With the CMS Final Rule published there is a flurry of activity across the industry to come up to speed on the changes. In our experience though we’ve found that for many healthcare systems it’s easier to keep track of changes to the codes, rules, and guidelines they are already using; the challenge comes in […]
Over the last several months we’ve seen an uptick in requests from clients nationwide for help reconciling laboratory orderables to chargemasters. In case you’re in this same boat, we wanted to provide some insight into the steps you should be taking.
https://insights.panaceainc.com/wp-content/uploads/2019/10/medicine-doctor-with-stethoscope-using-tablet-and-medical-icon-on-picture-id1023232666-1.jpg479566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2019/11/logo-2.pngPanacea Insights2019-10-22 11:06:142019-12-17 07:00:59Are You Reconciling Your Laboratory Orderables to Your Chargemaster? A How-To in 4 Steps
Read Unpacking CMS’ 2020 Proposed Expanded Rules for Hospital Price Transparency to gain a better understanding of the Proposed Rules for Hospital Price Transparency released by CMS on July 29, 2019. The comment period ended September 27, 2019, and the final rule is forthcoming.
https://insights.panaceainc.com/wp-content/uploads/2019/03/business-woman-working-in-corporate-office-picture-id518847296.jpg400566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2019/11/logo-2.pngPanacea Insights2019-10-15 10:01:302019-11-18 10:27:34Recommendations to Providers on Price Transparency Priorities to Address Now
On January 1, 2019 the Hospital Price Transparency Rule took effect mandating hospitals publish their price lists online in a machine-readable format. Hospitals complied by making their charge description master (CDM) available via download in CSV or similar format. The result fell far short of CMS’ goal of empowering patients to become “active healthcare consumers” […]
We’ve summarized the Centers for Medicare and Medicaid Services (CMS) and American Medical Association (AMA) payment and coding updates being implemented October 1, 2019. The updates should be reviewed for possible implementation in your hospital chargemaster and/or reviewed by applicable coding and billing staff.
https://insights.panaceainc.com/wp-content/uploads/2019/03/business-woman-working-in-corporate-office-picture-id518847296.jpg400566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2019/11/logo-2.pngPanacea Insights2019-09-24 10:04:142019-09-26 08:53:06Summary of the Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) payment and coding updates for Q4' 2019
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 […]
https://insights.panaceainc.com/wp-content/uploads/2019/09/scientist-working-on-computer-in-modern-laboratory-picture-id1090255620.jpg400566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2019/11/logo-2.pngPanacea Insights2019-09-19 08:49:152019-10-01 10:44:23Is Your Staff Struggling with How to Bill Lab Services? 4 Steps to Better Results
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 […]
https://insights.panaceainc.com/wp-content/uploads/2019/05/whats-next-picture-id483661187.jpg300566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2019/11/logo-2.pngPanacea Insights2019-08-20 09:42:182019-08-21 09:40:44Pricing Transparency is Here. What Now? What next?
Learn a new holistic approach to physician auditing using technology, expertise, and education. With a predictive analyzer tool, you can identify incidents and patterns of potential billing and coding as well as opportunities where under-coding of services may be taking place. The results will drive meaningful focused audits and provider specific education.