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Entries by Panacea Insights
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.
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.
Panacea announces that new services will be offered in conjunction with its proven Hospital Zero-Base Pricing system to help clients better meet the CMS pricing transparency requirements.
During a recent webinar on Developing a Pricing Strategy for the 2019 CMS Transparency Requirement, Panacea surveyed 450 healthcare executives to gauge their readiness in meeting the January 1, 2019 CMS Final Transparency Rule deadline.
With two-year’s worth of Medicare claims data now available under the ICD-10 coding guidelines, we no longer need to guess about the impact of the new coding and documentation requirements and the industry readiness.
Since the October 1, 2015 commencement of I-10, both case mix index trends and CC/MCC capture rates nationwide have improved by 2.8% and 0.8% respectively.Years of coding and documentation training to address the tenfold increase in available codes and the need for improved specificity and documentation under I-10 appears to be paying off overall.
The CMS 2019 transparency requirement underscores their ongoing initiative and emphasis on empowering patients through better access to hospital charge information.
In October, Panacea sponsored an HFMA educational webinar on Developing a Pricing Strategy for the CMS 2019 Transparency Requriement. The one-hour webinar was hosted by the Healthcare Financial Management Association (HFMA) and featured Panacea financial executives, Fred Stodolak, Executive Vice President and Mark Spehar, Senior VP Financial Services as presenters.
Hospitals have just a few months to ensure their prices are rational and defensible to meet the January 1, 2019 deadline. St. Paul, MN—August, 2018—Panacea, a leading provider of mid-revenue cycle management, innovative software and enterprise-level educational solutions announced today that despite industry push-back during the comment period, the CMS Final Rule requires hospitals to […]