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Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
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Keywords
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
FUSE
FUSE

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Categories

Solutions

Description

Product Description:
FUSE eliminates the manual reconciliation of remittances to deposits, along with the manual posting of payments into the patient accounting or practice management system.
About Big Data Healthcare:

Big Data Healthcare provides automated ERA/EFT reconciliation, EOB conversion, and cash-posting solutions to healthcare providers. Many healthcare providers perform these tasks manually, which requires significant time and money. Automating these process frees up resources to work on other essential tasks.

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.

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:

A large, Texas-based healthcare provider was trying to accelerate cash-posting. Multiple banks, multiple bank accounts, and problematic payer 835 formats was the everyday norm. Their cash-posting team was having a difficult time managing 835s from multiple sources, all the while trying to create never-ending spreadsheets to manage the client’s EFT/check deposits. At that time, their reconciliation and posting process was a manual and labor - intensive task.

Within a two-week period, Big Data Healthcare was able to ingest all 835s from multiple sources, all deposit files from multiple bank accounts, and completely automate the 835 remittance to deposit reconciliation process. As a result, cash-posting has been greatly accelerated by implementing FUSE. 

Pediatric use cases:

None provided

Users:

None provided

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.

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Allscripts, Meditech, NextGen, athena, GE, eClinicalWorks, Other

Hardware Compatibility:

Desktop

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:

By automatically reconciling all electronic remittance advice (ERA/835) files with their correlating ACH/EFT or check deposits, our process eliminates the manual payment reconciliation and posting processes and makes everything uniform. Your team will be free from the manual spreadsheet matching, balancing, and countless hours correcting manual errors. What takes you hours, days, and sometimes weeks to complete – our software does in minutes.

Differentiators vs Competitors:

FUSE works seamlessly with any EHR, clearinghouse, or bank, and does NOT require any integration.

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.

Keywords

Images

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Videos

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Downloads

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Alternatives

Company Details

Founded in 2000

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