Changes in reimbursement policies, laws, and regulatory oversight are forcing healthcare organizations to respond to increased regulatory scrutiny and audits. Medicare audits have increased 936 percent in the last five years alone, according to Becker’s Hospital CFO, and ad hoc inpatient audits are no longer enough of a defensive strategy.
https://insights.panaceainc.com/wp-content/uploads/2018/01/5_Webinar_Inpatientauditing.jpg402604Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2020/02/logo-panacea-besler.pngPanacea Insights2018-01-31 00:14:372019-06-06 12:23:20Creating an Internal Inpatient Auditing Program
https://insights.panaceainc.com/wp-content/uploads/2019/04/HFMA-2019-Virtual-Conference-v4.jpg400596Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2020/02/logo-panacea-besler.pngPanacea Insights2018-01-09 07:42:022020-08-14 08:38:30Panacea to Present Education Session on Pricing Transparency at HFMA 2019 Virtual Conference on Consumerism, Cost and Compliance
https://insights.panaceainc.com/wp-content/uploads/2018/03/INSIGHTS_604x402__PressRelease032818.png402604Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2020/02/logo-panacea-besler.pngPanacea Insights2017-10-03 09:06:342018-05-16 15:11:25Career Step and Panacea to Celebrate Expanded Service Offerings at AHIMA17 Convention
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?
We break this question into two parts — soundness and consistency — for good reasons:
First, in an era of increased public price scrutiny, hospital CFOs must ensure that their chargemasters are defensible and can be clearly explained to outside observers and auditors.
Second, mergers, acquisitions and other affiliations often bring under a single umbrella organizations that may have very different pricing and coding methodologies, practices and strategies.
https://insights.panaceainc.com/wp-content/uploads/2018/01/18_Article_Mergers.jpg250375Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2020/02/logo-panacea-besler.pngPanacea Insights2017-09-07 13:27:152020-08-14 09:55:49Mergers + Acquisitions: Is Your Chargemaster Strategy Sound?
In today’s complex health care environment, in which CMS and insurers each maintain their own claims-related “rules,” disputes, DRG downgrades and denials are all-too common.
https://insights.panaceainc.com/wp-content/uploads/2018/01/19_Article_Denied.png380640Panacea Insightshttps://insights.panaceainc.com/wp-content/uploads/2020/02/logo-panacea-besler.pngPanacea Insights2017-07-31 21:34:392020-08-10 15:39:05Payer Denials: Can You Win on this New Battleground?