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.
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.
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.
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 13:00:592024-01-08 15:22:09Eight 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
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.
10 Steps for Failsafe Charge Data Management
/in Expert Opinions, Featured /by Panacea InsightsBusy 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
/in Blog Sidebar, Featured, News /by Panacea InsightsHave 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
/in Expert Opinions, Featured /by Panacea InsightsOver 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
/in Expert Opinions /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 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 Webinars /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 /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.
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.