CareCloud Central vs Waystar

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Our analysts compared CareCloud Central vs Waystar based on data from our 400+ point analysis of Medical Billing Software, user reviews and our own crowdsourced data from our free software selection platform.

Product Basics

CareCloud Central is used by health organizations of all sizes to track, manage and optimize financial as well as administrative processes by streamlining operations. It helps manage workflows and optimize the completion of daily time-consuming tasks to save time and money. This leads to an increase in daily traffic, greater care and a better patient experience.
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Waystar (formerly Navicure or ZirMed) is a cloud-based solution for managing a health organization’s revenue cycle. Over 25,000 hospital organizations and health clinics use this system to track patients' revenue from their first visit until their final balance has been paid.

It’s ideal for health care organizations of all sizes. It helps providers get paid faster and more accurately by automating tedious billing tasks, improving claim accuracy and offering in-depth reporting tools that uncover areas for efficiency gains.

Popular features include eligibility checks, claims submission and tracking, denial management, and analytics dashboards. 

Users praise Waystar for its user-friendly design, ability to reduce billing errors, and seamless integration with other practice management systems.

While pricing varies based on factors like practice size and specific feature sets, the vendor offers a subscription model with fees based on metrics like claim volume.

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Product Insights

  • Streamline Workflow: Schedule appointments, chart and document with ease, and save time as CareCloud Central handles daily tasks. 
  • Increase Efficiency and Revenue: Provide greater quality of treatment with better insights into patient care for accurate diagnosis and treatment. Streamlined operations help increase daily visits, leading to higher profits. 
  • Get Up and Running Fast: Start using the platform quickly and help users get comfortable with the product via a smooth implementation process facilitated by CareCloud’s professional services support team. Continuous support is also available after implementation. 
  • Reduce Denials and Errors: Avoid handwriting and legibility mistakes or coding errors that result in reimbursement denials or delays. Report electronically and have accurate patient information for better care. 
  • Data Accessibility: Save patient data such as demographics, financial information and more simultaneously, making it accessible by physicians whenever needed. 
  • Optimize Decision Making: Analytics for financial and administrative performance can be used to help physicians make the best decisions. 
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  • Enhance Revenue Capture: Prevent lost revenue due to billing errors or missed opportunities with automated rules engines and advanced analytics. AnMed Health collected $931K in total rebilled and estimated additional revenue.
  • Boost Patients’ Financial Experiences: Use online payment portals to reduce payment friction. Renown Health reduced AR days by half while achieving a 3.8x increase in patient adoption of PatientWallet for payment management.
  • Streamline Claims Management Workflows: Achieve clean claims rate, reduce denials and automate claim submission processes with claim management capabilities. CPA Lab achieved 98% clean claim rate after using the solution.
  • Make Data-Driven Decisions: Access real-time dashboards and customize KPIs to improve financial and operational performance.
  • Optimize Revenue Cycle Management: Automate repetitive tasks like eligibility checks, claims scrubbing and payment posting to save time. Integrate with third party applications to consolidate financial data for efficient RCM processes.
  • Ensure Scalability and Adaptability: Adapt to industry changes and the growing needs of healthcare organizations.
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  • Comprehensive Scheduling: Manage scheduling with a multi-view calendar and drag-and-drop online appointment scheduling. Patients can easily book and confirm appointments. Automated patient reminders reduce no-shows. 
  • Insurance Verification: Access a patient’s insurance details, such as deductibles, copays and coinsurance, to prevent denials and get paid quicker. 
  • Patient Management: View and update patient demographics, insurance details and account histories in real time. Physicians get a clear picture of all patients in one place. 
  • Financial Workflow:
    •  Automate financial tasks such as billing, claim submission and remittance. 
    •  Simplify coding and charge entries. 
    •  Scrub claims any errors that may result in denials or delayed payments. 
    •  Track payments with a central remittance repository. 
  • Command Center: Keep track of practice performance with a practice scorecard. See trending metrics and causes over time with instant snapshots of operational and financial data. 
  • Health Analytics: Provides insightful analytics on financial, administrative and clinical performance to support informed decisions. View staff productivity levels to ensure everyone is meeting Meaningful Use standards. 
  • Real-Time Reporting: Customizable charts and graphs display data in easy-to-understand templates, and financial and clinical reports can be accessed conveniently. 
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  • Financial Clearance: Verify patient insurance eligibility, secure necessary authorizations and present clear cost estimates.
