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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.

2023 E&M Updates Resources

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.

Evaluation and Management Updates 2023: Training and Q&A

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.

How to Stay Ahead of Payer Audits by Data Mining Your Claims

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.

No Surprises Act: Demystifying Good Faith Estimates

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.

Evaluation and Management 2023 Updates: What You Need to Know

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.

How to Rationalize Chargemaster Prices

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.

How to Comply With (and Exceed) the CMS Hospital Price Transparency Rule Requirements

CMS penalties have dramatically increased since the Price Transparency Rule was released, and providers must take heed before CMS and a legislative gauntlet arrive at their front door.

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

Join us on Thursday, August 11 at 10am PT | 1pm ET to find out how you can leverage data mining to proactively uncover compliance risks and revenue opportunities to identify areas of improvement in coding and documentation.