Waystar vs Healthpac

Last Updated:

Our analysts compared Waystar vs Healthpac 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

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.

read more...
Healthpac offers a suite of solutions to streamline practice management and billing workflows. With Health Level 7 interface availability, it lets practices customize user workflows, permissions and screen designs. It comes with appointment scheduling and automated reporting capabilities.

Available both on cloud or on-premises, it manages the whole claims process, securely stores patient information, collects patient payment and accepts co-pays. Monitor and manage the revenue cycle with its robust set of inclusions.
read more...
$100 Monthly
Free Trial is unavailable →
Get a free price quote
Tailored to your specific needs
$275/User, Monthly
Free Trial is unavailable →
Get a free price quote
Tailored to your specific needs
Small 
i
Medium 
i
Large 
i
Small 
i
Medium 
i
Large 
i
Windows
Mac
Linux
Android
Chromebook
Windows
Mac
Linux
Android
Chromebook
Cloud
On-Premise
Mobile
Cloud
On-Premise
Mobile

Product Assistance

Documentation
In Person
Live Online
Videos
Webinars
Documentation
In Person
Live Online
Videos
Webinars
Email
Phone
Chat
FAQ
Forum
Knowledge Base
24/7 Live Support
Email
Phone
Chat
FAQ
Forum
Knowledge Base
24/7 Live Support

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.
read more...
  • Easy to Use: It’s easy to implement, customize and use, with an intuitive user interface. 
  • Streamline Billing: Streamlines the billing cycle, including patient scheduling, insurance eligibility verification, patient demographics entry, coding and charge posting, claims submission, payment posting, denial management, patient statements and reporting. 
  • Increase Efficiency: Avoid scheduling conflicts and streamline billing to create an uninterrupted and efficient clinical workflow. Decrease data entry and claim errors and focus on patient care instead. 
  • Increase Revenue: Maximize claim approvals and minimize denials with insurance verification, claim scrubbing, denial management and claim tracking, optimizing practice revenue. 
  • Get Actionable Insights: Get actionable data insights from all over the practice in a central location. Interactive dashboards make data more comprehensible. Make proactive decisions based on historical data. 
  • Increase Communication: Streamline communication between different departments and facilities, with real-time data access and sharing capabilities. 
  • Enhance Accountability: Increase accountability by assigning specific jobs to each employee. 
read more...
  • 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.
read more...
  • EHR: Create, store, manage and access patient records with ease using its customizable 2015-compliant electronic health records. 
  • Analytics Report: Presents data from all aspects of the practice, including patient care, practice performance, quality measures and revenue cycle in a centralized platform. Get actionable insights with customizable dashboards and drill down to find specific data. Leverage predictive analytics to take proactive measures. 
  • Claim Scrubbing: Checks insurance claims to find errors before submitting them. E-claims are sent through its clearinghouse, maximizing claim approvals. 
  • Claims Management: Manage claims with personalized guidelines for different insurance providers and specialties. Includes denial management. 
  • Claim Tracking: Keep track of claims status by a variety of options, including insurance carrier or class. 
  • Insurance Verification: Verify insurance eligibility of patients in real time to minimize denials. 
  • Code/Charge Entry: Enter charges rapidly and accurately while implementing incident charge posting. Supports ICD-10 and unique CPT codes.  
  • Fee Scheduling: Streamline payment and billing with a comprehensive list of fees. Create personalized calendars for each insurance company with multiple fee scheduling options. 
  • Patient Scheduling: Schedule appointments and accommodate patients by tracking physician schedules with real-time updates. 
read more...

Product Ranking

#43

among all
Medical Billing Software

#32

among all
Medical Billing Software

Find out who the leaders are

User Sentiment Summary

Excellent User Sentiment 315 reviews
Excellent User Sentiment 11 reviews
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.

100%
of users recommend this product

Healthpac has a 'excellent' User Satisfaction Rating of 100% when considering 11 user reviews from 1 recognized software review sites.

4.6 (116)
n/a
4.5 (199)
5.0 (11)

Awards

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

User Favorite Award

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

User Favorite Award

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.
Show more
Easy to Use: Users consistently praise Healthpac's intuitive interface, making it simple to navigate and manage billing tasks. They appreciate the straightforward design, which allows them to quickly find the information they need.
Reliable Reporting: Healthpac's reporting features are highly valued by users. They find the reports to be accurate and comprehensive, providing valuable insights into their billing performance. This helps them identify areas for improvement and make informed decisions.
Excellent Customer Support: Users consistently highlight the responsiveness and helpfulness of Healthpac's customer support team. They appreciate the prompt assistance they receive when encountering issues or needing guidance. This ensures a smooth and efficient billing process.
Show more
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.
Show more
Customer Service: Some users have reported difficulty getting in touch with customer service representatives, experiencing long wait times, and receiving unhelpful responses.
Billing Errors: Several users have encountered billing errors, including incorrect charges, duplicate bills, and issues with claim processing.
Technical Issues: Some users have reported experiencing technical glitches with the Healthpac software, such as slow loading times, system crashes, and difficulty accessing their accounts.
Limited Functionality: Some users have found that Healthpac lacks certain features that are essential for their medical billing needs, such as advanced reporting capabilities or integration with other software.
Show more

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.

Show more

Is Healthpac the right prescription for your medical practice's billing woes? User reviews suggest that Healthpac, now known as i3 Verticals Healthcare, is a solid choice for medical billing companies and practices, especially those seeking a user-friendly and intuitive solution. Healthpac's strengths lie in its ease of use, requiring minimal training for implementation. Users praise its comprehensive features, including claim management, invoice history, remittance advice, and payment processing, which streamline billing processes and enhance cash flow. The software's ability to generate online claims and patient records further simplifies operations. However, some users have expressed concerns about the software's lack of advanced features, such as robust reporting and analytics, which may be a drawback for larger practices or those seeking more in-depth data insights. Despite these limitations, Healthpac's user-friendliness and comprehensive features make it a suitable choice for smaller practices and billing companies that prioritize simplicity and efficiency.

Show more

Screenshots

Top Alternatives in Medical Billing Software


AdvancedMD

athenaOne

CareCloud Central

CollaborateMD

CureMD

DrChrono

DuxWare

eClinicalWorks

EZClaim

Intergy

NextGen Enterprise

Oracle Ambulatory EHR

RXNT

Tebra Managed Billing

WebPT

Related Categories

Head-to-Head Comparison

WE DISTILL IT INTO REAL REQUIREMENTS, COMPARISON REPORTS, PRICE GUIDES and more...

Compare products
Comparison Report
Just drag this link to the bookmark bar.
?
Table settings