Waystar vs ClearGage

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Our analysts compared Waystar vs ClearGage 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.

ClearGage Software Tool

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.

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Cleargage offers a set of solutions to streamline healthcare payments and improve the patient experience. HIPAA and PCI compliant, it can be deployed to all stages of the appointment lifecycle – pre-registration, time-of-service or post-registration. Give patients convenient financing options and greater visibility. It ensures enhanced financial management with flexible financing, patient payment portal, receivables funding, automated collection, electronic statements, interactive voice response and more.

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$100 Monthly
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$100 Monthly
Free Trial is unavailable →
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Tailored to your specific needs
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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.
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  • Flexible Financing: Provide affordable financing programs to help more patients access healthcare. 
  • Increase Visibility: Estimate patient’s out-of-pocket expenses to increase visibility and create a transparent patient experience. 
  • Improve Communication: Communicate with patients using the medium of choice: text, email, IVR or live agents. Send automated messages, reminders and communication campaigns at critical junctures of the patient lifecycle. 
  • Automate Payments: Leverages automation to simplify the whole payment process, increasing efficiency and streamlining the workflow. 
  • Reduce Staffing Needs: Automating the payment process also reduces staffing needs for a practice. Interactive voice response eliminates the need for manual customer service. 
  • Increase Revenue: Accelerates cash flow with automated collection and personalized financing plans. Get paid upfront or create personalized and affordable plans, reducing debts. IVR and mobile payments enable payments anytime, anywhere. Reduce expenses by sending e-statements. 
  • Enhance Patient Experience: An all-in-one patient portal, flexible financing options, out-of-pocket expense estimation, 24/7 voice response and communication campaigns help create a holistic patient experience and nurture patient-provider relationships. 
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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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  • Automated Payment Collection: Securely stores patient’s payment account details with their consent to automate payments. Get paid for any outstanding charges after claim adjudication. Schedules payments according to predetermined agreements. 
  • Reminder: Ensure fund availability by sending email or text reminders to patients. 
  • Interactive Voice Response: Set up self-service payments with bilingual IVR instead of customer service, giving patients access to payment options 24/7. 
  • Electronic Statements: Send eco-friendly e-statements to patients. 
  • Patient Portal: Patients can pay bills, preview payment plans, enroll for automated collection, manage wallets and access electronic statements and estimates via a single patient portal. Brand and customize the portal as necessary. 
  • Personalized Financing: Create transparent financing options for patients with custom term limits and interest charges. 
  • Expense Estimation: Accurately estimates patient expenses leveraging real-time data on their eligibility, insurance plan and payer fee patterns. 
  • Mobile Payments: Enables payments on-the-move through smartphones or tablets. 
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Product Ranking

#43

among all
Medical Billing Software

#52

among all
Medical Billing Software

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User Sentiment Summary

Excellent User Sentiment 315 reviews
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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.

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4.6 (116)
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4.5 (199)
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Awards

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

User Favorite Award

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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.
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Improved AR Management: ClearGage offers digital payment solutions that streamline the payment process, leading to more timely payments and a reduction in outstanding patient balances.
Seamless Integrations: ClearGage integrates with popular practice management systems, such as DrChrono, facilitating a unified workflow for billing tasks.
Enhanced Patient Payment Experience: Patients can conveniently view and settle their bills using familiar digital channels, such as email and text message links, improving the overall payment experience.
Automated Processes: ClearGage automates various billing processes, including sending invoices and posting payments, freeing up staff time for other critical tasks.
Flexible Payment Options: ClearGage supports various payment options, including automatic payments and customizable payment plans, providing patients with flexibility in managing their healthcare expenses.
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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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Unintuitive Features: Some users find it difficult to generate a detailed report of transaction and billing fees, impacting transparency and financial control.
Emails Mistaken for Spam: The appearance of emailed invoices can be perceived as unprofessional or spam-like by some patients, potentially leading to missed payments.
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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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Is ClearGage a clear advantage in the world of medical billing software? User reviews from the past year suggest that it is, highlighting its ability to streamline billing processes and improve the patient payment experience. A significant strength of ClearGage is its seamless integration with other software like DrChrono, enabling efficient office billing functions. Users particularly appreciate the digital payment options, such as texted or emailed links, which offer convenience and improve patient accounts receivable (AR) management by simplifying the payment process. This feature differentiates ClearGage from competitors by providing a modern, user-friendly approach that benefits both staff and patients. However, some users have pointed out that certain features, like generating detailed reports on transaction fees, are not intuitive. Despite this drawback, the overwhelmingly positive feedback suggests that ClearGage is a valuable tool for medical practices of all sizes looking to modernize their billing systems and enhance patient satisfaction. Its intuitive design and robust features make it particularly well-suited for smaller practices that may not have dedicated billing staff, allowing them to manage their billing efficiently without the need for extensive training or support.

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