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Mastering Defensible Pricing in the Era of Price Transparency

In an era where data-driven scrutiny and patient-centered decision-making converge, the importance of defensible pricing in healthcare cannot be overstated. By strategically aligning prices with actual costs and market dynamics, providers can weather the storm of price transparency and emerge as leaders in a landscape defined by trust, competitiveness, and financial sustainability.

Panacea to Host Live Webinar on the CMS 2024 OPPS Proposed Rule on Price Transparency

Register today to learn about the critical implications of the CMS OPPS Proposed Rule on Price Transparency Changes for 2024. Choose from two dates: Tuesday, August 22, or Thursday, September 14, from 11 a.m. to 12 p.m. (CDT).

Mergers + Acquisitions: Is Your Chargemaster Strategy Sound?

Expansion—through mergers, acquisitions, joint ventures and other strategic partnerships—has become an important tool in a hospital’s strategic wheelhouse. As your footprint expands to encompass the entire continuum of care, how do you ensure your chargemaster strategy is sound and consistent?

Exclusion Screening Requirements for Healthcare Entities: Ensuring Compliance and Protecting Your Organization

In the ever-evolving landscape of healthcare regulations, one crucial aspect that healthcare entities must prioritize is exclusion screening.

10 Steps for Failsafe Charge Data Management

Busy revenue cycle teams often overlook the basic steps of charge data management to attend to more urgent priorities. These proven steps covered in this article are pivotal to keeping “charge data management” a key operational priority.

E&M Payment Policy Changes Drive Modest Reduction in Specialist/Primary Physician Pay Gap

Have the federal payment policy adjustments implemented in 2021 meaningfully reduced the pay gap between specialists and primary care physicians (PCPs)? A recent JAMA study appears to have yielded the answer: yes—but not by nearly enough.

Transcatheter Valvular Procedure Code Set Updates

Over the last decade, one of the most exciting areas of development in healthcare has been the growth of structural heart and interventional cardiology programs—specifically, the advancement of transcatheter valvular procedure techniques. As the ability to treat a larger population using these novel techniques expands, so must our understanding of the nuances involved in navigating the current rules and regulations from both the clinical and revenue cycle perspectives.

Eight Steps to Reveal Incremental Revenue and Reduce Risk Related to “Lesser-of” and “Stop-Loss” Contract Clauses

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.

Hospital Zero-Base Pricing®: A Novel Approach to Establishing Rational Chargemaster Prices

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.

On-Demand Webinar: Optimize Hospital Inpatient and Outpatient Audits

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.