Cultivating Homegrown Inpatient Auditors

By training coders who already are on staff, hospitals leverage institutional knowledge and build career paths. Changes in payment policies, laws, and regulatory oversight are forcing healthcare organizations to respond to increased regulatory scrutiny and audits. Medicare audits have increased by 936 percent in the past five years*. Ad hoc inpatient audits are no longer enough […]

Key Learnings from HCCA 2018 Compliance Institute Conference.

We had a great time at HCCA’s Compliance Institute conference in Las Vegas and enjoyed meeting everyone.  It’s always so exciting to see all of the strategies and methods professionals across the healthcare industry are using to accomplish their diverse goals.

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.”

The OIG Targets Herceptin Billing Errors

The OIG has added specialty drug coverage and reimbursement by Medicaid to its Work Plan.

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.

Panacea to Present Education Session on Pricing Transparency at HFMA 2019 Virtual Conference on Consumerism, Cost and Compliance

St. Paul, MN – April 9, 2019 – Panacea, a leading provider of mid-revenue cycle management software, consulting and educational solutions, is proud to announce that Senior Vice President Mark Spehar and Executive Vice President Frederick Stodolak will present at the Healthcare Finance Management Association’s (HFMA) 2019 Virtual Conference on April 18, 2019 from 1:00-2:00 […]

How to Rationalize Chargemaster Prices

Have you ever wondered how hospital prices became so irrational? As is often the case, things changed incrementally. Hospitals and healthcare systems…

Mergers + Acquisitions: Is Your Chargemaster Strategy Sound?

Expansion — through mergers, acquisitions, joint ventures and other strategic…

Payer Denials: Can You Win on this New Battleground?

In today’s complex health care environment, in which CMS and insurers each maintain…