PANACEA to Present Education Session on Demystifying Good Faith Estimates at HFMA Virtual Workshop Event in January.

ST. PAUL, MINNESOTA.– To guide healthcare providers to comply with the new regulations relating to Good Faith Estimates as part of the No Surprises Act that went into effect on January 1, 2022, Panacea Healthcare Solutions, Inc., the leading experts in hospital, physician, and pharmacy price transparency services, will sponsor the Healthcare Financial Management Association (HFMA) three-part series on the No Surprises Act billing regulations in January.

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Complimentary Live Webinar: The Stakes Are High: Why You Should Pay Attention to Price Transparency

Join Panacea finance executives Govind Goyal and Frederick Stodolak on Thursday, September 2, 2021 at 1 p.m. EDT  for an informative session to learn more about what you can do as a hospital provider regardless of what stage of compliance you are currently at today.

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CMS Dramatically Increases Penalties for Price Transparency Non-Compliance – Panacea Responds with a No-Cost Consultation

ST. PAUL, MN – With the dramatic increase in civil penalties announced by the Centers for Medicare & Medicaid Services (CMS), Panacea Healthcare Solutions, the leading experts in hospital price transparency, announced that it will make its hospital, physician and pharmacy pricing senior-level consultants available to hospitals at no cost to review and make recommendations regarding their current CMS Price Transparency compliance status.

To learn more about the no-cost consultation, fill out the form at the end of the Price Transparency page. Read more

Ad reads How to Optimize Auditing Resources Using Automation. Identify areas for improvement in your coding, data integrity and payment levels. Complimentary Live Webinar Thursday May 13 2021 1PM EDT

Webinar: How to Optimize Auditing Resources Using Automation

As COVID continues and patient encounters increase, resources dwindle and government audits are on the increase, hospitals and physician practices need to find new ways to drive efficiency and optimize resources.

Join Panacea at our complimentary webinar on Thursday, May 13 at 1 PM ET to learn how our new proprietary auditing platform can review all of your claims or coding abstract data, allowing you to focus your time and investment on problem areas, and uncover revenue opportunities.

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Govind Goyal, formerly of Waystar, joins Panacea Healthcare Solutions as Executive Vice President, Financial and Revenue Integrity Services

St. Paul, MN – Panacea Healthcare Solutions, Inc., a company specializing in healthcare coding compliance, revenue integrity and pricing software and consulting services, announced today that Govind Goyal, formerly with Waystar, has joined its executive leadership team as Executive Vice President, Financial Services and Revenue Integrity. Govind will lead a team of financial and revenue integrity consultants to strategically partner with hospitals, health systems and other providers and healthcare organizations to improve their revenue cycle performance with innovative technology and deep industry consulting expertise.

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Panacea Announces No-Cost Diagnostic Review of Hospital Chargemaster ahead of CMS Final Rule Posting Deadline

The comprehensive diagnostic review includes analysis of CMS Price Transparency shoppable items and services to alert providers of risks and opportunities. Read more

Panacea Now Offering Physician and Coder E&M Training Ahead of Implementation of New Guidelines, effective Jan 1, 2021.

ST. PAUL, Minn. — Panacea Healthcare Solutions, Inc., a company specializing in healthcare coding compliance software and consulting services, is introducing a comprehensive yet concise training program with optional coding and documentation quality review, tailored to fit healthcare provider’s specific needs, as a method to help them prepare for a sweeping set of changes in evaluation and management (E&M) guidelines set to take effect at the start of 2021. The training is designed for physicians, coders, and other qualified healthcare professionals who provide E&M services in a clinic or other outpatient setting. Read more

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Panacea Announces Live, Virtual Coding Workshop on Interventional Radiology

ST. PAUL, Minn.—Panacea Healthcare Solutions, Inc., a company specializing in healthcare coding, compliance, pricing software, and consulting services, is proud to announce that it is partnering with MedLearn Publishing on a special live three-day virtual workshop – Unraveling the Coding and Documentation Quagmire: a Diagnostic/Interventional Radiology, CRM, EP, and Nuclear Medicine Workshop – that will feature three of the nation’s most acclaimed subject matter experts in these fields. Read more

Image of an Asian woman working at a desk with text that reads 2021 OPPS & IPPS Coding Essentials and regulatory Updates September Webinar Series

Get prepared for the 2021 OPPS Proposed Rule and the IPPS Final Rule with two live complimentary webinars in September.

You’re invited to join us in September on Thurs. September 17th, and Thurs. September 24th, for two complimentary live webinars to get up-to-speed on the OPPS Proposed Rule CY2021 and the IPPS Final Rule for FY2021.  Register today to make sure you  will have the information needed to prepare for the coding and regulatory updates.

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Panacea Healthcare Solutions Announces New Software and Service to Help Providers Comply with CMS Hospital Price Transparency Rule

ST. PAUL, Minn.—February 27, 2020. Panacea Healthcare Solutions, Inc., a company specializing in healthcare coding, compliance, pricing software, and consulting services, announced today that it has developed and launched new pricing transparency readiness software and consulting services to help providers prepare for and comply

 

with the recently expanded Centers for Medicare & Medicaid Services (CMS) Hospital Price Transparency Rule requirements that will go into effect on January 1, 2021.

With these new requirements, your health system must make accessible all standard charges, defined as gross charges and negotiated managed care rates, in a machine-readable format and for consumers as a list of 300 “shoppable” items—non-urgent, high-volume items and services—on your website or via an interactive tool. The intent is to provide an easy way for consumers to determine, in advance, the allowed payment for their prospective service based on their insurance or if with an interactive tool their patient pay obligation and for employers, vendors and payers to have access to the rates with hopes of driving down costs through transparency.

 

Meeting this requirement will require a significant effort for most health systems, which is why Panacea has developed software tools and consulting services to assist clients.

 

“Our new Shoppable Disaggregation Algorithm and Report Set will make it easy for hospitals and health systems to process hundreds of thousands of claims and payment data to compile their shoppable 300 list,” said Frederick Stodolak, CEO of Panacea. “Health systems are required to develop a distinct list of items for each of their providers, considering their unique case mix, volume or revenue as well as the 70 items and services CMS has already listed in the final rule. Our new software makes building each of these lists painless by processing 100 percent of the patient population through algorithms utilizing clinical coding and financial logic and proprietary tables to eliminate the records that do not meet the ‘shoppable’ criterion. The software also disaggregates the data into useful categories with tags and filters to facilitate the formation of the shoppable list.”

 

Once hospitals have built their shoppable 300 list, the next step is to make the information available to consumers through a website display and in a format specified by CMS.    

 

“To help health systems make their information accessible, Panacea has also automated the process of creating the CMS-required machine-readable file and the consumer display of the shoppable list,” said Mark Spehar, Senior Vice President of Financial Services at Panacea. “Because most providers will find it difficult to present, in a consumer-friendly manner, complex managed care rates having multiple provisions, Panacea’s report set goes beyond that required by CMS to provide average payment rate information more meaningful to consumers.”  

 

This software and service is being implemented now in Q1. Panacea has also integrated new functionality into its nationally recognized Hospital Zero-Base Pricing® software that will empower clients to simultaneously create pricing models for the entire chargemaster and the CDM items from the shoppable list while ensuring prices are rational and competitive. Panacea recommends a holistic review of chargemaster prices each year with special attention given to the shoppable items and services.

 

To download a a copy of the CMS Price Transparency Rule Highlights and Next Steps, click here.

To learn more about this new software and service, give us a call at 866-926-5933.