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Expert Opinions

All Expert Opinions | Auditing & Compliance | Price Transparency | Revenue Integrity

How to Rationalize Chargemaster Prices

October 7, 2022
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.
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https://www.panaceainc.com/wp-content/uploads/2021/10/Rationalize-Chargemaster-Prices.jpg 400 566 Paula Schmidt https://www.panaceainc.com/wp-content/uploads/2019/11/logo-panacea-and-bracco2-1-e1659555141191.png Paula Schmidt2022-10-07 03:30:102024-10-16 13:44:23How to Rationalize Chargemaster Prices

How to Comply With (and Exceed) the CMS Hospital Price Transparency Rule Requirements

August 31, 2022
CMS penalties have dramatically increased since the Price Transparency Rule was released, and providers must take heed before CMS and a legislative gauntlet arrive at their front door.
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https://www.panaceainc.com/wp-content/uploads/2022/08/iStock-1173740593-e1661965011407.jpg 318 566 Paula Schmidt https://www.panaceainc.com/wp-content/uploads/2019/11/logo-panacea-and-bracco2-1-e1659555141191.png Paula Schmidt2022-08-31 12:04:362022-08-31 12:04:36How to Comply With (and Exceed) the CMS Hospital Price Transparency Rule Requirements

Evaluation and Management (E&M) Split (or Shared) Visits – 2022 Summary of Changes

March 3, 2022
The 2022 Final Rule defines split (or shared) visits as evaluation and management (E&M) visits in the facility setting that are performed in part by both the physician and a non-physician practitioner (NPP) who are in the same group, in accordance with applicable laws and regulations.
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https://www.panaceainc.com/wp-content/uploads/2022/03/doctor-advise-patients-at-the-doctors-office-room-medical-equipment-picture-id1317075903.jpg 400 566 Paula Schmidt https://www.panaceainc.com/wp-content/uploads/2019/11/logo-panacea-and-bracco2-1-e1659555141191.png Paula Schmidt2022-03-03 11:00:352022-03-03 11:00:35Evaluation and Management (E&M) Split (or Shared) Visits – 2022 Summary of Changes
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Document Your Leftovers: The JW Modifier and How to Use It

July 14, 2021
On Jan. 1, 2017, the Centers for Medicare & Medicaid Services…
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https://www.panaceainc.com/wp-content/uploads/2021/07/male-medicine-doctor-hands-hold-jar-of-pills-picture-id542314172.jpg 400 566 Paula Schmidt https://www.panaceainc.com/wp-content/uploads/2019/11/logo-panacea-and-bracco2-1-e1659555141191.png Paula Schmidt2021-07-14 13:55:202021-07-14 13:55:20Document Your Leftovers: The JW Modifier and How to Use It
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New Modifiers: Hospital Outpatient Billing for Injectable Self-Administered Drugs

March 10, 2021
Do you and your team have a good process to readily identify…
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https://www.panaceainc.com/wp-content/uploads/2021/03/iStock-1278766310.jpg 836 1254 Paula Schmidt https://www.panaceainc.com/wp-content/uploads/2019/11/logo-panacea-and-bracco2-1-e1659555141191.png Paula Schmidt2021-03-10 09:54:152021-03-10 09:54:15New Modifiers: Hospital Outpatient Billing for Injectable Self-Administered Drugs
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What’s on Your 2021 OIG Compliance Greatest Hits List?

March 2, 2021
Compliance plans are critical to making sure your organization…
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https://www.panaceainc.com/wp-content/uploads/2021/07/compliance-concept-with-icons-virtual-screen-businessman-touching-picture-id648413674.jpg 400 566 Paula Schmidt https://www.panaceainc.com/wp-content/uploads/2019/11/logo-panacea-and-bracco2-1-e1659555141191.png Paula Schmidt2021-03-02 07:55:072021-03-02 07:55:07What’s on Your 2021 OIG Compliance Greatest Hits List?
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New ICD-10 Codes Create Clarity in Capturing COVID in 2021

February 12, 2021
The chaos and confusion fomented throughout the American healthcare…
Read more
https://www.panaceainc.com/wp-content/uploads/2021/07/stethoscope-on-laptop-keyboard-picture-id163751742.jpg 400 566 Paula Schmidt https://www.panaceainc.com/wp-content/uploads/2019/11/logo-panacea-and-bracco2-1-e1659555141191.png Paula Schmidt2021-02-12 11:25:042021-02-12 11:25:04New ICD-10 Codes Create Clarity in Capturing COVID in 2021
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Panacea Unveils Comprehensive Summary of 2021 OPPS Final Rule

December 16, 2020
Following the recent unveiling by federal officials of the 2021…
Read more
https://www.panaceainc.com/wp-content/uploads/2020/12/black-female-boss-leading-corporate-meeting-talking-to-diverse-picture-id923039680.jpg 400 566 Paula Schmidt https://www.panaceainc.com/wp-content/uploads/2019/11/logo-panacea-and-bracco2-1-e1659555141191.png Paula Schmidt2020-12-16 08:38:062020-12-16 08:38:06Panacea Unveils Comprehensive Summary of 2021 OPPS Final Rule
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Panacea Announces No-Cost Diagnostic Review of Hospital Chargemaster ahead of CMS Final Rule Posting Deadline

November 23, 2020
The comprehensive diagnostic review includes analysis of CMS…
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https://www.panaceainc.com/wp-content/uploads/2021/07/keyboard-with-a-blue-button-news-picture-id693692886.jpg 400 566 Paula Schmidt https://www.panaceainc.com/wp-content/uploads/2019/11/logo-panacea-and-bracco2-1-e1659555141191.png Paula Schmidt2020-11-23 13:10:562020-11-23 13:10:56Panacea Announces No-Cost Diagnostic Review of Hospital Chargemaster ahead of CMS Final Rule Posting Deadline
Image of stethoscope on top of twenty dollar bills

Webinar: CMS Price Transparency – How to Comply with Consumer Display & Machine-Readable File Requirements

November 11, 2020
Designed for hospitals just starting on their consumer display…
Read more
https://www.panaceainc.com/wp-content/uploads/2021/07/healthcare-cost-concept-shot-picture-id690150228.jpg 400 566 Paula Schmidt https://www.panaceainc.com/wp-content/uploads/2019/11/logo-panacea-and-bracco2-1-e1659555141191.png Paula Schmidt2020-11-11 13:00:592020-11-11 13:00:59Webinar: CMS Price Transparency – How to Comply with Consumer Display & Machine-Readable File Requirements
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