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

Solving the Behavioral Health Billing Puzzle
Lost revenue and compliance risk rarely come from a single mistake. They come from a combination: a missing signature, a mismatched diagnosis, a minute counted twice. In this article, we take a look at three of the most misunderstood areas of behavioral health coding—and how to keep them from costing you.

Beyond Compliance: Hospital Price Transparency: Strategy, Risk, and Revenue
"Good enough" is no longer good enough. This article’s purpose is to take you beyond compliance: to show how a file most patients will never open has quietly become one of the most consequential pieces of financial data your hospital produces, and to give you practical guidance you can act on now.

CMS Guidance for Implants
Charging policies for implanted devices have long posed a challenge for hospital CDM management. For years, CMS has discussed high cost devices and device pass-through payment policies but stopped short of manualizing specific language or providing specific policy guidance.

Charge Description Best Practices
Does your hospital have a clear and definitive policy for charge descriptions? Hospitals and health systems are often challenged by how they should address billing descriptions, and consultants may overlook the importance of quality descriptors for long-term file management.

HIS Implementation: Charge Data Mistakes & Safeguards
More and more hospitals are pursuing hospital information system (HIS) conversions, and there is a growing trend of inaccurate chargemaster (CDM) data left in the wake. This article highlights frequently encountered systems implementation mistakes that may be placing your charge data integrity at risk.

Chargemaster Spring Cleaning Tips
It’s time to revisit your organization’s charge management priorities now that the busy first quarter is behind us. Here are seven easy “spring cleaning” tips that result in dramatic, strategic improvements.

Mergers + Acquisitions: Is Your Chargemaster Strategy Sound?
Expansion—through mergers, acquisitions, joint ventures and other strategic partnerships—has become an important tool in a hospital’s strategic wheelhouse. As your footprint expands to encompass the entire continuum of care, how do you ensure your chargemaster strategy is sound and consistent?

How to Rationalize Chargemaster Prices
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.

Panacea Unveils Comprehensive Summary of 2021 OPPS Final Rule
Following the recent unveiling by federal officials of the 2021…

CMS and AMA Fourth Quarter 2020 Coding Updates: Panacea Summary and Recommendations
Our revenue integrity team continually monitors announcements…
