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.
Evaluation and Management (E&M) Split (or Shared) Visits – 2022 Summary of Changes
The 2022 Final Rule defines split (or shared) visits as evaluation and management (E&M) visits in the facility setting that are performed in part by both the physician and a non-physician practitioner (NPP) who are in the same group, in accordance with applicable laws and regulations.
Is Automation the Answer in Auditing?
Ask Kathy Pride, and she’ll tell you: there are two ways for healthcare providers to perform proactive auditing of their claims. There’s the old way – and there’s the better […]
Is Your Staff Struggling with How to Bill Lab Services? 4 Steps to Better Results
As laboratory services are one of the highest revenue-producing departments in most health systems, it’s incredibly important to bill these services correctly. However, it’s also an area fraught with lots of guidelines and restrictions—and with many staff members throughout the hospital system working laboratory accounts, there is a high risk of errors and inconsistencies. This is a situation we’ve seen and helped correct in health systems nationwide.
CMS Dramatically Increases Penalties for Price Transparency Non-Compliance – Panacea Responds with a No-Cost Consultation
ST. PAUL, MN – With the dramatic increase in civil penalties announced by the Center for Medicare & Medicaid Services (CMS), Panacea Healthcare Solutions, Inc., the leading experts in hospital […]
Document Your Leftovers: The JW Modifier and How to Use It
On Jan. 1, 2017, the Centers for Medicare & Medicaid Services (CMS) and Medicare Administrative Contractors (MACs) began requiring the use of the JW modifier. The JW modifier is appended […]
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…
Whitepaper: Hospital Zero-Base Pricing®: A Novel Approach to Establishing Rational Chargemaster Prices
Have you ever wondered why hospital prices appear so irrational to consumers?
Mergers + Acquisitions: Is Your Chargemaster Strategy Sound?
Expansion — through mergers, acquisitions, joint ventures and other strategic partnerships — has become an important tool in a hospital’s strategic wheelhouse. As your footprint expands to encompass the entire […]
Webinar: Data Mine Your Claims: How to stay ahead of payer audits by data mining your claims to identify risk and proactively fix issues
/in Featured /by Panacea InsightsJoin us on Thursday, August 11 at 10am PT | 1pm ET to find out how you can leverage data mining to proactively uncover compliance risks and revenue opportunities to identify areas of improvement in coding and documentation.