Case Study: Healthcare Provider Solutions achieves streamlined Medicare claim management and reduced denials with Waystar Medicare Management

A home care and hospice billing services provider’s journey to simplify Medicare claim management + boost efficiency

Healthcare Provider Solutions, a Nashville-based nationwide home care and hospice billing services firm serving 90+ provider organizations, needed a faster, more reliable way to submit and track Medicare claims. Their prior clearinghouse introduced up to a three-day validation delay, Direct Data Entry (DDE) errors, and limited claims reporting—putting providers at risk of timely-filing violations—so they turned to Waystar and its Medicare Management solution for relief.

Waystar implemented Medicare Management with a direct FISS connection and consolidated clearinghouse access, reducing multiple DDE sessions to one, enabling 24/7 claim submission/fixing/tracking, shortening the payment cycle, and saving a partial FTE. As a result, Healthcare Provider Solutions now posts a 1% average claim denial rate, a 3% claim rejection rate, and a 3% return-to-provider rate, while improving reporting, eligibility checks, cash flow, and overall client satisfaction.

Healthcare Provider Solutions

Mark Cannon

CFO