Entries by Panacea Insights

Is Your Staff Struggling with How to Bill Lab Services? 4 Steps to Better Results

As laboratory services are one of the highest revenue-producing departments in most health systems, it’s incredibly important to bill these services correctly. However, it’s also an area fraught with lots of guidelines and restrictions—and with many staff members throughout the hospital system working laboratory accounts, there is a high risk of errors and inconsistencies. This […]

Pricing Transparency is Here. What Now? What next?

On August 2, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that was intended to empower patients through better access to hospital price information.  Current laws already required hospitals to make public a list of their standard charges, but the new requirement which became effective on January 1, 2019, required […]

Driving Focused Physician Audits and Education Using Predictive Analytics

Learn a new holistic approach to physician auditing using technology, expertise, and education. With a predictive analyzer tool, you can identify incidents and patterns of potential billing and coding as well as opportunities where under-coding of services may be taking place. The results will drive meaningful focused audits and provider specific education.

Summary of the Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) payment and coding updates.

We’ve summarized the Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) payment and coding updates that went into effect on July 1, 2019.   Below is the list of changes and recommendations for possible implementation in the chargemaster, including what your billing and coding staff should know.

The Top 3 Compliance and Auditing Mistakes and How to Avoid Them

In today’s environment of increasing regulatory oversight and ever-changing reimbursement policies, compliance must be more than a checkbox. Though an annual compliance and audit plan is not legally mandated, there are few healthcare organizations that don’t have compliance on their radars. However, if your compliance focus is simply to check a box, you’re missing out.