As laboratory services are one of the highest revenue-producing departments in most health systems, it’s incredibly important to bill these services correctly. However, it’s also an area fraught with lots of guidelines and restrictions—and with many staff members throughout the hospital system working laboratory accounts, there is a high risk of errors and inconsistencies. This is a situation we’ve seen and helped correct in health systems nationwide.
https://insights.panaceainc.com/wp-content/uploads/2019/09/scientist-working-on-computer-in-modern-laboratory-picture-id1090255620.jpg400566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2020/02/logo-panacea-besler.pngPanacea Insights2019-09-19 08:49:152019-10-01 10:44:23Is Your Staff Struggling with How to Bill Lab Services? 4 Steps to Better Results
On August 2, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that was intended to empower patients through better access to hospital price information. Current laws already required hospitals to make public a list of their standard charges, but the new requirement which became effective on January 1, 2019, required hospitals to publish a list of all charges in machine readable format via the internet, in an XML or CSV format. The final rule also required providers to update their posted charges no less than one time per year.
https://insights.panaceainc.com/wp-content/uploads/2019/05/whats-next-picture-id483661187.jpg300566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2020/02/logo-panacea-besler.pngPanacea Insights2019-08-20 09:42:182020-08-03 14:49:48Pricing Transparency is Here. What Now? What next?
Learn a new holistic approach to physician auditing using technology, expertise, and education. With a predictive analyzer tool, you can identify incidents and patterns of potential billing and coding as well as opportunities where under-coding of services may be taking place. The results will drive meaningful focused audits and provider specific education.
https://insights.panaceainc.com/wp-content/uploads/2019/06/health-insurance-claim-form-with-stethoscope-on-wood-table-selective-picture-id855524776.jpg377566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2020/02/logo-panacea-besler.pngPanacea Insights2019-08-06 11:08:322019-08-08 09:51:30Driving Focused Physician Audits and Education Using Predictive Analytics
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.
https://insights.panaceainc.com/wp-content/uploads/2019/02/Kathy-Pride-Insights-Featured-Article-2.jpg377566Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2020/02/logo-panacea-besler.pngPanacea Insights2019-06-13 11:28:402019-06-14 09:03:12The Top 3 Compliance and Auditing Mistakes and How to Avoid Them
Is your revenue integrity program performing at full capacity?
Perhaps more important, do you have a revenue integrity program (or department) at all?
A survey conducted by the Healthcare Financial Management Association (HFMA) reports that less than half (44%) of providers contacted have a revenue integrity department to track accurate coding and charge capture, establish reasonable pricing for services, ensure legal and regulatory compliance, and develop effective financial reporting. Yet those that have established revenue integrity programs have realized an overall increase in net revenue.
https://insights.panaceainc.com/wp-content/uploads/2018/07/young-finance-market-analyst-in-eyeglasses-working-at-sunny-office-on-picture-id815165952-2.jpg156233Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2020/02/logo-panacea-besler.pngPanacea Insights2018-07-11 12:16:382019-06-06 12:20:51It’s a Fact: Revenue Integrity Programs Increase Net Revenue
Written By: Fred Stodolak, Executive Vice President, Mark Spehar, Senior Vice President,Financial Services, Henry Gutierrez, Vice President, Financial Services
There is an increasing debate surrounding CMS FY2019 IPPS proposed rule, published April 24, that would require hospitals “to make public a list of their standard charges via the internet.” Discussions around this topic have pointed out a number of valid arguments:
https://insights.panaceainc.com/wp-content/uploads/2018/06/PricingTransparencyiStock-491205902.jpg402604Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2020/02/logo-panacea-besler.pngPanacea Insights2018-06-14 09:23:392020-08-03 14:46:56Does your organization have a strategic plan to address CMS FY19 IPPS proposed rule that requires hospitals “to make public their standard charges via the Internet?”
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 of a defensive strategy. Robust internal auditing programs are becoming a must for inpatient organizations.
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.
https://insights.panaceainc.com/wp-content/uploads/2018/04/HCCA-Conference.jpg156233Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2020/02/logo-panacea-besler.pngPanacea Insights2018-04-23 07:46:522018-05-31 07:54:21Key Learnings from HCCA 2018 Compliance Institute Conference.
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.”