Prior Authorization vs Financial - Pre-Auth/Co-Pay Notifications

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Prior Authorization

5.0

1 review

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Financial - Pre-Auth/Co-Pay Notifications

0 review

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Product Description:

There’s a wealth of powerful data within your EHR—you just need real-time insights and seamless integration to make it actionable. Our Prior Authorization solution, powered by Waystar’s Hubble: - Automatically verifies, initiates, statuses and retrieves comprehensive authorization details - Enables efficient, intelligent automation by initiating authorizations at twice the speed of manual processes - Integrates directly with all major HIS and PM systems - Provides end-to-end authorization platform, including authorizations submissions for unscheduled admissions, as well as auto-generating ABNs or Notice of Non-coverage forms for Medical Necessity - Adapts to constantly shifting payer rules and requirements - Was built and is maintained by our in-house team of experts

About Waystar:

Waystar delivers innovative technology that simplifies and unifies healthcare payments. The company’s cloud-based platform helps healthcare providers across all care settings streamline workflows, improve financial performance and bring more transparency to the patient financial experience. Waystar solutions have been named Best in KLAS or Category Leader by KLAS Research 16 times (across multiple product categories) and earned multiple #1 rankings from Black Book. The Waystar platform is used by more than half a million providers, 1,000 health systems and hospitals, and 5,000 payers and health plans—and integrates with all major hospital information and practice management systems. On an annual basis, Waystar’s AI-powered solutions process $5B in patient payments, generate $4B in out-of-pocket estimates and process claims representing approximately 40% of the U.S. patient population. For more information, visit www.waystar.com.

Product Description:

Notify patients of pre-auth status and co-payments due. Included with payment reminders.

About PatientBond, Inc.:

PatientBond’s cloud-based, digital health platform automates patient engagement and care coordination with two-way communications, response tracking and real-time adjustment & optimization. PatientBond offers solutions to tackle many business and clinical challenges, including Healthcare Consumer Awareness/Marketing, Pre Visit, Point of Care, Patient Loyalty and Patient Collections for Health Systems, Physician Practices, Urgent Care Centers and Payers. PatientBond personalizes communications based on patients’ motivations and channel preferences using a proprietary psychographic segmentation model developed by healthcare consumer experts from P&G, the worldwide leader in consumer products and advertising. PatientBond enables you to activate desired patient behaviors to increase revenue and volume while ensuring cost avoidance and savings.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

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Use Cases

Description:

With over 300+ payers and a broad array of deployable service lines and patient types, we provide a full cycle automation solution for prior authorization: from pre-scheduled prior auth submission, status checking and denial prevention worklist alerts, as well as medical necessity verification and notification of admission.

Pediatric use cases:

None provided

Users:

Pre-service financial clearance teams, auth cert teams, any prior authorization staff doing medical necessity as well as authorization for services at acute care facilities or OP areas.

Description:

Notify patients of pre-authorization status and co-payments due

Pediatric use cases:

Parent/guardian can receive Pre-Auth/Co-Pay Messaging

Users:

Patients
Staff (save time through automation)

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Access +/or revenue cycle, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, NextGen, athena, GE, Other, Athenahealth, Cerner, Meditech, Allscripts, eClinicalWorks, McKesson, Allscripts/Eclipsys, Azalea Health/Prognosis, CPSI, MEDHOST, Self-developed

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Client Types

Pediatric Hospitals

Academic Medical Centers

Accountable Care Organizations

Rural Hospitals

Small Medical Facilities

Large Medical Facilities

Medium Medical Facilities

Extra Large Medical Facilities

Academic Medical Centers

Accountable Care Organizations

Rural Hospitals

Small Medical Facilities

Medium Medical Facilities

Extra Large Medical Facilities

Differentiators

Differentiators vs EHR Functionality:

Many hospitals, health systems, and IDNs have invested in billion dollar EMR/EMRs which are an extraordinary vehicle for clinical and billing functions -- but lack the ability to elevate automation in key business areas such as prior authorization. This is due to their lack of payer connections and the absence of advanced intelligent software. Together, Waystar brings the intelligence that powers today's EMR/EHR platforms and automation efforts.

Differentiators vs Competitors:

With nearly a decade in the business of automating prior authorizations, we are known for our internal expertise when it comes to payers, process change, and technology. We believe pushing the envelope in know-how across all 3 is what gives our clients the edge on automation. With more payer connections, more relationships with payers, and greater flexibility in accessing payer data we can access the best and most timely data. We not only seamlessly integrate with EPIC but offer full-stack integration capabilities or a powerful stand-alone application -- all because each patient access team is different. And powered across our Hubble platform (a blend of RPA, machine learning, NLP, and advanced auth rules) we are well positioned to power your automated enterprise.

Differentiators vs EHR Functionality:

PatientBond Pre-Auth/Co-Pay Messaging is an automated process that saves staff time and effort

Differentiators vs Competitors:

PatientBond Pre-Auth/Co-Pay Messaging is included for free with Payment Reminders or can be purchased separately. It can also be bundled with any of the patientBond Financial, Marketing and Health products

Keywords

automation,intelligent automation,prior authorization,ai,rpa,operational effiency

rcm,revenue cycle management,billing,prior authorization,patient payments,copay

Images

No images provided

Videos

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Downloads

No content provided

PatientBond Platform for Finance | Motivate Patient Payments

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Company Details

By Waystar

Founded in 2000

By PatientBond, Inc.

Founded in 2011

Visit Website

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