Case Study: St. Anthony’s Hospice achieves 53% fewer rejected claims and a 95% clean-claim rate with Waystar (Medicare Enterprise)

St. Anthony’s Hospice - Customer Case Study

St. Anthony’s Hospice, serving three Kentucky counties, was manually submitting roughly 100–125 hospice claims per month into the Medicare FISS system and had never been paid on an MSP claim in its 15-year history. The manual process and difficulty with Notice of Election submissions drained staff time and caused lost revenue, so the organization adopted eSolutions (now part of Waystar) and its Medicare Enterprise solution to streamline billing.

Waystar’s eSolutions Medicare Enterprise automated claims submission, NOE processing and reporting, delivering immediate results: the hospice began receiving MSP payments (their first ever), stabilized billing at about 125 claims monthly, achieved a 53% decrease in rejected claims and a 95% clean claim rate, and gained easy daily push reports and responsive client support—outcomes that, per the customer, more than paid for the solution.

St. Anthony’s Hospice

Jodie Conrad

Director of Operations