Case Study: Medicount reduces denials and protects revenue with Waystar

Medicount recovers $5.7M and boosts first-pass payment rate 8% with Waystar

Medicount, an ambulance service provider, faced the challenge of preventing costly claim denials and operating efficiently on thin margins due to their high volume of low-dollar claims. Their previous reactive approach required significant manual rework. To address this, they partnered with Waystar and leveraged its Auto Eligibility Verification and AI-powered prioritization services to identify insurance issues upstream.

By implementing Waystar's proactive denial prevention strategy, Medicount achieved significant measurable results. These included a payer rejection rate of under 2%, a 97.8% clean claim rate, and an 8% year-over-year improvement in their first-pass payment rate. Waystar's solution also helped recover $5.7 million in billable opportunity through Coverage Detection, empowering staff to shift from manual tasks to process-driven work.

Medicount