    • Eligibility Verification: Instantly check patients’ insurance coverage and benefits, eliminating delays and potential errors. Automatically re-verify clients’ eligibility after data update. Apply payer-specific rules to interpret eligibility information accurately.
    • Coverage Detection: Access customizable dashboards and reports to gain visibility into potential billable coverage. Use advanced algorithms and a vast payer database to streamline coverage discovery, reducing manual effort.
    • Patient Estimation: Incorporate factors like contracted rates, insurance benefits, deductibles and out-of-pocket maximums to generate reliable estimates of a patient's financial responsibility. Share clear, easy-to-understand estimates with patients, building trust and minimizing billing surprises.
    • Authorizations: Secure necessary approvals from insurance payers before rendering specific services, treatments or medications. Monitor authorization requests statuses (pending, approved or denied) in real time. Generate and track referrals to specialists or other facilities, ensuring compliance with payer requirements.
    • Charity Screening: Analyze patient financial data (income, assets, etc.) against established charity care policies to quickly determine potential qualifications. Pull relevant financial information from multiple sources (credit reports, public records or patient self-attestation) for a comprehensive assessment.
  • Revenue Capture: Prevent billing errors, uncover missed charges, and eliminate undercoding and upcoding.
    • Charge Integrity: Use complex algorithms and rules engines to scan billing codes (CPT, HCPCS, etc.) against documentation to identify missing or potentially inaccurate charges. Identify instances where codes may not fully align with services rendered, minimizing compliance risks and potential audits.
    • DRG Anomaly Detection: Analyze patient data to compare the assigned DRG against what the documentation supports. Identify mismatches that could result in underpayment or overpayment. Flag DRG anomalies for review and correction before claims submissions.
    • DRG Transfer: Analyze historical claims data to uncover potentially under-coded or missed TDRGs. Automate claims recalculating processes and refile them with the correct TDRG code, recovering what was rightfully owed.
  • Claim Management: Streamline claim submission and tracking processes.
    • Claim Manager: Automatically scrub claims for errors, omissions and inconsistencies (missing modifiers or invalid codes) before submission. Help staff efficiently prioritize claims needing review or action (pre-edits, denials, etc.).
    • Monitoring: Pull and update claim status details directly from payer portals. Access dashboards to gain an up-to-the-minute view of where claims stand in the process (submitted, in progress, paid or denied) for individual claims or across the whole A/R.
    • Attachments: Securely transfer medical records, prior authorizations, EOBs, and other supporting files directly into the system. Process multiple attachments simultaneously, especially for high-volume situations.
  • Payment Management: Simplify patient and payer interactions with convenient digital payment options, clear estimates and automated payment posting tools.
    • Payer Reimbursement: Use intelligent algorithms to match payments from payers to the specific claims they were intended for, even with partial payments or complex scenarios. Quickly locate and download ERAs for review or reconciliation.
    • Patient Payments: Send digital bills and automated reminders, encouraging on-time payments. Enable patients to view balances and make payments using credit cards, debit cards or bank transfers.
    • Agency Manager: Access vendor scorecards for analyzing agency activity and results. Employ reconciliation tools to assign each overdue account to the appropriate collection agency.
  • Denial Resolution: Mandate pre-submission validation on all claims to reduce the volume of preventable rejections and denials. Identify trends and patterns of denied claims to make strategic changes to processes, documentation or workflows.
  • Analytics and Reporting: Focus on critical indicators like denial rates, A/R days and clean claim rates.
    • Medicare Analytics: Bypass manual processes and access Medicare's FISS system directly within the platform. Get clear claim status with easy-to-understand reason codes. Use worklists to prioritize denied, rejected, or RTP claims for rapid follow-up.
    • Compliance Reporting: Monitor and report on key quality measures like MIPS and HEDIS mandated by CMS (Centers for Medicare & Medicaid Services) and other payers. Automatically retrieve the latest CASPER reports directly from CMS.
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Product Ranking

#17

among all
Medical Billing Software

#43

among all
Medical Billing Software

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Analyst Rating Summary

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Analyst Ratings for Functional Requirements Customize This Data Customize This Data

CareCloud Central
Waystar
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Claims Management Compliance And Security Dashboards And Reports Insurance Payments Management Medical Coding Mobile Capabilities Patient Payments Management Platform Capabilities Point Of Care Pre-appointment Management 100 92 100 100 100 91 100 100 100 93 0 25 50 75 100
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User Sentiment Summary

Good User Sentiment 104 reviews
Excellent User Sentiment 315 reviews
73%
of users recommend this product

CareCloud Central has a 'good' User Satisfaction Rating of 73% when considering 104 user reviews from 3 recognized software review sites.

91%
of users recommend this product

Waystar has a 'excellent' User Satisfaction Rating of 91% when considering 315 user reviews from 2 recognized software review sites.

