Hospital Zero-Base Pricing®: A Novel Approach to Establishing Rational Chargemaster Prices
Today’s environment necessitates that healthcare CFOs and financial managers can explain, document, and defend the rationale behind their CDM prices. This whitepaper discusses why financial managers who previously had optimized their chargemaster prices or inherited irrational chargemasters should consider a hospital zero-base pricing initiative.
On-Demand Webinar: Optimize Hospital Inpatient and Outpatient Audits
In our current auditing environment, the importance of maintaining an internal audit plan for facility services cannot be overstated. Watch our complimentary on-demand webinar to learn how leveraging technology can help you review all of your claims or coding abstract data and uncover revenue opportunities, allowing you to focus your time and investment on problem areas.
2023 E&M Updates Resources
Wondering how the 2023 updates to E&M guidelines affect your team? Look no further. Our experts have developed a set of customized resources to aid professionals as they put the guidelines into practice.
Big Changes in 2023 for Ambulatory Surgery Centers
The Centers for Medicare and Medicaid Services (CMS) have created over 50 new C-codes (C7500–C7555) for ambulatory surgery centers (ASCs) that affect many procedures. These codes were created to allow additional payment for packaged services for ASCs.
How to Stay Ahead of Payer Audits by Data Mining Your Claims
External audits are rapidly returning to full operating force following a lull that took place amid the worst of the COVID-19 pandemic. Amidst a time of shrinking operating margins and heightened scrutiny by federal healthcare contractors, providers are seeking to focus on the benefits of technology-driven internal auditing.
How to Rationalize Chargemaster Prices
Have you ever wondered how hospital prices became so irrational? As is often the case, things changed incrementally. Hospitals and healthcare systems have experienced years of inadequate inflationary update factors, often reduced by factors such as presumed over-coding under the federal inpatient and outpatient prospective payment systems.
Is Your Staff Struggling with How to Bill Lab Services? 4 Steps to Better Results
If your organization is struggling with coding laboratory services consistently and accurately, here are the four steps you need to take.
How to Comply With (and Exceed) the CMS Hospital Price Transparency Rule Requirements
CMS penalties have dramatically increased since the Price Transparency Rule was released, and providers must take heed before CMS and a legislative gauntlet arrive at their front door.
Panacea Healthcare Solutions, a Leading Healthcare Mid-Revenue Cycle Technology and Services Company, Receives Growth Investment from Firmament
ST. PAUL, MINNEAPOLIS, August 24, 2022 —Panacea Healthcare Solutions announced today that it has received growth capital from Firmament, a leading provider of structured equity capital solutions to small- and medium-sized enterprises. Firmament’s investment will fuel innovation and expand Panacea’s product suite through the acquisition of Holliday & Associates and First Healthcare Compliance. The combined company will be a leading provider of healthcare revenue cycle and compliance software and services to over 600 hospitals, health systems, physician practices, and accountable care organizations across the United States.
Case Study: Achieve Significant Efficiencies through a Comprehensive Audit Program to Ensure Compliant Coding and Optimal Reimbursement
A large, multi-specialty practice with more than 1,000 physicians and allied health professionals has been able to achieve significant efficiencies by consolidating a number of core administrative activities, particularly billing, reimbursement, and other financial operations.
Eight Steps to Reveal Incremental Revenue and Reduce Risk Related to “Lesser-of” and “Stop-Loss” Contract Clauses
/in Featured /by Panacea InsightsRestructuring a hospital’s chargemaster in this era of transparent pricing often results in material increases and decreases in line item charges to align with market norms, unit costs, or a hybrid thereof. Learn how your organization can enhance its financial performance in this environment.