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 […]
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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.
In today’s environment of increasing regulatory oversight and ever-changing reimbursement policies, compliance must be more than a checkbox. Though an annual compliance and audit plan is not legally mandated, there are few healthcare organizations that don’t have compliance on their radars. However, if your compliance focus is simply to check a box, you’re missing out.
https://insights.panaceainc.com/wp-content/uploads/2019/02/Kathy-Pride-Insights-Featured-Article-2.jpg377566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2018/03/logo.pngPanacea Insights2019-06-13 11:28:402019-06-14 09:03:12The Top 3 Compliance and Auditing Mistakes and How to Avoid Them
With two-year’s worth of Medicare claims data now available under the ICD-10 coding guidelines, we no longer need to guess about the impact of the new coding and documentation requirements and the industry readiness.
https://insights.panaceainc.com/wp-content/uploads/2018/12/Insights-featured-image.jpg156233Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2018/03/logo.pngPanacea Insights2018-12-12 14:10:452018-12-12 14:10:45Webinar: National CC/MCC Capture Rate & Case Mix Index Trend Study
A nationwide analysis of hospitals’ case mix index trends and CC/MCC capture rates since the implementation of ICD-10. Since the October 1, 2015 commencement of I-10, both case mix index trends and CC/MCC capture rates nationwide have improved by 2.8% and 0.8% respectively. Years of coding and documentation training to address the tenfold increase in […]
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In October, Panacea sponsored an HFMA educational webinar on Developing a Pricing Strategy for the CMS 2019 Transparency Requriement. The one-hour webinar was hosted by the Healthcare Financial Management Association (HFMA) and featured Panacea financial executives, Fred Stodolak, Executive Vice President and Mark Spehar, Senior VP Financial Services as presenters.
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The push for health care price transparency is nothing new and can be traced back almost 20 years. When CMS released their proposed 2019 Inpatient Prospective Payment System (IPPS) rules including “requirements for hospitals to make public, a list of their standard charges via the internet”, it further underscored CMS’ continued effort for hospitals and […]
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