Charging policies for implanted devices have long posed a challenge for hospital CDM management. For years, CMS has discussed high cost devices and device pass-through payment policies but stopped short of manualizing specific language or providing specific policy guidance.
Does your hospital have a clear and definitive policy for charge descriptions? Hospitals and health systems are often challenged by how they should address billing descriptions, and consultants may overlook the importance of quality descriptors for long-term file management.
More and more hospitals are pursuing hospital information system (HIS) conversions, and there is a growing trend of inaccurate chargemaster (CDM) data left in the wake. This article highlights frequently encountered systems implementation mistakes that may be placing your charge data integrity at risk.
It’s time to revisit your organization’s charge management priorities now that the busy first quarter is behind us. Here are seven easy “spring cleaning” tips that result in dramatic, strategic improvements.
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?
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.
Following the recent unveiling by federal officials of the 2021 Outpatient Prospective Payment System (OPPS) Final Rule, Panacea Healthcare Solutions has created a comprehensive Final Rule Summary highlighting some of the most salient looming changes facing healthcare providers nationwide.
Our revenue integrity team continually monitors announcements by the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) to bring you the most current and up-to-date coding and billing information. Since our last quarterly update, CMS and AMA have been actively publishing new information that hospitals and providers will need to review to ensure that claims coding and billing are appropriate, based upon the timing of the implementation for these updates.
Over the last several months we’ve seen an uptick in requests from clients nationwide for help reconciling laboratory orderables to chargemasters. In case you’re in this same boat, we wanted to provide some insight into the steps you should be taking. Read more
With the CMS Final Rule published there is a flurry of activity across the industry to come up to speed on the changes. In our experience though we’ve found that […]
