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Healthcare Denial Management Software

Recover more revenue with Denial + Appeal Manager

When reducing denials is the #1 priority for providers, healthcare denial management software is vital. Otherwise, managing denials and building appeal packages slows cash flow and takes your team off high-value tasks.

Waystar’s Denial + Appeal Management fixes that. Our software uses AI to track and triage denials — and may even prevent them in the first place. Coupled with paperless, prepopulated appeals forms, our denial management software helps maximize reimbursement and efficiency.

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Denial + Appeal Management by the numbers

70%
of organizations have a minimum
balance write-off
80%
have no way to filter or prioritize denials

Source: HFMA Report: Research + insights on denials in healthcare

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Proven healthcare denial management software

Speed + maximize reimbursement

Denial + Appeal Management uses Waystar’s massive data sets to prioritize denials likely to result in payment and route them to the right work groups. It leverages a library of 1K+ prepopulated payer-specific forms to generate and submit appeal packages. And it does all this while integrating directly into your PM or HIS. That’s why Waystar clients see results like a 72% decrease in denials rate.

Denial + Appeal Management offers:
  • A 100% paperless process + batch appeal submission options to increase efficiency
  • AI + predictive analytics to prioritize the denials most likely to be overturned and paid
  • Appeal tracking + proof of delivery to eliminate uncertainty
  • Customized, exception-based workflows to meet your unique needs
  • Advanced analytics + root-cause reporting to support decision-making and denial prevention

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denial management

Despite being a leader in home health care, BAYADA struggled with an antiquated revenue cycle management system.

With Waystar’s denial management software, they saw:

40
minutes saved per appeal
100%
paperless appeals process
1,100+
pre-populated payer-specific forms

Source: Waystar data

72%
decrease in denial rate
$3.7M
recovered in 12 months
51%
drop in average days to payer receipt

Source: Waystar data

Canyon

“ Denial and Appeal Management was one of the biggest fundamental helpers for our performance in the last year. It has really cleaned up our process. It’s been a nice change of pace, to have most of the data needed to respond to a payer denial populating automatically. ”

Chief Operations Officer at Integrated Behavioral Health Network
Read Success Story

“ Denial + Appeal Management was a game changer for time savings. We have more confidence than ever that our processes work and our claims will be paid. ”

Will Boyd Director of Home Health Reimbursement Services at
BAYADA Home Health Care
Watch Success Story

Transform your revenue cycle with Waystar

Use our smart platform to get even more out of healthcare denial management software — all through a single, cloud-based experience.

Complementary Solutions

Patient Statements | Lockbox | Patient Payments + Portal | Advanced Propensity to Pay | Patient Estimation | Coverage Detection | Charity Screening

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Connect with a denial management software expert

Looking for more information on how Denial + Appeal Management can transform your workflows? Fill out the form below, and we’ll be in touch shortly.