Expert Opinions

Auditing & Compliance

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Three Key Takeaways from the FY 2021 Inpatient Prospective Payment System Proposed Rule

Typically, we would have the Final Rule updates to the Inpatient Prospective Payment System (IPPS) for the 2021 fiscal year (FY) 60 days prior to its effective date. However, this year, […]

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Five Key Takeaways from the CY 2021 Outpatient Prospective Payment System Proposed Rule

On August 4, the Centers for Medicare & Medicaid Services (CMS) released the Changes to Hospital Outpatient Prospective Payment System (OPPS) for the 2021 calendar year (CY). The proposed regulations […]

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What Radiology Practices Need to Know About Medicare’s Prior-Authorization Requirements

Beginning July 1,2020  Medicare required prior authorization for five procedure classes: blepharoplasty, botulinum toxin injections, panniculectomy, rhinoplasty, and vein ablation. As a reminder, prior authorization was announced through the Calendar […]

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Relaxing Rules for Telehealth

I’m sure everyone has heard the saying, “the only constant is change.” Well, it certainly rings true these days. The Centers for Medicare & Medicaid Services (CMS) issued a second interim final […]

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CMS and AMA payment and coding updates, effective July, 1 2020

Panacea has summarized the Centers for Medicare and Medicaid Services (CMS) and American Medical Association (AMA) payment and coding updates, effective July 2020 (with some retroactive changes). Please review the […]

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E&M Changes: How Will They Affect Your Practice?

As many of you have heard, there are major changes coming to evaluation and management (E&M) codes in 2021. The changes were finalized in the 2020 Physician Final Rule.

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Webinar: The 5 Pitfalls in Coding Radiology and Nuclear Medicine, Earn 1.5 CEUs

Please join us on Thursday, June 4, 2020, at 1 pm ET, for our 90-minute live webinar, “How to Avoid the 5 Pitfalls In Coding Nuclear Medicine, Diagnostic Radiology, and […]

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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 […]

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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); […]

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The OIG Targets Herceptin Billing Errors

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