On-Demand Webinar: CDM Shape-Up: Strengthening Charge Integrity for Revenue & Compliance
This insightful webinar is designed to reinvigorate your understanding of the Chargemaster (CDM) and its central role in Revenue Cycle and Revenue Integrity.
Navigating Medicaid Changes: The Role of Presumptive Eligibility in Changing Times
Join Panacea’s experts for the first of four Medicaid eligibility webinars to discover how evolving Medicaid funding and eligibility criteria could impact your revenue—and how Panacea is ready to help you thrive.
The Sky’s the Limit: How Price Transparency Can Empower Healthcare Providers
Price transparency has become an enduring fixture within the healthcare landscape, surviving changes in administrations and is anticipated to remain embedded within the system akin to HIPAA regulations.
The Two-Midnight Rule: Why it is Still Relevant
It’s been a decade since CMS implemented the Two-Midnight rule, which aims to reduce improper payments for short-stay inpatient cases. However, despite this effort, hospitals and health systems continue to face challenges in maintaining compliance—especially after CMS’s recent guidance on Medicare Advantage plans.
Evaluation and Management Updates 2023: Training and Q&A
Watch the complimentary 90-minute training session hosted by First Healthcare Compliance to hear Panacea’s experts review the 2023 E&M documentation guidelines and requirements and provide examples on how to improve your internal documentation processes to ensure appropriate reimbursement and avoid compliance issues.
No Surprises Act: Demystifying Good Faith Estimates
The No Surprises Act provisions require that uninsured/self-pay good faith estimates include the primary service and an associated list of line item “expected charges.” Join Panacea’s finance experts as they cover best practices for identifying and listing all expected charges for each item and service furnished during an encounter, as well as best approaches for constructing an all-inclusive uninsured/self-pay good faith estimate, in this complimentary on-demand webinar.
Data Mine Your Claims: How to stay ahead of payer audits by data mining your claims to identify risk and proactively fix issues
Medicare, the OIG, and many commercial payers are using the power of technology to perform data analytics on your claims data to identify provider outliers and target their auditing efforts.
Are you proactively and routinely performing data mining and analytics on all your claims data to find those with the highest potential risk? If you are only looking at a small random sample of claims, it may be time to rethink your current auditing methodology.
Join Panacea’s experts on Thursday, August 11 at 10am PT | 1pm ET for an informative 45-minute webinar to see first-hand how one of the leading rules-based AI auditing systems, CLAIMSauditor®, can assist providers to stay a step ahead of payer and other external auditors to find records that have the highest probability for being under-coded, over-coded, under-billed and over-billed, non-compliant, or at risk for having missing or lost revenue or charges.
You’ll learn how to:
- Access, view, edit or create from scratch simple or complex rules to swiftly data mine thousands of accounts
- Create custom audit configurations containing dozens or hundreds of AI Rules
- Track audit results with reason for change statistics at the record and code level and produce analytics by code, coder, payer, physician, payer, etc.
- Assign reviewer and supervisor level approval privilege
- Develop customized training programs
National CC/MCC Capture Rate & Case Mix Index Trend Study
With two-year’s worth of Medicare claims data now available under the ICD-10 coding guidelines, we no longer need to guess about the impact of the new coding and documentation requirements and the industry readiness. Read more
Debunking the Myth: Why Charges Still Matter in the Age of Pricing Transparency
The push for health care price transparency is nothing new and can be traced back almost 20 years. When CMS released their proposed 2019 Inpatient Prospective Payment System (IPPS) rules including “requirements for hospitals to make public, a list of their standard charges via the internet”, it further underscored CMS’ continued effort for hospitals and health systems to provide price transparency. Read more
