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Data Mine Your Claims: How to stay ahead of payer audits by data mining your claims to identify risk and proactively fix issues

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Panacea to Showcase Auditing Technology at the Annual HCCA Conference

Attendees at Health Care Compliance Association’s 26th Annual Conference can visit Panacea’s virtual booth for the latest compliance resources.

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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.

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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.

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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 way. The […]

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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 […]

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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 […]

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New Modifiers: Hospital Outpatient Billing for Injectable Self-Administered Drugs

Do you and your team have a good process to readily identify and bill appropriately for self-administered drugs? The Centers for Medicare & Medicaid Services (CMS) has had a longstanding […]

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What’s on Your 2021 OIG Compliance Greatest Hits List?

Compliance plans are critical to making sure your organization is mitigating risk. The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recommends that you audit […]

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New ICD-10 Codes Create Clarity in Capturing COVID in 2021

The chaos and confusion fomented throughout the American healthcare industry by the continuing COVID-19 pandemic has been bad enough in of itself – but when coders found themselves unable to […]