CDMauditor.com is the nation’s most comprehensive, innovative and affordable suite of distinct cloud-based modules to maintain and improve your charge description master (“CDM”) and Pharmacy formulary coding, compliance, strategic pricing and reimbursement. CDMauditor also helps health systems maintain consistency across entities. The CDM Auditor suite is comprised of the following synergistic modules:
Coding and Compliance Module
Maintain your chargemaster with ChargeAssist® a cloud-based Charge Management solution for both small and large enterprise organizations that combines CDM auditing, charge pricing, charge change workflow management , and regulatory resources in an integrated easy-to-use product. Partnering with Holliday & Associates, ChargeAssist® was developed from the ground up to redefine how hospitals manage their CDM. The ChargeAssist® module contains at an all-inclusive annual fee:
- CDM Audit Suite™ reinvents the audit process for annual and ongoing CDM maintenance.
- Price Analyzer™ assists in the assessment of existing line item prices and is useful in establishing defensible prices for new items added to the CDM.
- Change Monitor™ resolves CDM Management’s biggest challenge – automating user collaboration and documentation of charge changes.
- Ultimate Research Center™ is a single source coding and regulatory resource, providing cost savings on expensive third party resources, and ensuring smarter staff.
Our innovative, next-generation system is a CDM platform built for today’s complex EMR’s, while at the same time allowing for superior performance with all vendor systems. Users receive e-mail alerts, ongoing support from Panacea chargemaster consulting experts, automated workflow tools, continual change analytics and ready-to-access regulatory information tailored to the services performed in your clinical departments.
Hospital Zero-Base Pricing® Module
Develop defensible and optimum chargemaster strategic pricing. This state-of-the-art program used by hospitals and health systems nationwide establishes prices based on unit costs, market data or a hybrid thereof. Sophisticated software and support by Panacea pricing experts ensures that Hospital Zero-Base Pricing® will allow your hospital to implement and maintain transparent rational prices year after year while ensuring optimum net revenue.
You will receive an impressive set of online and printed reports illustrating the gross and net revenue impact by department, patient type, and payor along with an executive summary dashboard and of course a line by line audit trail documenting how each charge was developed. Perform unlimited modelling and “what-if” scenarios with our secure cloud-based system and model the impact of payor caps and lessor of charge and fee schedule clauses. Those hospitals not having a cost accounting system can base prices on market and other benchmark data or take advantage of our practical unit cost estimator system and service to expeditiously and economically develop estimated unit costs for all chargemaster line.
Comparative Health Data Module
Analyze peer pricing and utilization data with Panacea’s Comparative Health Data™ system. Panacea has developed the nation’s first, easy-to-use and cost efficient solution for hospitals or consultants to develop unlimited customized peer comparison groups based on a claims and cost report representing more than 5,000 hospitals and more than 30,000 Physician medical office and freestanding facilities (e.g. imaging, ambulatory surgery, etc.).
With the Comparative Health Data™ system you will be able to compare:
- Hospital unit costs and prices to any single or group of hospitals nationwide
- Room & board rates and prices at the HCPCS/CPT level
- Charge-to-cost mark-up factors for operating room, medical supplies, drugs and more
- Coding & pricing patterns
- Outpatient HCPCS coding differences between you and your peers
Print reports to the screen or export to Excel. Create and share files with other Panacea modules. For example, if you create one or more customized peer groups utilizing our Comparative Health Data system you will also be able to import the peer group data with one simple click to establish new prices in our Hospital Zero-Base Pricing® module described below.
Unit Cost Estimator Module
Panacea’s CDMauditor.com Unit Cost Estimator module, used in conjunction with the full support of our expert financial consulting team, can be used to expediently and economically develop direct and fully allocated unit cost estimates for each CDM line item. This information can be used to develop cost based prices or hybrid (market and cost) based prices without the financial and manpower burden of implementing a full blown cost accounting system. The resultant unit cost estimates can also be used to replace less sophisticated ratio of cost-to-charge (RCC) costing methods that may be used in decision support systems thus improving your profitability analytics.
Ensure your pharmacy chargemaster is correct and compliant with PHARMauditor.com™. Wondering whether you are appropriately capturing your pharmacy revenue? Know for sure with PHARMauditor.com. This web-based tool performs a comprehensive review to ensure accurate and correct revenue codes, HCPCS/CPT codes, billing units, national drug codes (NDCs), descriptions and average wholesale pricing. The system automatically:
- Appropriately captures pharmacy revenue
- Achieves precise mapping between Pharmacy System and CDM
- Ensures that HCPCS and Revenue codes are assigned for all NDCs
- Ensures correct descriptions and dosages are reflected in CDM and Formulary
- Maintains current and valid NDC numbers
- Ensures accurate billable units, package size and package quantity for NDC
- Evaluates current price relative to AWC and WAC cost times regional or other mark-up and APC rates
- Reduces your RAC risk
- Quickly searches by drug name (brand or generic), HCPCS or CPT code, NDC number, ICD-9-CM code or Therapeutic Class
Physician Pricing Module
Panacea’s Physician Pricing system is the outgrowth of its nationally acclaimed Hospital Zero-Base Pricing® technology and services and the result of demand by its hospital clients ever growing Physician Practice business to assess and develop rational and defensible Physician charges. The system facilitates the development of cost based, RVU based, market based or hybrid based prices with extensive gross and net revenue modeling and "what-if" scenario capabilities. The system also leverages Panacea’s ComparativeHealthData.com system which boasts CPT-4 level charge data for more than 30,000 Physician Medical Offices and Free-standing Facilities nationwide from which customized peer groups by specialty can be developed.
Synchronize Disparate Health System Chargemasters or Clinical Systems with CDMsync™ Often, as a result of acquisitions or mergers, health systems find their organizations in the awkward predicament of charging dramatically different prices and using inconsistent codes and descriptions for like services among their entities. This not only creates public relations issues but also makes it difficult to manage and provide vital reports from their decision support systems. A typical engagement for CDMsync™ involves uploading the disparate CDM’s where the system will proceed to match like items or group seemingly like items from which a Panacea consultant or someone on your team will then utilize an innovative drag and drop feature to finalize and create a master CDM across the health system entities. The system will automatically propose the most predominately used codes and calculate weighted average prices for users to utilize in making their final determination. You can also utilize CDMsync to align your CDM with departmental clinical systems !
With CCIcheck.com you will be able to proactively “check” your HCPCS/CPT coding against NCCI hospital or physician tables to ensure optimum coding and reimbursement accuracy. Unlike other systems that limit the number of codes you can enter, with CCIcheck you’ll be able to enter an unlimited number of codes or even upload into our system multiple panels at once. You’ll get instant results both on-screen and printed to excel.
Take advantage of these valuable resources - completely free of charge
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