In an era where data-driven scrutiny and patient-centered decision-making converge, the importance of defensible pricing in healthcare cannot be overstated. By strategically aligning prices with actual costs and market dynamics, providers can weather the storm of price transparency and emerge as leaders in a landscape defined by trust, competitiveness, and financial sustainability.
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Expansion—through mergers, acquisitions, joint ventures and other strategic partnerships—has become an important tool in a hospital’s strategic wheelhouse. As your footprint expands to encompass the entire continuum of care, how do you ensure your chargemaster strategy is sound and consistent?
Busy revenue cycle teams often overlook the basic steps of charge data management to attend to more urgent priorities. These proven steps covered in this article are pivotal to keeping “charge data management” a key operational priority.
Over the last decade, one of the most exciting areas of development in healthcare has been the growth of structural heart and interventional cardiology programs—specifically, the advancement of transcatheter valvular procedure techniques. As the ability to treat a larger population using these novel techniques expands, so must our understanding of the nuances involved in navigating the current rules and regulations from both the clinical and revenue cycle perspectives.
Wondering how the 2023 updates to E&M guidelines affect your team? Look no further. Our experts have developed a set of customized resources to aid professionals as they put the guidelines into practice.
Changes to 2023 E/M coding will impact CDM files, coding, documentation, charge capture processes, and various information systems. This article outlines new revisions to E/M codes for 2023 and addresses several questions we believe professionals will encounter when they learn of the changes.
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Have you ever wondered how hospital prices became so irrational? As is often the case, things changed incrementally. Hospitals and healthcare systems have experienced years of inadequate inflationary update factors, often reduced by factors such as presumed over-coding under the federal inpatient and outpatient prospective payment systems.
On Jan. 1, 2017, the Centers for Medicare & Medicaid Services (CMS) and Medicare Administrative Contractors (MACs) began requiring the use of the JW modifier. The JW modifier is appended […]
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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.
Mastering Defensible Pricing in the Era of Price Transparency
/in Expert Opinions, Featured /by Panacea InsightsIn an era where data-driven scrutiny and patient-centered decision-making converge, the importance of defensible pricing in healthcare cannot be overstated. By strategically aligning prices with actual costs and market dynamics, providers can weather the storm of price transparency and emerge as leaders in a landscape defined by trust, competitiveness, and financial sustainability.
Mergers + Acquisitions: Is Your Chargemaster Strategy Sound?
/in Featured, Revenue Integrity /by Panacea InsightsExpansion—through mergers, acquisitions, joint ventures and other strategic partnerships—has become an important tool in a hospital’s strategic wheelhouse. As your footprint expands to encompass the entire continuum of care, how do you ensure your chargemaster strategy is sound and consistent?
Exclusion Screening Requirements for Healthcare Entities: Ensuring Compliance and Protecting Your Organization
/in Auditing & Compliance, Expert Opinions, Featured /by Panacea InsightsIn the ever-evolving landscape of healthcare regulations, one crucial aspect that healthcare entities must prioritize is exclusion screening.
10 Steps for Failsafe Charge Data Management
/in Expert Opinions, Featured /by Panacea InsightsBusy revenue cycle teams often overlook the basic steps of charge data management to attend to more urgent priorities. These proven steps covered in this article are pivotal to keeping “charge data management” a key operational priority.
Transcatheter Valvular Procedure Code Set Updates
/in Expert Opinions, Featured /by Panacea InsightsOver the last decade, one of the most exciting areas of development in healthcare has been the growth of structural heart and interventional cardiology programs—specifically, the advancement of transcatheter valvular procedure techniques. As the ability to treat a larger population using these novel techniques expands, so must our understanding of the nuances involved in navigating the current rules and regulations from both the clinical and revenue cycle perspectives.
2023 E&M Updates Resources
/in Expert Opinions, Featured /by Panacea InsightsWondering how the 2023 updates to E&M guidelines affect your team? Look no further. Our experts have developed a set of customized resources to aid professionals as they put the guidelines into practice.
Evaluation and Management 2023 Updates: What You Need to Know
/in Expert Opinions /by Panacea InsightsChanges to 2023 E/M coding will impact CDM files, coding, documentation, charge capture processes, and various information systems. This article outlines new revisions to E/M codes for 2023 and addresses several questions we believe professionals will encounter when they learn of the changes.
How to Rationalize Chargemaster Prices
/in Featured, Revenue Integrity /by Panacea InsightsHave you ever wondered how hospital prices became so irrational? As is often the case, things changed incrementally. Hospitals and healthcare systems have experienced years of inadequate inflationary update factors, often reduced by factors such as presumed over-coding under the federal inpatient and outpatient prospective payment systems.
Document Your Leftovers: The JW Modifier and How to Use It
/in Expert Opinions, Featured /by Panacea InsightsOn Jan. 1, 2017, the Centers for Medicare & Medicaid Services (CMS) and Medicare Administrative Contractors (MACs) began requiring the use of the JW modifier. The JW modifier is appended […]
Pricing Strategies. What’s Your Defense?
/in Price Transparency /by Panacea InsightsIn 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.