Navigating Clinical Validation Denials in Medicare Advantage Plans
Discover how to safeguard your revenue with effective Medicare Advantage contract negotiation strategies and mitigate financial risks associated with denied claims.
Navigating the Recurring Trends in the Healthcare Environment
Ultimately, organizations that successfully navigate and adapt to external and internal transformations are positioned for sustainability. Regardless of an organization’s current phase, it remains crucial to stay abreast of regulatory changes and payer denial strategies, comply with new standards, and ensure that new delivery care models align with your organization’s revenue integrity objectives. Here’s where revenue cycle firms come into play.
Charge Description Best Practices
Does your hospital have a clear and definitive policy for charge descriptions? Hospitals and health systems are often challenged by how they should address billing descriptions, and consultants may overlook the importance of quality descriptors for long-term file management.
CMS Guidance for Implants
Charging policies for implanted devices have long posed a challenge for hospital CDM management. The latest guidance from CMS aims to simplify revenue code assignment by introducing a more standardized interpretation of implant devices.
HIS Implementation: Charge Data Mistakes & Safeguards
More and more hospitals are pursuing hospital information system (HIS) conversions, and there is a growing trend of inaccurate chargemaster (CDM) data left in the wake. This article highlights frequently encountered systems implementation mistakes that may be placing your charge data integrity at risk.
Pricing Strategies. What’s Your Defense?
In today’s era of intense public scrutiny on medical costs, what’s your pricing strategy? Does it pass the test of fairness and accuracy, without sacrificing revenue objectives? In this article, Panacea’s experts share their recommendations on where to start.
Chargemaster Spring Cleaning Tips
It’s time to revisit your organization’s charge management priorities now that the busy first quarter is behind us. Here are seven easy “spring cleaning” tips that result in dramatic, strategic improvements.
Navigating the Financial Horizon: Why Hospital Strategic Pricing Strategies Matter More Now Than Ever Before
In the era of healthcare transformation, strategic pricing projects equipped with technology and expertise stand as the linchpin for hospitals seeking financial resilience. By embracing a comprehensive approach, hospitals can navigate the intricate landscape of pricing with confidence, ensuring a sustainable and adaptable financial future.
Managing the Chargemaster: The Fuel of the Revenue Engine
Your chargemaster is the fuel that runs your revenue cycle engine, serving as the basis for your reimbursement and financial success. Find out how to maintain a successful chargemaster management program and keep the engine running at top performance.
Clarification on Three Common HIPAA Misconceptions
These three commonly misunderstood areas can land you in a heap of trouble, whether under HIPAA, the Federal Trade Commission’s enforcement authority, or a state law.