Waystar Medicare

GET PAID FASTER

When it comes to managing and automating your Medicare revenue cycle, no one makes it easier than Waystar. Our Medicare experts have built a reimbursement experience that’s simply better, more transparent and delivers the quick and accurate reimbursement you deserve. No matter what your needs, we have a Medicare solution that’s right for you.

Medicare Enterprise

Medicare Enterprise is the premier all-in-one solution to manage and automate the Medicare revenue cycle. Medicare Enterprise gives you:

Reporting and Analytics
Comprehensive Medicare reporting and analytics delivers greater insight into your billing process so you can spot any issues that may negatively impact your billing and follow-up efforts. Waystar provides actional data about rejections, denials, RTPs, ADRs, eligibility, claims paid, days in A/R and much more.

Easy Claims Correction
Update your claims directly in the Medicare system with our web-based claim form that looks just like the UB-04 that’s familiar to you. Correct large numbers of claims in a shorter amount of time. Claims correction is available 24/7 so your team can work when and where it’s convenient.

Powerful Medicare Eligibility Verification
Check eligibility in real time straight from the Medicare system. Waystar provides the most comprehensive eligibility report available. With our direct access to Medicare’s data, you’re able to correct data discrepancies such as misspelled names, incorrect MBI numbers and DOB on the spot. Check key patient details like Medicare Advantage plans and preventative services.

Secure Connection
Connect to Medicare DDE and multiple MAC regions simultaneously.

Reliable File Transfer
Transfer claim files quickly and securely to speed up reimbursement. Get a complete snapshot of your 835/837 file transfer activity so you can quickly review which claims have been accepted, rejected and processed.

Medicare Essentials

Medicare Essentials is a fast, secure and reliable way to directly connect to the Medicare system and verify patient eligibility with real-time data. Medicare Essentials gives you:

Powerful Medicare Eligibility Verification
Check eligibility in real time straight from the Medicare system. Waystar provides the most comprehensive eligibility report available. With our direct access to Medicare’s data, you’re able to correct data discrepancies such as misspelled names, incorrect MBI numbers and DOB on the spot. Check key patient details like Medicare Advantage plans and preventative services.

Secure Connection
Connect to Medicare DDE and multiple MAC regions simultaneously.

Reliable File Transfer
Transfer claim files quickly and securely to speed up reimbursement. Get a complete snapshot of your 835/837 file transfer activity so you can quickly review which claims have been accepted, rejected and processed.

Medicare Connect

Medicare Connect is a fast, secure and reliable way to directly connect to the Medicare system, giving you:

Secure Connection
Connect to Medicare DDE and multiple MAC regions simultaneously.

Reliable File Transfer
Transfer claim files quickly and securely to speed up reimbursement. Get a complete snapshot of your 835/837 file transfer activity so you can quickly review which claims have been accepted, rejected and processed.

Medicare Quality + Compliance

Waystar’s Quality + Compliance products deliver the services and reporting providers use to improve quality outcomes, boost Five-Star Ratings, reduce readmissions, increase referrals and drive cash flow. Learn more about our tools for leveraging CASPER and submitting and tracking OASIS, HIS, MDS and PBJ files.

Medicare Analytics

Providers who use Medicare Analytics more precisely understand the reasons preventing them from sending a clean claim on first submission. With this tool, providers receive incomparable Medicare revenue cycle data and insights. Instantly identify, understand and remove barriers for maximum Medicare payment.

Medicare esMD

Medicare esMD integrates and streamlines electronic submission of documentation and medical records. Thousands of providers trust Waystar to securely send and track their sensitive files. We are a CMS Approved Network Service Vendor and Health Information Handler, so you can breathe easier knowing your files make it to CMS securely and without data loss.

Medicare Secondary Crossover

Medicare Secondary Crossover automates and accelerates your Medicare Secondary Payer billing process. It creates the UB-04, 1500 and EOMB documents needed for billing claims that did not cross over. It also provides detail and summary reporting for all claims with secondary payers.

Medicare Direct Claim Entry

Waystar’s Medicare Direct Claim Entry gives you an alternative to billing claims as EDI transactions. Automated EDI 837 file input via Medicare Direct Claim Entry speeds up the adjudication process and eliminates hand-keying claims. Plus, you’ll never worry about delays from EDI submission that can slow you down. It will boost your efficiency and cash flow, while saving you time.