Pricing Transparency is Here… What now? What’s next?

On August 2, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that was intended to empower patients through better access to hospital price information.  Current laws already required hospitals to make public a list of their standard charges, but the new requirement which became effective on January 1, 2019, required […]

News: Recent survey finds less than half of healthcare providers are ready to publish their standard charges to meet the CMS price transparency requirement

Survey overview: During a recent webinar on Developing a Pricing Strategy for the 2019 CMS Transparency Requirement, Panacea surveyed 450 healthcare executives to gauge their readiness in meeting the January 1, 2019 CMS Final Transparency Rule deadline. 

CMS Price Transparency Requirement: Six Steps Towards Ensuring Compliance and Defensible & Rational Pricing

The CMS 2019 transparency requirement underscores their ongoing initiative and emphasis on empowering patients through better access to hospital charge information.

Article: It’s a Fact: Revenue Integrity Programs Increase Net Revenue

Is your revenue integrity program performing at full capacity? Perhaps more important, do you have a revenue integrity program (or department) at all? A survey conducted by the Healthcare Financial Management Association (HFMA) reports that less than half (44%) of providers contacted have a revenue integrity department to track accurate coding and charge capture, establish […]

University of Utah Health: Making the Case for Auditing CDI Queries

The University of Utah has taken a unique approach to CDI. They have determined that standards and auditing are critical components of the CDI process. But how does a facility begin auditing queries? And what constitutes a compliant query?

HFMA Awards Panacea “Peer Reviewed” Designation for 2018

May 23, 2018—Panacea, a Career Step company and leading provider of revenue cycle management, smart software and enterprise-level educational solutions, is pleased to announce that after a rigorous review, the Healthcare Financial Management Association (HFMA) has awarded Panacea’s CDMauditor® Hospital Zero-Base Pricing® its “Peer Reviewed by HFMA” designation. Panacea’s Comparative Hospital Data™, Unit Cost Estimator, […]

Article: Cultivating Homegrown Inpatient Auditors

By training coders who already are on staff, hospitals leverage institutional knowledge and build career paths. Changes in payment policies, laws, and regulatory oversight are forcing healthcare organizations to respond to increased regulatory scrutiny and audits. Medicare audits have increased by 936 percent in the past five years*. Ad hoc inpatient audits are no longer enough […]

News: Panacea Responds to CMS FY19 IPPS Proposed Rules Requiring Hospitals to Publish Their Chargemaster Prices Online

Lehi Utah, May 10, 2018 Panacea announced today that their Hospital Zero-Base Pricing® system will align with the proposed IPPS rules for FY 2019 released by the Center for Medicare and Medicaid Services (CMS). The proposed rules issued by CMS on April 24 require healthcare organizations to publish their “standard charges” online by January 1, […]

Key Learnings from HCCA 2018 Compliance Institute Conference.

We had a great time at HCCA’s Compliance Institute conference in Las Vegas and enjoyed meeting everyone.  It’s always so exciting to see all of the strategies and methods professionals across the healthcare industry are using to accomplish their diverse goals.

News: Panacea Offers Focused Audit Service in Response to United, Anthem and other Payer Attempts to Reduce Level 4 and 5 Reimbursements

Lehi, Utah, April 20, 2018 – In response to recent initiatives from United Health, Anthem and other Payers, Panacea announced a service for providers to proactively identify their financial risk.

Article: IR Coding: 100% Bundled, Component Coded or Hybrid-Bundled

In 1992, CPT coding options for interventional radiology (IR) procedures underwent a seismic shift in “how” to code. Gone was the old method of complete procedure codes (a one-size-fits-all code); the new method added separate options to describe “what was done” and “where or how you did it.”