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 price transparency, announced that it will make its hospital, physician and pharmacy pricing senior-level consultants available to hospitals at no cost to review and make […]
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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 to applicable drug HCPCS codes to report the discarded amount of unused injectable medication from a single-dose vial. The HCPCS code and JW modifier are […]
As COVID continues and patient encounters increase, resources dwindle and government audits are on the increase, hospitals and physician practices need to find new ways to drive efficiency and optimize resources. Join Panacea at our complimentary webinar on Thursday, May 13 at 1 PM ET to learn how our new proprietary auditing platform can review all […]
St. Paul, MN – Panacea Healthcare Solutions, Inc., a company specializing in healthcare coding compliance, revenue integrity and pricing software and consulting services, announced today that Govind Goyal, formerly with Waystar, has joined its executive leadership team as Executive Vice President, Financial Services and Revenue Integrity. Govind will lead a team of financial and revenue […]
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 policy excluding self-administered drugs (SADs) under the outpatient Part B benefit. Oral drugs, suppositories, and topical medications, for example, are easy enough to identify as […]
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 a minimum of 10 professional encounters per year, per physician – but if you’re not going above and beyond that by performing focused audits, you’re […]
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 accurately document what was even going on with patients, things got even worse.
Following the recent unveiling by federal officials of the 2021 Outpatient Prospective Payment System (OPPS) Final Rule, Panacea Healthcare Solutions has created a comprehensive Final Rule Summary highlighting some of the most salient looming changes facing healthcare providers nationwide.
The comprehensive diagnostic review includes analysis of CMS Price Transparency shoppable items and services to alert providers of risks and opportunities.
Designed for hospitals just starting on their consumer display and machine-readable file, this session will include an overview of the requirements, 10 things you need to know, data requirements, how to layout the machine-readable file, and 3 options to consider for meeting the consumer display requirement. View Webinar This session will cover: Rule Requirements for […]