Case Study: 400+M Net Patient Revenue Health System Achieves $12.9M Revenue Recovery with Waystar Charge Integrity & Denial Avoidance

$12.9 Million Delivered from Revenue Cycle Revamp

Health System, a $400+ million net patient revenue organization with three hospitals and 13 regional clinics, was losing revenue to missing charges, high denial write‑offs and productivity inefficiencies. Lacking tools to detect missing drugs on claims, capture initial denials or track staff work, the Health System engaged Waystar (formerly ZirMed) to deploy Charge Integrity, Professional Charge Integrity and Denial Avoidance solutions.

Waystar implemented data‑mining driven charge integrity and denial‑avoidance tools with custom dashboards, edits and work queues that fit existing workflows. The results: $12.9 million realized from rebilled missing charges, write‑off reductions, self‑pay collections and process improvements; $2.5 million in net revenue identified via Charge Integrity; write‑offs down >50% (~$6M improvement in 14 months); net revenue up 1.5% in five months; denied dollars reduced ~$5M and self‑pay collections increased $5M—giving the Health System better visibility and sustained revenue recovery with Waystar.