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 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 provided to create and update each year defensible chargemaster prices with special analytics utilizing the developed “shoppable list.”
  • Consumer Display/Patient Estimation: Panacea‘s self-service tool allows consumers to obtain out-of-pocket estimates within seconds for the healthcare procedure or service they will be having. They can search by procedure or service name, code, provider, insurer product and more. Estimates are provided on-screen, and consumers can print or email the estimate. The estimation tool includes your organization’s branding and is customizable. Co-pay, coinsurance, and deductible data are imported into our system on a real-time basis. Panacea utilizes responsive technology so that consumers can view and use it on their desktop, tablet or smartphone.
  • Good Faith Estimates: New services and technology that supports hospitals and providers in developing, maintaining and delivering to consumers 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.
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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, maintaining and delivering to consumers 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.
  • Three options for delivery of Good Faith Estimates: 1. Electronic file to upload into your internal or vendor system. 2. Cloud-based system for use in the registration process. 3. Library of charge profiles in PDF format to manually print or email.

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.

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Price Transparency Resources

White Paper

How To Comply With (And Exceed) The CMS Hospital Price Transparency Rule Requirements .

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CMS Price Transparency Product Sheet

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

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Webinar

How to Streamline Compliant and Accurate Good Faith Estimates under the No Surprises Act

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Good Faith Estimates Product Sheet

New services and technology that supports hospitals and providers in developing, maintaining, and delivering Good Faith Estimates to consumers.

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Let’s connect!

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
















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