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Expert Opinions

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

Eight Steps to Reveal Incremental Revenue and Reduce Risk Related to “Lesser-of” and “Stop-Loss” Contract Clauses

March 20, 2023
Restructuring a hospital’s chargemaster in this era of transparent pricing often results in material increases and decreases in line item charges to align with market norms, unit costs, or a hybrid thereof. Learn how your organization can enhance its financial performance in this environment.
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https://www.panaceainc.com/wp-content/uploads/2017/09/iStock-1317075903-e1679330758523.jpg 377 566 Paula Schmidt https://www.panaceainc.com/wp-content/uploads/2019/11/logo-panacea-and-bracco2-1-e1659555141191.png Paula Schmidt2023-03-20 13:00:592025-01-03 13:36:26Eight Steps to Reveal Incremental Revenue and Reduce Risk Related to “Lesser-of” and “Stop-Loss” Contract Clauses

2023 E&M Updates Resources

February 14, 2023
Wondering how the 2023 updates to E&M guidelines affect your team? Look no further. Our experts have developed a set of customized resources to aid professionals as they put the guidelines into practice.
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https://www.panaceainc.com/wp-content/uploads/2019/06/health-insurance-claim-form-with-stethoscope-on-wood-table-selective-picture-id855524776.jpg 377 566 Paula Schmidt https://www.panaceainc.com/wp-content/uploads/2019/11/logo-panacea-and-bracco2-1-e1659555141191.png Paula Schmidt2023-02-14 15:39:382023-02-14 15:39:382023 E&M Updates Resources

Evaluation and Management 2023 Updates: What You Need to Know

October 14, 2022
Changes to 2023 E/M coding will impact CDM files, coding, documentation, charge capture processes, and various information systems. This article outlines new revisions to E/M codes for 2023 and addresses several questions we believe professionals will encounter when they learn of the changes.
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https://www.panaceainc.com/wp-content/uploads/2022/10/iStock-1141255408-e1665756811826.jpg 377 566 Paula Schmidt https://www.panaceainc.com/wp-content/uploads/2019/11/logo-panacea-and-bracco2-1-e1659555141191.png Paula Schmidt2022-10-14 07:41:082022-10-14 07:41:08Evaluation and Management 2023 Updates: What You Need to Know

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
Image of doctor holding a prescription bottle while typing on a computer

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
Photo of a man giving himself an insulin shot at home

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
Computer image of a person pointing at an overlay that reads Compliance

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?
Image of Stethoscope on laptop

New ICD-10 Codes Create Clarity in Capturing COVID in 2021

February 12, 2021
The chaos and confusion fomented throughout the American healthcare…
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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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Latest News

  • Medicaid Eligibility Under Pressure: One Big Beautiful Bill ExplainedAugust 14, 2026 - 1:02 pm
  • Closing the Divide: Price Transparency, Strategic Pricing, and Payer Contract ModelingAugust 14, 2026 - 12:54 pm
  • CDM Shape-Up: Strengthening Charge Integrity for Revenue & ComplianceAugust 5, 2026 - 8:27 am

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