Home > Medical Billing Software > Waystar > Waystar vs DuxWare

Waystar vs DuxWare

Last Updated: November 18th, 2024

Our analysts compared Waystar vs DuxWare 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.

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Product Basics

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.

Duxware is a cloud-based software designed to meet the needs of health care providers. It integrates with existing record systems. Patients can book appointments via mobile devices from the patient engagement center. Track inventory items using dashboards.

Billing and revenue modules assist with performing insurance eligibility checks and generating accurate bills. Create and share summary reports with employees to keep them informed. In addition, it offers credentialing functionality to screen employment candidates.

$100 Monthly

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$150 Monthly

Free Trial is unavailable →

Get a free price quote

Tailored to your specific needs

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24/7 Live Support

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Product Insights

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.

Improved Efficiency: Streamline administrative tasks such as appointment scheduling and billing, allowing staff to focus on patient care.
Enhanced Patient Experience: Provide patients with easy access to their medical records and appointment history through a user-friendly portal.
Accurate Billing: Reduce errors in billing and coding, ensuring timely and correct reimbursements from insurance companies.
Regulatory Compliance: Stay up-to-date with the latest healthcare regulations and standards, minimizing the risk of non-compliance penalties.
Data Security: Protect sensitive patient information with robust encryption and security protocols, ensuring HIPAA compliance.
Customizable Reporting: Generate detailed reports tailored to your practice’s needs, aiding in better decision-making and strategic planning.
Resource Optimization: Allocate resources more effectively by tracking staff performance and patient flow, leading to reduced wait times and improved service delivery.
Scalability: Easily scale the software to accommodate the growth of your practice, whether adding new locations or expanding services.
Interoperability: Seamlessly integrate with other healthcare systems and electronic health records (EHR), ensuring smooth data exchange and continuity of care.
Cost Savings: Lower operational costs by automating routine tasks and reducing the need for paper-based processes.
Patient Engagement: Enhance communication with patients through automated reminders, follow-ups, and educational materials, fostering better health outcomes.
Time Management: Free up valuable time for healthcare providers by reducing administrative burdens, allowing more focus on patient care.
Analytics and Insights: Leverage data analytics to gain insights into practice performance, patient demographics, and treatment outcomes, driving continuous improvement.
Training and Support: Benefit from comprehensive training and ongoing support, ensuring your team can effectively utilize the software’s capabilities.
Remote Access: Access the system securely from any location, enabling flexible work arrangements and continuity of operations during emergencies.

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.

Billing: Review and process claims using claim managing tools.
- Eligibility Checker: Automatically verify patients’ insurances before filing claims to help reduce administrative burdens. View eligibility responses sent by clearinghouses and update records to keep everyone on the same page.
- Patient Statements: Create and gather statements using management tools. Export statements into PDFs or other supported file formats for quick access. Filter statements by patients, payers, locations or type of services.
Revenue Cycle Management: Automate menial tasks to help focus on follow-up processes.
- Financial Reporting: Customize reports as per business needs. Export data into Excel or PDFs and evaluate them to streamline budgeting processes.
- Payment Portal: Allow patients to pay securely via internet-enabled devices using credit cards from anywhere, at any time.
- Claim Scrubber: Identify and resolve coding errors in real time. Edit codes according to NCCI, LCD or NCD standards to help generate accurate claims. Create dunning reports to track outstanding claims.
Patient Engagement: Collect qualitative data through surveys and analyze patients’ comments to promote mutual accountability.
- Surveys: Conduct patient surveys and convert responses into charts or graphs to help improve patients’ experiences. View and analyze historical data to develop strategic business plans.
- Appointment Generation: Enable patients to book appointments electronically. Receive notifications about appointment requests and approve or reschedule them as per slot availability. Send email or text confirmations to patients after appointments are booked.
- Recall Manager: Automatically schedule consultation visits when patients’ treatment periods are completed.
Inventory Management: View dashboards to track medications, vaccines and other items. Click the reorder button on the dashboard to restock inventory items quickly. Stay updated about expired medications to avoid putting patients’ health at risk.
Credentialing: Perform background and legitimacy checks of medical professionals to avoid hiring unqualified employees. Allow staff to submit licenses and other relevant documentation to simplify qualification processes.
Cloud-Based: Store data in a HIPPA-compliant, secure cloud environment. Grant document access permissions to authorized users to ensure data confidentiality.
Integrations: Streamline accounting procedures by integrating with QuickBooks. Create a custom EHR interface through API integrations.

Product Ranking

#43

among all
Medical Billing Software

#71

among all
Medical Billing Software

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Analyst Rating Summary

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User Sentiment Summary

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.

98%

of users recommend this product

DuxWare has a 'excellent' User Satisfaction Rating of 98% when considering 146 user reviews from 2 recognized software review sites.

4.6 (116)

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4.5 (199)

4.86 (73)

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4.9 (73)

Awards

Synopsis of User Ratings and Reviews

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.

Streamlined Appointment Scheduling: Users praise DuxWare's intuitive calendar interface, which simplifies appointment booking and reduces scheduling conflicts. The system's automated appointment reminders minimize no-shows, optimizing practice efficiency.

Centralized Patient Data Management: DuxWare provides a centralized repository for patient records, including medical history, demographics, and billing information. This streamlines administrative tasks and facilitates efficient information retrieval.

Enhanced Billing and Claims Processing: Users appreciate DuxWare's robust billing features, which automate claims submission, payment posting, and reporting. This accelerates revenue cycles and reduces administrative burdens associated with billing processes.

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.

Difficult to Use: Users have reported the software is not intuitive and requires extensive training to use effectively.

Poor Customer Support: Users have complained about slow response times and unhelpful support staff.

Limited Features: Some users have found that the software lacks essential features, such as integrated telehealth capabilities.

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.

Is DuxWare software truly software you can swear by? Recent user reviews suggest DuxWare is a user-friendly platform that excels in customer support, with one user even comparing the support team to friendly coworkers. Users praise the software's intuitive design, highlighting its ability to navigate quickly and easily between applications. However, some users find the reporting tool lacking and suggest additional training could improve its usability. While DuxWare is generally well-received for its ease of use and helpful customer service, its limitations in reporting functionality may require users to seek workarounds or additional support. Based on user feedback, DuxWare seems best suited for smaller medical practices (11-50 employees) who prioritize user-friendliness and excellent customer support. Practices heavily reliant on robust reporting tools might find DuxWare's current reporting functionality insufficient. However, those who value a smooth user experience and readily available assistance will likely appreciate DuxWare's strengths in these areas.

Screenshots

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FAQ

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