Therabill vs Waystar

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Our analysts compared Therabill 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.

Therabill Software Tool

Product Basics

Therabill, a web-based medical billing software developed by WebPT, is designed to enhance clinic efficiency and profitability by streamlining the billing process and minimizing errors. This software is particularly well-suited for businesses in the healthcare industry that need to manage their medical billing processes effectively. Therabill offers a range of benefits, such as automating medical billing tasks, reducing administrative costs, improving patient satisfaction, and ensuring compliance with regulations.

The software boasts a user-friendly interface, integrates with various systems, provides robust reporting capabilities, and offers dedicated customer support. User experiences indicate that Therabill is easy to use, efficient, and effective, with particular praise for its customer support team. Pricing for Therabill falls within the mid-range for medical billing software and is typically based on factors such as the number of users or the size of the practice.

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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

  • Streamlined Billing Process: Therabill simplifies the medical billing cycle, reducing the time and effort required to process claims and ensuring faster reimbursements.
  • Improved Accuracy: By automating the entry of billing information, Therabill minimizes human errors, leading to fewer rejected claims and increased revenue.
  • Enhanced Organization: Therabill keeps patient records, billing information, and appointment schedules in one centralized location, making it easier to manage and access data.
  • Compliance Assurance: Therabill stays up-to-date with the latest healthcare regulations, helping practices remain compliant with industry standards and avoid costly penalties.
  • Customizable Reporting: With Therabill, users can generate detailed reports tailored to their specific needs, providing valuable insights into financial performance and operational efficiency.
  • Increased Productivity: Automating routine tasks frees up staff to focus on more critical aspects of patient care and practice management, boosting overall productivity.
  • Scalability: Therabill is designed to grow with your practice, easily accommodating an increasing number of patients and providers without sacrificing performance.
  • Enhanced Patient Satisfaction: By streamlining the billing process and reducing errors, Therabill helps ensure a smoother patient experience, leading to higher satisfaction and retention rates.
  • Remote Access: Being cloud-based, Therabill allows for secure access to billing and patient information from anywhere, facilitating remote work and flexible schedules.
  • Integrated Payment Processing: Therabill includes features for processing patient payments directly through the software, simplifying the collection process and improving cash flow.
  • Reduced Administrative Burden: By automating many of the administrative tasks associated with billing and claims management, Therabill allows healthcare providers to focus more on patient care.
  • Cost Savings: By improving efficiency and accuracy, Therabill helps reduce the costs associated with billing errors, rejected claims, and administrative overhead.
  • Timely Updates: Regular updates ensure that Therabill remains compatible with the latest healthcare IT standards and practices, protecting your investment over time.
  • Professional Support: Therabill offers comprehensive customer support, providing assistance with setup, troubleshooting, and optimization to ensure users get the most out of the software.
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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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  • Scheduling:  Create and manage schedules for multiple providers with an accessible drag-and-drop interface. Schedule patient appointments and staff meetings in a single interface to avoid time conflicts. Sync schedules to Google Calendar. Send automated appointment reminders to patients and reduce no-shows. 
  • Documentation:  Create and access patient notes and session documentation using customizable templates and dynamic fields. Add addendums and digital signatures to documentation, share securely electronically or through fax. 
  • Reports:  Analyze revenue cycles with detailed reports on claim aging, session balance and payments. 
  • User Accounts:  Control data access to providers and back-office staff with role-based user accounts and permissions. Admins can view each member’s access logs for better control and security. 
  • Electronic Claims Submission:  Get paid faster with fewer errors through automatic and paperless claim routing. Connect to multiple clearinghouses for faster turnaround. 
  • Payment Processing::  Simplify credit card payments at a competitive rate through integrations with preferred third-party merchant providers. 
  • Electronic Remittance Advice:  Enter insurance and patient payments, collect copays and have payers send payments directly through a single-session payment entry form via electronic remittance advice. 
  • Invoicing:  Create bills in ledgers or balance formats easily with customizable templates, complete with practice branding and share electronically with payers for paperless processing. 
  • Secure Provider Portals:  Offer individual and custom-built access portals to providers and staff members and control the information they can view, edit and save. Enable patients to log in through the patient portal to access, view and pay their bills. 
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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

#35

among all
Medical Billing Software

#43

among all
Medical Billing Software

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User Sentiment Summary

Great User Sentiment 77 reviews
Excellent User Sentiment 315 reviews
83%
of users recommend this product

Therabill has a 'great' User Satisfaction Rating of 83% when considering 77 user reviews from 1 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.

n/a
4.6 (116)
4.15 (77)
4.5 (199)

Awards

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

User Favorite Award

Synopsis of User Ratings and Reviews

Streamlined Claim Scrubbing: Therabill's claim scrubbing feature helps to catch errors before claims are submitted, which reduces denials and speeds up reimbursement. The system highlights potential errors and offers suggestions for correction, which is particularly helpful for spotting missing information or coding inconsistencies that might otherwise slip through the cracks.
Simplified ERA Posting: Therabill simplifies the process of posting ERAs (Electronic Remittance Advice) by automatically interpreting the data and updating patient accounts accordingly. This automation saves time and reduces the risk of manual errors, allowing billers to focus on other tasks.
Customizable Reporting: Therabill offers a variety of customizable reports that provide insights into practice performance, such as accounts receivable aging, payment trends, and referral sources. These reports help practices identify areas for improvement and make data-driven decisions to optimize their billing processes.
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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: The software's interface can be overwhelming for new users due to its extensive features and functionalities. Efficient utilization often necessitates comprehensive training or prior experience with similar systems.
Customer Support Challenges: Accessing timely and effective customer support can be difficult, leading to frustration when encountering technical issues or seeking assistance with complex billing processes.
Customization Limitations: Adapting the software to specific workflows or unique billing requirements can be challenging, as customization options may be limited or require advanced technical knowledge.
Cost Considerations: The pricing structure, particularly for smaller practices or those with lower billing volumes, may be perceived as expensive compared to alternative solutions in the market.
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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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Therabill has garnered a mixed bag of reviews over the past year, with users highlighting both its strengths and weaknesses. On the plus side, Therabill receives kudos for its user-friendly interface and intuitive design, making it a breeze for navigating the complexities of medical billing. Users also appreciate its robust reporting features, which provide valuable insights into practice performance and financial health. Additionally, Therabill's integration with other healthcare platforms streamlines workflows and enhances efficiency. However, some users have expressed concerns about occasional software glitches and limitations in customization options. Therabill's customer support has also received mixed feedback, with some users experiencing long wait times and inconsistent service. Compared to competitors like Kareo and SimplePractice, Therabill stands out for its affordability and specialized focus on therapy practices. Ultimately, Therabill is best suited for small to medium-sized therapy practices seeking a user-friendly and cost-effective solution for managing their billing needs. Larger practices or those requiring extensive customization may need to explore alternative options. Keep in mind that software is constantly evolving, so it's always a good idea to check for the latest updates and user reviews before making a decision.

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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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