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Key Learnings from HCCA 2018 Compliance Institute Conference.

We had a great time at HCCA’s Compliance Institute conference in Las Vegas and enjoyed meeting everyone.  It’s always so exciting to see all of the strategies and methods professionals across the healthcare industry are using to accomplish their diverse goals.

News: Panacea Offers Focused Audit Service in Response to United, Anthem and other Payer Attempts to Reduce Level 4 and 5 Reimbursements

Lehi, Utah, April 20, 2018 – In response to recent initiatives from United Health, Anthem and other Payers, Panacea announced a service for providers to proactively identify their financial risk.

Article: IR Coding: 100% Bundled, Component Coded or Hybrid-Bundled

In 1992, CPT coding options for interventional radiology (IR) procedures underwent a seismic shift in “how” to code. Gone was the old method of complete procedure codes (a one-size-fits-all code); the new method added separate options to describe “what was done” and “where or how you did it.”

Renown University: How One Organization Cultivated Their Own Coding Team and Saved 2.27 Million

Like many other organizations, Renown faced significant challenges finding experienced coders. In 2014, they decided to develop their own coding team and started their own coding educational program called Renown University.

Webinar: A Pharmacy Revenue Team Conversation: The Top 4 Reasons Why Pharmacy Revenue Improvement Should Be Your Next Project

With the focus on improving revenue cycle over the last few years, it is now time to tackle one of the most complex areas in healthcare organizations — the pharmacy

Large Healthcare System Enhances Revenue Capture and Reduces Compliance Risk

A large multi-institutional healthcare delivery system wanted to develop a charge capture program that would help all their hospitals ensure appropriate reimbursements. The solutions they considered didn’t cut it—until they found CLAIMSauditor.

The OIG Targets Herceptin Billing Errors

The OIG has added specialty drug coverage and reimbursement by Medicaid to its Work Plan.

Article: Creating an Internal Inpatient Auditing Program

Changes in reimbursement policies, laws, and regulatory oversight are forcing healthcare organizations to respond to increased regulatory scrutiny and audits.

Webinar: How to Cultivate an Inpatient Auditing Team and Ensure You Have the Right Professionals

With ever-intensifying financial scrutiny and an increasingly complex…

Webinar: Making the Case for Auditing CDI Queries By Dissecting the University of Utah Audit Process

The University of Utah has taken a unique approach to CDI, and they…