The Panacea Difference
With nationally recognized consultants and state-of-the-art technology, we have provide auditing services for…
- Inpatient Auditing and Compliance
- Outpatient Auditing and Compliance
- Physician Auditing
- Pharmacy Auditng
- Revenue Integrity
- Documentation
Audit specialties include Interventional radiology, E/M coding, Surgery, and more.
We’ll help you meet your auditing and compliance goals. From finding lost revenue to capturing all charges and ensuring compliance and data integrity, you’ll be confident that we’re focusing on important risks and opportunities.
Our experienced team collaborates with you to determine the right methodology for your auditing and compliance requirements. We use a wide variety of proprietary tools to:
- Evaluate your team’s coding and auditing skills
- Process cases and identify those at high risk
- Understand the risks to ensure our audits are focused
- Establish education plans to mitigate negative performance
- Deliver of the knowledge needed to educate your team
- Create audit results reports with meaningful statistical information
With our CLAIMSauditor® software we can electronically audit 100 percent of your recent twelve month claims or encounter data for your organization within minutes, revealing those claims with the highest probability for a coding, compliance, data integrity, revenue risk or opportunity. And, for a nominal fee, we will process your claims and provide a diagnostic review.
Audit Services
Inpatient Auditing and Compliance
Panacea’s experts help meet your inpatient auditing and compliance goals with MS-DRG reviews, APR-DRG reviews, full coding quality reviews, MS-DRG reviews, and query reviews.
Outpatient Auditing and Compliance
Panacea applies the same proven, unique approach to outpatient reviews as we use on the inpatient side, focusing on surgery, infusion and chemotherapy, as well as emergency department and other ancillary services (CPT, E&M, diagnosis, and facility and professional components).
Physician Auditing and Compliance
Panacea has developed a new holistic approach to practitioner audits that uses technology, expertise, and education. Our goal is to help you identify incidents and patterns of potential billing and coding risk as well as opportunities where under-coding may be occurring
Pharmacy Coding and Billing Reviews
Panacea’s expertise in pharmacy coding and compliance will ensure you have the insight into your key data that you need. Our sophisticated analytic software, PHARMauditor™, helps find inconsistencies and missing information by analyzing thousands of lines of pharmacy chargemaster and other key pharmacy data.
Revenue Integrity
Panacea clients are seeing improvements in their charge capture and uncovering previously unknown problem areas with our expert consultants and CLAIMSauditor® tool. We can take large volumes of claims and payment data and quickly analyze it with the CLAIMSauditor® software using our rules, or our experts can help you create custom rules for your organization.
Specialty Areas
As you manage your organization’s auditing and compliance efforts, it is important to make sure you include those areas that can be more complex such as infusions, interventional radiological (IR), cardiac cath lab, laboratory compliance program assessment, surgical procedures, anesthesia, evaluation and management, and OIG targets. Panacea’s expert consultants are specialists in these areas, and we can boost your team’s skills to improve quality and accuracy.
Contact Us
To speak with a Panacea specialist complete the form or give us a call at 1-866-926-5933.
Revenue Integrity
Learn more about how CLAIMSauditor® can help your organization uncover hidden risks and opportunities in your revenue cycle. Register to watch an on-demand presentation of CLAIMSauditor.
Learn More
Partner with Panacea and take advantage of our auditing, compliance and clinical documentation improvement services and tools. Download our brochure to learn more.
