Revenue Capture & Risk
Panacea offers cloud based technology for revenue cycle, finance, H.I.M., compliance, utilization and other managers to search historical or current claims data, apply customized rules and easily create reports without relying day-to-day on the IT department.
Uncover coding and compliance risks and opportunities with CLAIMSauditor.com™. This tool goes far beyond EDI data scrubbing. It delivers a cost-efficient, highly effective way to create and apply rules that reveal:
- Lost charges (unbilled or under billed services)
- Under and over payments due to coding and/or documentation errors
- RAC Audit targets
- Medical necessity targets
- CERT, MIC, MAC, PSC and OIG targets
- Quality issues
Create queries using rules you select from our library or develop your own. Select the records, charts or claims having the highest probability for coding, compliance, and quality or billing discrepancies. And develop the reports you need, when you need them.
Think of it – you can have access to all this information without burdening your IT team. CLAIMSauditor.com can be used retrospectively or concurrently with your billing process.