Panacea’s CMS Price Transparency Suite: One Solution Meets and Exceeds ALL Final Rule Requirements.

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Our Price Transparency Suite is Expanding!
We’ve added Good Faith Estimates to address the No Surprises Act

Watch a short video to see how Panacea’s CMS Price Transparency solution helps your organization be fully compliant.

*HFMA staff and volunteers determined that this product has met specific criteria developed under the HFMA Peer Review Process. HFMA does not endorse or guarantee the use of this product.

*HFMA staff and volunteers determined that CDMauditor® – Hospital Zero-Base Pricing® and related modules have met certain criteria developed under the HFMA Peer Review Process. HFMA does not endorse or guarantee the use of this service.

At Panacea, we’ve partnered with hundreds of hospitals to produce compliant machine-readable files and patient estimation systems under the CMS Price Transparency rule.

We are pleased to announce that we are now offering a client facing version of our Patient Estimation System to provide itemized Good Faith Estimates as required under the No Surprises Act.

We provide a comprehensive CMS Price Transparency suite of services –to assure your prices are compliant, competitive and easily accessible by consumers.

The suite includes the following:

  • Disaggregation Algorithm & Report Set: This module processes thousands of claims and payment data and proprietary coding tables and algorithms to identify top shoppable items and create valuable charge, payment and allowable reimbursement profiles for ALL items and services.
  • Machine Readable File Validation Reports and Production: This module produces a machine-readable file containing gross charges and negotiated managed care rates for all items and services that hospitals can post on their websites.
  • Hospital Zero-Base Pricing®: Using Panacea’s HFMA Peer Review- designated Hospital Zero-Base Pricing software, data is processed to create defensible chargemaster prices with special analytics utilizing the developed “shoppable list.”
  • Consumer Display: There are three display levels: one displays gross negotiated charges; another allows consumers’ to enter co-pay and deductible to estimate out-of-pocket amounts; and a third integrates with an eligibility system to import the co-pay and deductible amounts. All are web and mobile friendly.
  • Good Faith Estimates: New services and technology that supports hospitals and providers in developing Good Faith Estimates at the itemized level for all schedulable items and services. Panacea’s state-of-the-art technology combined with statistical analyses, incorporates both hospital and physician charge data producing an all inclusive Good Faith Estimate, as required under the No Surprises Act.

Good Faith Estimates Under the No Surprises Act

We’ve expanded our Price Transparency suite to include new services and technology that supports hospitals and providers in developing Good Faith Estimates at the itemized level for all schedulable items and services.

Panacea’s state-of-the-art technology combined with statistical analyses, incorporates both hospital and physician charge data producing an all inclusive Good Faith Estimate, as required under the No Surprises Act.

Key Benefits:

  • Streamline the Entire Process: Save hundreds of hours, and reallocate resources with new technology that automates Good Faith Estimates on-demand with the highest accuracy
  • Easily Explain why a Good Faith Estimate may differ: WIth the audit trail feature you’ll be able to explain why the Good Faith Estimate for any scheduled service may differ from the patients bill.
  • Defend your Good Faith Estimate: In the event a patient wishes to negotiate or formally enter a dispute you can defend the itemized services.

Watch a short demonstration to learn how our solution automates the burdensome process of manually building an itemized Good Faith Estimate for self-pay or uninsured patients and is available for use for out-of-network patients (where balance billing is permitted) to generate an itemized cost estimate and signed notice and consent.

Price Transparency Resources

Download
White Paper

Download our latest whitepaper, CMS2020 Hospital Price Transparency Rule Highlights and Next Steps.

Download
Product Sheet

Panacea’s CMS Price Transparency Suite Meets and Exceeds all CMS Requirements.

Watch CMS Price
Transparency Webcast

Register to watch CMS Price Transparency Requirements: There’s More To Do Than Meets the Eye.

Let’s connect!

Complete the form to let us know how we can help. If you would like assistance, please call us at 1-866-926-5933 or email us at contact@panaceainc.com — and we’ll be in touch shortly.















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