Entries by Panacea Insights

An Update from Panacea on COVID-19

We are all adjusting to a new reality in light of the COVID-19 pandemic. We extend heartfelt sympathy to anyone impacted by the virus, and sincere gratitude to the healthcare workers and providers on the front lines battling this unprecedented disease. We’re reaching out to update you on how Panacea is approaching this situation.

Coronavirus Outbreak – Institutional (Facility) Coding and Billing for Telehealth Services

Panacea is providing guidance for institutional (facility) billing during this public health emergency. Hospitals will need to take additional steps to ensure coding and billing are appropriate during this time. For the most part, billing for telehealth services has not changed with exception of the information provided below. HCPCS code Q3014 (Telehealth facility fee) describes […]

Coronavirus Outbreak – Provider Telehealth Coding and Billing

In an effort to provide coding and billing assistance to Panacea’s clients and the provider community during this public health emergency, we have developed some general Telehealth coding and billing guidance and listing of eligible codes not only permitted for use by Medicare and Medicaid but at least two major payers (UnitedHealthcare and Blue Cross […]

Coding and Reimbursement Highlights for 2020 IPPS, MPFS & OPPS

With the CMS Final Rule published there is a flurry of activity across the industry to come up to speed on the changes. In our experience though we’ve found that for many healthcare systems it’s easier to keep track of changes to the codes, rules, and guidelines they are already using; the challenge comes in becoming aware of and implementing when new things are introduced.

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Recommendations to Providers on Price Transparency Priorities to Address Now

Read Unpacking CMS’ 2020 Proposed Expanded Rules for Hospital Price Transparency to gain a better understanding of the Proposed Rules for Hospital Price Transparency released by CMS on July 29, 2019. The comment period ended September 27, 2019, and the final rule is forthcoming.

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Unpacking CMS’ 2020 Proposed Expanded Rules for Hospital Price Transparency

On January 1, 2019 the Hospital Price Transparency Rule took effect mandating hospitals publish their price lists online in a machine-readable format. Hospitals complied by making their charge description master (CDM) available via download in CSV or similar format. The result fell far short of CMS’ goal of empowering patients to become “active healthcare consumers” and the agency on July 29, 2019, in response to the Trump administration Executive Order on Price and Quality Transparency, proposed expanded rules aimed at more “consumer friendly” transparency.

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