3.4 (11)
4.6 (116)
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4.5 (199)
3.7 (91)
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4.0 (2)
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Awards

SelectHub research analysts have evaluated CareCloud Central and concluded it deserves the award for the Best Overall Medical Billing Software available today and earns best-in-class honors for Medical Coding, Patient Payments Management and Platform Capabilities.

Analysts' Pick Award
Medical Coding Award
Patient Payments Management Award
Platform Capabilities Award

Waystar stands above the rest by achieving an ‘Excellent’ rating as a User Favorite.

User Favorite Award

Synopsis of User Ratings and Reviews

Streamlined Patient Scheduling: CareCloud Central receives consistent praise for its intuitive appointment scheduling system. Users appreciate the ability to easily view physician schedules, manage appointments, and send automated reminders, which reduces no-shows and keeps things running smoothly.
Efficient Billing and Claims Management: The platform simplifies the billing process by automating tasks such as claims scrubbing and submission. This leads to faster reimbursements and fewer denied claims, ultimately improving a practice's financial health.
Comprehensive Reporting and Analytics: CareCloud Central offers robust reporting tools that provide valuable insights into practice performance. Users can track key metrics, identify trends, and make data-driven decisions to optimize operations and profitability.
Enhanced Patient Engagement: The platform facilitates better communication with patients through features like a patient portal and secure messaging. This empowers patients to actively participate in their care and fosters stronger relationships with providers.
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Robust Integration Capabilities: Integrate with EHRs, medical billing solutions and practice management systems to eliminate duplicate data entry.
Easy-to-Use Dashboard: Gain a centralized view of key metrics for quick insights on claim statuses, denial rates and reasons, and A/R aging.
Comprehensive Revenue Cycle Management Suite: Eligibility verification, coding, payment posting, and analytics and reporting tools help practices streamline revenue management processes.
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Steep Learning Curve: Many users report that CareCloud Central is not intuitive and requires extensive training to navigate effectively. The interface can feel cluttered and overwhelming, leading to frustration and decreased efficiency for new users.
Billing Challenges: Several practices have experienced issues with claim denials and delays in payment processing. Users cite difficulties with claim scrubbing and a lack of transparency in the billing process, making it hard to identify and resolve issues promptly.
Customer Support Concerns: Getting timely and effective assistance from CareCloud's customer support team has been a recurring pain point for users. Long wait times and a perceived lack of expertise among support staff can exacerbate existing problems and hinder issue resolution.
Limited Customization: Practices with unique workflows or specialized needs may find CareCloud Central's customization options to be insufficient. The software's rigidity can force practices to adapt their processes to the software, rather than the other way around.
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Steep Learning Curve: Training can be time-consuming and disruptive to practice’s workflow initially.
High Cost: Initial expenses (setup and software licenses) can be significant.
Complex Secondary Claims Submission: May require manual workarounds, resulting in reimbursement delays.
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CareCloud Central has garnered a mixed bag of user reviews over the past year. Many users appreciate its clean and modern interface, finding it intuitive and easy to navigate compared to more cluttered competitors like athenahealth. The platform's scheduling tools are also frequently praised for their flexibility and ease of use, allowing for efficient appointment management and reducing scheduling errors. However, several users have expressed frustration with the system's reporting capabilities, finding them to be somewhat limited and lacking in customization options compared to more robust solutions like AdvancedMD. Additionally, while CareCloud Central offers a mobile app, some users find its functionality to be restricted compared to the full desktop version, hindering on-the-go productivity. One of CareCloud Central's key strengths lies in its integrated approach, combining practice management, electronic health records (EHR), and patient engagement tools into a single platform. This streamlines workflows and reduces the need for multiple software solutions, which can be a significant advantage for smaller practices seeking an all-in-one solution. However, this integration can also be a double-edged sword, as some users find that certain features, such as billing and claims management, are not as comprehensive or customizable as standalone solutions like Kareo. Ultimately, CareCloud Central appears to be best suited for small to medium-sized practices that prioritize ease of use, a modern interface, and integrated functionality over extensive reporting capabilities and highly customizable features.

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Waystar's core strength lies in its ability to automate repetitive, error-prone tasks within RCM. This can free up significant staff time for higher-value work, and reduce costly mistakes that lead to denials or missed revenue. Additionally, analytics tools appear robust, providing insights that can drive better decision-making around process improvement and resource allocation.However, smaller practices may find the cost and complexity prohibitive. Additionally, like any cloud-based system, maximizing Waystar's value will require ongoing training and attention to updates.

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