Waystar vs Oracle Ambulatory EHR

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Our analysts compared Waystar vs Oracle Ambulatory EHR 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.

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Oracle Ambulatory EHR (formerly Cerner Ambulatory) is an electronic health record system designed specifically for outpatient care settings such as physician practices, clinics and ambulatory surgery centers. It excels in digitizing clinical workflows like patient registration, appointment scheduling, billing, claims management and ePrescribing.

It’s particularly strong in clinical documentation, scoring higher than competitors like AdvancedMD and eClinicalWorks, thanks to features that facilitate tasks such as scanning paper documents, electronic signatures and patient reminders?.

Since the platform lacks a substantial volume of user reviews, there isn't enough detailed feedback on user satisfaction or specific experiences. Potential users may need to rely more on case studies, analyst insights and demos to understand how it fits their requirements.

Pricing is customized based on your practice's size and requirements, with no free trial available. Prospective buyers must contact the vendor for a personalized quote.

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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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  • Digitize Your Practice: In our analysis, the platform scored 100 for clinical documentation features, more than its competitors like AdvancedMD (88) and eClinicalWorks (89). It truly stands out for:
    • Scanning and storing paper documents as digital files.
    • Allowing patients and practitioners to electronically sign invoices, prescriptions, consent forms and clinical notes.
    • Helping healthcare providers know which immunizations a person needs and has already received.
    • Maintaining and sharing diet plans with patients.
    • Offering suggestions to the healthcare team, like recommending a different treatment option.
    • Advising patients like reminding them to take their medication or schedule a follow-up appointment.
  • Reduce Charting Time: In our analysis, the system scored really well for charting capabilities like creating a new entry for each patient appointment and seeing exactly when it happened, tracking custom measurements like blood sugar levels, sending patients customized questionnaires to gather key health information and easily reviewing lab results.
  • Access Data Remotely: This product shines with its impressive mobile capabilities, earning a standout score of 88 in our analysis. While other solutions like AdvancedMD (62), eClinicalWorks (71) and athenahealth (72) also offer mobile options, this product distinguishes itself by helping you:
    • Send messages to billers, doctors and patients.
    • Access the system via iOS and Android native mobile apps.
    • View, add and update data offline.
    • Capture and upload images and videos via the mobile device.
    • Dictate patient notes using speech-to-text functionality.
  • Prioritize Security and Compliance: This product prioritizes platform security and compliance, achieving a perfect score of 100 in our analysis. It protects sensitive patient data by maintaining detailed audit trails, using strong encryption (FIPS 140-2 compliant), adhering to HIPAA and HITECH regulations, and enabling secure data exchange through FHIR, HL7 and HIE standards.
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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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  • Digital Patient Intake: Enable patients to complete intake forms online before their visit, reducing wait times and administrative burden. Self-service kiosks allow clients to easily check in, verify information and update any changes upon arrival.
  • Video Visits: Conduct secure, face-to-face virtual appointments with clear audio and video, fostering strong patient-provider communication. Capture video visits (with patient consent) for thorough documentation, review and continuity of care.
  • Computer-Assisted Coding: Rely on intelligent algorithms to analyze clinical notes and automatically determine accurate E&M codes to ensure proper reimbursement.
  • Patient Scheduling: Look at what the patient needs, their insurance, their preferences and the doctor's availability to find the best appointment time and location. Coordinate appointments across different clinics and departments, whether you're booking by phone or online. Automatically reach out to patients who need to schedule appointments based on their doctor's orders.
  • Finances: Check insurance and financial information beforehand, so patients don't have to repeat themselves. Give patients an idea of how much their visit will cost with estimates.
  • Patient Financial Activity: Gain a unified view of patients' clinical and financial data to understand expected reimbursements, remaining balances and overall financial performance. Track payments from both patients and health insurance payers, ensuring that all revenue is properly accounted for and no discrepancies arise.
  • Billing: Automatically identify and assign outstanding accounts receivable, reducing the time it takes to get paid for services rendered. Embedded payer rules ensure accurate billing and compliance with payer requirements, helping you maximize reimbursements and reduce claim denials.
  • Referral Management: Share referrals with any doctor or healthcare provider, even if they use a different system. See exactly where each referral is in the process, so nothing gets lost.
  • Population Health Management: Analyze patient data to find areas where they might be missing out on important care. Create care plans tailored to each patient’s needs. Figure out how much care costs and how to make it more affordable.
  • Reporting and Analytics: Send information to other data visualization tools like Tableau and SAP BusinessObjects for in-depth analysis. Generate personalized reports and dashboards to track practice performance.
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Product Ranking

