-use

5.0

Value for money

4.0

Customer support

4.0

Functionality

5.0

June 2018

Used mainly for confirming insurances are valid/active

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

Pros

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.

Cons

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

July 2018

Jenny from Children & Teens Medical Center

Company Size: 11-50 employees

Review Source: Capterra


Ease-of-use

5.0

Value for money

5.0

Customer support

5.0

Functionality

5.0

July 2018

Great customer service and sales team.

efficient claims processing, denials management, great reports with comparrisons to others in the same industry.

Pros

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.

Cons

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.

March 2018

Brittany from Columbia Urological Associates

Company Size: 11-50 employees

Review Source


Ease-of-use

5.0

Customer support

4.0

Functionality

5.0

March 2018

6 Years of Use-Happy Customer

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.

Pros

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.

Cons

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.

September 2017

Jenny from Children & Teens Medical Center

Company Size: 11-50 employees

Review Source: Capterra


Ease-of-use

5.0

Value for money

5.0

Customer support

5.0

Functionality

5.0

September 2017

From sales to accounting to support, all the employees have honored the 3 ring rule. Everyone is he

Expense! Although I do experience the value of your product and services as positive. I really think Symphony should be the standard application for users. There is so much more to help a biller get their work done and information available at their finder tips!

Pros

I especially like Perform Reporting for the fee schedules and payments. The graphs and drill down gives us many options to choose from. Claims appeal process is swift and the pre-written appeal letters really help a lot. It is a time saver to correct the claims in Navicure. I only have to change my claim status in ECW. Now that we are on Symphony I have more choices to look over and use. We are able to look at the ERA denials as well which has been very helpful. More information and drill downs.

November 2018

Lauren from FYZICAL MetroWest

Company Size: 2-10 employees

Review Source: Capterra


Ease-of-use

4.0

Value for money

5.0

Customer support

5.0

Functionality

5.0

November 2018

Great Clearinghouse

I have used Waystar for three years (when it was Zirmed first), and I have never had any major issues. They help me resolve not just issues with their service or website, but with claims as well when the insurance says there is a timely filing or other filing issue.

Pros

I love how Waystar has EVERYTHING - claims, eligibility, patient payments, remits. And the reporting makes it easy to track what claims haven't been paid, or where there are errors in your claims that are preventing it from being paid. Appealing claims on Waystar is super easy, and tracking down claims that were paid but somehow didn't get into your EMR is also really easy.

Cons

The set up is a little cluttered, but no big deal in the grand scheme of things.

April 2018

Nate from TMACOG

Company Size: 11-50 employees

Review Source


Ease-of-use

4.0

Value for money

4.0

Customer support

5.0

Functionality

5.0

April 2018

Absolutely Best In Class Billing Software

It really is best in class. Easy for billing, has long list of insurance companies they interface with, the only thing that could be improved would be eligibility checks.

Pros

Has integrations with almost every possible insurance company in the States. Easy to make edits and track payments. Has fantastic denial tracking and easy to make re submissions on denials. Eligibility checks are also fairly easy even though its probably its weakest component.

Cons

Eligibility checks could be improved somewhat. The reports are nice, but are time consuming to go through. No easy way to see if patients insurance has changed without going through them one by one.

December 2018

Kari from IMBS, Inc.

Company Size: 2-10 employees

Review Source


Ease-of-use

3.0

Value for money

3.0

Customer support

3.0

Functionality

4.0

December 2018

There are better clearinghouses

I like that it integrates, but when I actually have to get on the website it's frustrating and confusing.

Pros

- It integrates with one of our Practice Management software programs so we don't have to go on the website very often
- The customer support is pretty fast, unless a ticket has to be escalated

Cons

- There are many different packages so you might be able to do everything you need, but you have to pay for the most expensive package to do it. We have one of the more basic ones because we decided that it wasn't worth the cost since our PM did a lot of the same stuff already. But whenever I try something and it says we don't have that function, it's pretty frustrating.
- You have to open a ticket to enroll an insurance payor, I think. That's how I do it and I can't find any other option for payer enrollment on the site. We have another clearinghouse we use that allows you to create enrollment paperwork so you can actually see what you need before going forward with the enrollment.
- Patient Statements are on a completely different site with a separate login. I can see that we've uploaded a batch, but I have to go on another site to view the batch.
- The "Purchased Products" section in Manage Account is very confusing. They don't just say what package you have and the services that come with it. It just list a bunch of their services and if you have them or not. You can filter out your Purchased services, but that still includes anything you've EVER had with them, even for a trial and then canceled. And it has a bunch of rates for each thing that I'm assuming are included in the bundle, but if so, they shouldn't list it. I would prefer explanations to what each service is, as well. It's just not very user friendly.

January 2018

Cyrena from Jackson Healthcare

Company Size: 1,001-5,000 employees

Review Source: Capterra


Ease-of-use

4.0

Value for money

4.0

Customer support

5.0

Functionality

5.0

January 2018

Using Navicure for the 1st time was fairly easy.

Easier way to find the reason of the rejected and denied claims daily.

Pros

Navicure is absolutely great for daily reporting! There are various reports that can be review such as the daily productivity, rejection and denial type on your claims. You can work them by the denied reason, insurance company or the dates of service.

Cons

Some of t