Restructuring 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.
https://insights.panaceainc.com/wp-content/uploads/2017/09/iStock-1317075903-e1679330758523.jpg377566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2019/11/logo-2.pngPanacea Insights2023-03-20 13:00:592023-03-20 13:24:10Eight Steps to Reveal Incremental Revenue and Reduce Risk Related to “Lesser-of” and “Stop-Loss” Contract Clauses
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.
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.
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.
Watch the complimentary 90-minute training session hosted by First Healthcare Compliance to hear Panacea’s experts review the 2023 E&M documentation guidelines and requirements and provide examples on how to improve your internal documentation processes to ensure appropriate reimbursement and avoid compliance issues.
https://insights.panaceainc.com/wp-content/uploads/2023/02/iStock-822258268-e1677280919389.jpg378566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2019/11/logo-2.pngPanacea Insights2023-01-18 13:22:362023-07-18 10:31:40Evaluation and Management Updates 2023: Training and Q&A
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.
https://insights.panaceainc.com/wp-content/uploads/2023/01/iStock-1339450275-e1673536943391.jpg377566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2019/11/logo-2.pngPanacea Insights2023-01-12 07:51:572023-01-12 08:07:59Big Changes in 2023 for Ambulatory Surgery Centers
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.
https://insights.panaceainc.com/wp-content/uploads/2022/11/Digital-transformation-concept.-System-engineering.-Binary-code.-Programming.-stock-photo-e1670260976416.jpg325566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2019/11/logo-2.pngPanacea Insights2022-12-07 08:00:472023-07-12 12:52:06How to Stay Ahead of Payer Audits by Data Mining Your Claims
The No Surprises Act provisions require that uninsured/self-pay good faith estimates include the primary service and an associated list of line item “expected charges.” Join Panacea’s finance experts as they cover best practices for identifying and listing all expected charges for each item and service furnished during an encounter, as well as best approaches for constructing an all-inclusive uninsured/self-pay good faith estimate, in this complimentary on-demand webinar.
Changes to 2023 E/M coding will impact CDM files, coding, documentation, charge capture processes, and various information systems. This article outlines new revisions to E/M codes for 2023 and addresses several questions we believe professionals will encounter when they learn of the changes.
https://insights.panaceainc.com/wp-content/uploads/2022/10/iStock-1141255408-e1665756811826.jpg377566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2019/11/logo-2.pngPanacea Insights2022-10-14 07:41:082023-01-09 10:13:03Evaluation and Management 2023 Updates: What You Need to Know
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.
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.
Hospital Zero-Base Pricing®: A Novel Approach to Establishing Rational Chargemaster Prices
/in Featured, Whitepapers /by Tyler BanksToday’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 Featured /by Panacea InsightsIn 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
/in Expert Opinions, Featured /by Panacea InsightsWondering 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.
Evaluation and Management Updates 2023: Training and Q&A
/in Webinars /by Panacea InsightsWatch the complimentary 90-minute training session hosted by First Healthcare Compliance to hear Panacea’s experts review the 2023 E&M documentation guidelines and requirements and provide examples on how to improve your internal documentation processes to ensure appropriate reimbursement and avoid compliance issues.
Big Changes in 2023 for Ambulatory Surgery Centers
/in Featured /by Panacea InsightsThe 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
/in Featured /by Panacea InsightsExternal 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.
No Surprises Act: Demystifying Good Faith Estimates
/in Webinars /by Panacea InsightsThe No Surprises Act provisions require that uninsured/self-pay good faith estimates include the primary service and an associated list of line item “expected charges.” Join Panacea’s finance experts as they cover best practices for identifying and listing all expected charges for each item and service furnished during an encounter, as well as best approaches for constructing an all-inclusive uninsured/self-pay good faith estimate, in this complimentary on-demand webinar.
Evaluation and Management 2023 Updates: What You Need to Know
/in Expert Opinions /by Panacea InsightsChanges to 2023 E/M coding will impact CDM files, coding, documentation, charge capture processes, and various information systems. This article outlines new revisions to E/M codes for 2023 and addresses several questions we believe professionals will encounter when they learn of the changes.
How to Rationalize Chargemaster Prices
/in Featured, Revenue Integrity /by Panacea InsightsHave 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.