Through our Data-as-a-Service solution, DAYS (Data-at-your-Service), Waveland delivers updated insurance and patient information that is critical to reimbursement, patient, and ordering physician communication and patient satisfaction. DAYS corrects and enhances the data and ensures that you are sending claims to the correct payers and patient statements to the appropriate address.
Besting the payers at their own game is difficult. It requires lots of time, resources and expertise. At Waveland, we approach data source procurement from a professional billing and eligibility vantage point. This helps us to manage our data sources relationships, payer content, and search algorithms to ensure your clients receive the proper reimbursement for their services.
Waveland has the experience and track-record in data procurement unmatched in the Healthcare Data Procurement space providing proven results that will help your organization become more efficiently and profitably.
We have secured access to the healthcare industry's most accurate and up to date patient insurance coverage and demographic data sources. This allows our clients to eliminate the manual effort involved in correcting patient data so resources may be redeployed to other core activities.
Healthcare providers continuously struggle to keep up with constantly changing data that is entering their revenue cycle. Without valid insurance and demographic information, getting reimbursed for your service can be challenging.
Waveland has developed a unique solution that can identify existing coverage for services that you have not billed or have billed to the incorrect payer. It can also identify secondary coverage that can be billed for the services.
Waveland accesses data from various industries as well as public and private data sources to identify incorrect, inaccurate, and outdated information in your patient data files.
This data includes name, address, social security number, date of birth, age, previous addresses, and much more. These updates are available in real-time as well as the periodic cleaning mode to maintain your data integrity.
An increasing number of healthcare providers are considering patient financial disposition follow up strategies. Waveland can deliver data specific to a client's Financial Assistant Policies guidelines and provide the patient financial information necessary to automate the qualification screening process in a pre or post-care environment.
This patient financial data allows clients to work their accounts receivables more effectively, and can significantly impact their profitability and patient satisfaction.
Clients can also utilize this financial data to segment their remain self-pay accounts based on a patient's ability to pay, allowing staff to focus time on the higher propensity to pay the accounts.
Every healthcare organization has a long list of accounts that they have exhausted all of their resources and have not been able to convert to revenue. Waveland's Accounts Receivable Clean Up service takes these accounts and converts them to cash. Through a combination of our insurance identification data and technology, we provide state of the art high tech high touch to your accounts.
Making sure that you have accounted for all of your government patients is challenging. Government assists program patients are some of the most transient members of a hospital's patient population. Waveland's utilizes sophisticated data mining and proprietary data search algorithms to identify DSH days that were missed, allowing hospitals to provide a more accurate Cost Report, and capture the corresponding revenues associated with these patients.
Inaccurate or incomplete data is a primary driver for healthcare provider write-offs. Denials and rejected claims are often too expensive and time-consuming to pursue; we fix that. Waveland has developed an advanced data offering that makes pursuing these claims cost-effective for providers by reducing the manual effort and automating the process with AI and advanced applications.
Waveland works with healthcare software companies, billing organizations, EMR developers, system integrators and other entities to provide data for their clients to improve the efficiencies of their revenue cycle.
The cornerstone of Waveland's solution is our ability to integrate data. We work collaboratively with LIS, HIS, RMC, and other technology vendors to provide real-time and batch file data via API, HL7, sFTP.
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