Compliant coding
equals compliant revenue
Nobody audits like we do.
We’re
PANACEA
Compliant coding
equals compliant revenue
Nobody audits like we do.
We’re
PANACEA
You find the coding guidelines to be confusing. You explain that you’re getting contradictory interpretations of guidance from your billing, compliance and revenue integrity departments. You tell us of your frustration, when you get conflicting advice from Medicare, commercial payers and other resources.
So when you say, “we need someone to tell us if we’ve got it right,” we hear you. We’ll answer your call for help.
A two-step process that will help you:
Our approach to practitioner audits uses technology, expertise and education. We help you identify incidents and patterns of potential billing and coding risk and opportunities.
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Our experts help meet your inpatient auditing and compliance goals with MS-DRG review, APR-DRG review, full coding quality reviews and more.
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We apply the same proven, unique approach to outpatient review as we use on the inpatient side, focusing on surgery, infusion and chemotherapy, and more.
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Audit specialties include Infusions, interventional radiology (IR), cardiac cath lab, E&M, surgical procedures, OIG targets and more. Panacea’s expert consultants are specialists in these areas.
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Complex and complicated specialty services such as surgical specialties, medical oncology, interventional radiology, cardiology, anesthesiology and labs are potential areas for coding errors which, in turn, impact revenue and compliance. You need to know. And now you will know for sure.
Panacea will first deploy its proprietary auditing technology to audit 100% of your claims or coding abstract data — not random audits —against more than thousands of rules in our rules library and validate our findings against medical records—a validation that will reveal potential under-and over-coding and possible lost or missing revenue opportunities. We’ll drill down on the analytics and roll them up to dashboard for executive review.
Compliant coding equals compliant revenue. Now you can have both.
Over worked and under stress, the lives of physicians amid the pandemic are, no doubt, untenable. Add to that pressure are the new evaluation and management (E&M) codes and the new CPT® codes from the AMA. But here’s good news: Panacea can audit your claims or coding abstract data for compliance while, concurrently, uncovering missing revenue opportunities for your organization.
We’ll first deploy Panacea’s proprietary auditing technology against thousands of rules from our rules library and we’ll then validate our findings to show you potential revenue opportunities and possible compliance issues. Compliant coding equals compliant revenue.
Now you can have both, plus a healthy and compliant bottom line.
Your chargemaster drives your revenue cycle. And when it’s not in alignment with compliant coding and billing practices, you could be missing revenue and be at risk for audits by the government and third-party auditors. You need to know for certain. We can audit CDM for compliance while concurrently looking for missed revenue opportunities.
We’ll process your chargemaster through our proprietary software to flag potential areas where opportunities or coding discrepancies may exist. A comprehensive CDM review will include validation at the line-item level, including claims sampling. The potential of lost revenue is surpassed by the opportunity to improve reimbursement.
Nobody audits like we do. We’re PANACEA.
Panacea is pleased to present our on-demand presentation of our proprietary auditing technology platform. This cloud-based compliance and auditing tool assists healthcare providers in proactively identifying coding, compliance and reimbursement risks and opportunities hidden in their claims. It uncovers RAC audit targets, medical necessity targets, quality issues, lost revenue, under and overpayments, unbilled and under-billed services, and much, much more.
Register to watch an on-demand presentation to see how this cutting edge technology can benefit your facility.
Our proprietary auditing technology reviews all of your claims or coding abstract data, allowing you to focus your time and investment on problem areas and uncovering new revenue opportunities. Your audit program will become more comprehensive, effective, and cost-efficient.
If you have internal auditors, they’ll certainly value the speed, accuracy, and agility of running 100% of your own data against thousands of coding, documentation, compliance, and/or lost revenue rules found in our library, or written easily by you, to identify the biggest opportunities for improvement in your documentation, coding, data integrity, and payment levels.
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 [email protected] — and we’ll be in touch shortly.