#43

among all
Medical Billing Software

#75

among all
Medical Billing Software

Find out who the leaders are

Analyst Rating Summary

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Analyst Ratings for Functional Requirements Customize This Data Customize This Data

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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 100 100 100 100 100 79 75 81 95 100 0 25 50 75 100
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User Sentiment Summary

Excellent User Sentiment 315 reviews
Good User Sentiment 190 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.

76%
of users recommend this product

Oracle Ambulatory EHR has a 'good' User Satisfaction Rating of 76% when considering 190 user reviews from 3 recognized software review sites.

n/a
4.1 (16)
4.6 (116)
3.6 (14)
4.5 (199)
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3.8 (160)

Awards

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

User Favorite Award

SelectHub research analysts have evaluated Oracle Ambulatory EHR and concluded it earns best-in-class honors for Compliance and Security, Medical Coding and Integrations and Extensibility.

Compliance and Security Award
Medical Coding Award
Integrations and Extensibility 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.
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Enhanced Accessibility: EHRs make patient records accessible in real time, facilitating coordination across healthcare providers and enabling faster decision-making​.
Improved Patient Safety: Features like automated alerts for drug interactions and allergies help reduce medical errors, enhancing overall patient safety​.
Efficient Clinical Workflows: By automating administrative tasks such as billing, scheduling and coding, EHRs can help streamline workflows and free up time for patient care.
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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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Complex Learning Curve: Some EHR systems are not intuitive, requiring significant training and time to adapt, which can initially disrupt clinical workflows​.
High Implementation and Maintenance Costs: The cost of setting up, maintaining and upgrading EHR systems can be prohibitive, especially for smaller practices​.
Performance Issues: Users frequently report slow system performance, crashes and downtimes, which can affect efficiency and patient care.
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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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Cerner Ambulatory EHR really shines when it comes to digitizing outpatient care and making clinical workflows smoother. The software is packed with features that cater specifically to ambulatory settings like charting, digital patient intake and lab integration.It’s particularly strong in clinical documentation, scoring top marks compared to competitors like AdvancedMD and eClinicalWorks. This means it’s well-equipped for handling tasks like scanning paper records into digital files, electronically signing documents, and tracking immunizations and diet plans. So, if you’re looking for a solution to streamline administrative tasks and reduce paperwork, the system has you covered.The solution is also pretty flexible in terms of customization. You can adapt templates and workflows to fit your practice’s specific needs, though if you want to go all-in with customization, you might need some help from Cerner’s support team. It’s something to keep in mind, especially for clinics that don’t have a lot of IT resources.Where the product really sets itself apart is in mobile accessibility. You can send messages, access patient data offline and even dictate notes with speech-to-text, all from your mobile device. The score for mobile features is notably higher than competitors like athenahealth, making it a solid choice for practices that need remote access.When it comes to interoperability — basically, how well the software plays with other systems — it’s pretty advanced. It complies with major standards like HL7 and FHIR, which are essential for sharing data with other EHRs.However, it’s not all smooth sailing. The learning curve could be steep, which isn’t uncommon for EHR systems, but it’s something to be aware of if your team isn’t tech-savvy.Plus, you might also experience occasional performance issues like slow loading times or system glitches, which could disrupt daily operations.In a nutshell, Cerner Ambulatory EHR is a great fit for practices looking to digitize and automate their workflows, especially those that prioritize mobile accessibility and data security. Just be prepared for a bit of a learning curve and some investment upfront to get the most out of it.

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Screenshots

Top Alternatives in Medical Billing Software


AdvancedMD

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