Entries by Panacea Insights

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.”

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A Multi-Institutional Healthcare Delivery System Uses Data and Rules-Based AI to Enhance Revenue Capture and Reduce 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.

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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. Medicare audits have increased 936 percent in the last five years alone, according to Becker’s Hospital CFO, and ad hoc inpatient audits are no longer enough of a defensive strategy.

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