PYA Webinar Recast

Federal and state cybersecurity initiatives are getting a big boost in 2024. From the White House to the governor's mansion, everyone seems to be getting on the same page (or at least in the same book) when it comes to cybersecurity in healthcare.

PYA's Barry Mathis highlights recent guidance and regulations intended to increase accountability and decrease "where do I start" concerns relating to cybersecurity and the protection of personal and protected healthcare data. Listeners will:

• Receive an update on changes to existing cybersecurity guidelines and
• Be introduced to new federal and state guidelines and requirements.

This webinar is part of PYA's twice-monthly Healthcare Regulatory Roundup (HCRR), a popular series during which PYA experts provide practical insights on the latest industry regulatory developments.

Learn about PYA's comprehensive risk management program, Overwatch.

If you would like assistance with cybersecurity compliance, information technology infrastructure, legislative or regulatory impacts, or any matter involving compliance, valuation, or strategy and transactions, one of our executive contacts would be happy to assist. You may email them or call (800) 270-9629.

This webinar was Episode 1 of PYA's new Revenue Recharge series. In the series, PYA shares ways providers (health systems and physicians) can identify revenue opportunities, leading to a more sustainable and visionary future and better healthcare for patients. By addressing net revenue opportunities in your operational planning, you can support your mission.

The first webinar, Revenue Recharge: Front and Middle Revenue Cycle Improvement, took place on February 22, 2024.

PYA Principals Sarah Bowman and Kristen Davidson discussed revenue opportunities through front and middle revenue cycle process improvement. This session included these learning objectives:

• Gain best practices for front-end data accuracy and point-of-service collections;
• Assess impact on reimbursement by consistently reviewing your charge description master (CDM) and fee schedules;
• Audit for comprehensive documentation and appropriate code assignment to minimize medical necessity denials and down coding.

Bowman and Davidson also discussed specific areas for operational improvements to help you realize greater net revenue.

Watch for more episodes of the Revenue Recharge webinar series.

If you would like assistance with revenue management and strategies or any other area related to healthcare operations, strategy and transactions, or valuation, one of our executives would be happy to assist. You may contact them via email or by calling (800) 270-9629.

Federally designated rural health clinics (RHC) receive enhanced Medicare and Medicaid reimbursement. Recent changes to federal law make RHC designation for clinics in rural areas even more attractive. The applicable billing and coding rules, however, can be confusing.

RHC reimbursement, billing, requirements, and designation were discussed during a PYA webinar, "Healthcare Regulatory Roundup: Rural Health Clinic Opportunities," on February 21, 2024.

PYA's Martie Ross and Traci Waugh focused on several topics including:

• Services that qualify as an "RHC visit" reimbursable under the all-inclusive rate
• RHC reimbursement for telehealth services, care management services, communication technology-based services, vaccines, and non-RHC services
• RHC regulatory requirements and the process to receive RHC designation

This webinar was part of PYA's twice-monthly Healthcare Regulatory Roundup (HCRR), a popular series during which PYA experts provide practical insights on the latest industry regulatory developments.

Learn about PYA's Center for Rural Health Advancement.

If you would like assistance with rural health reimbursement, legislative or regulatory impacts, or any matter involving compliance, valuation, or strategy and transactions, one of our executive contacts would be happy to assist. You may email them or call (800) 270-9629.

Beginning this year, Medicare will make payment under the Physician Fee Schedule for HCPCS G2211, the outpatient intensity add-on code.

The impacts of the code were presented during a PYA webinar on February 7, 2024.

During the webinar, a panel of PYA experts, including Lori Foley, Valerie Rock, Angie Caldwell, and Martie Ross, discussed the requirements for this new code and its financial impact on physician practices. Topics of discussion included:

• Services to which the add-on code applies
• Who can bill the code and in what circumstances
• What practices stand to lose if they don't bill the add-on code
• Documentation
• Potential audit risk areas
• Approaches to implementation
• Potential impact on physician compensation formulas

This webinar was part of PYA's twice-monthly Healthcare Regulatory Roundup (HCRR), a popular series during which PYA experts provide practical insights on the latest industry regulatory developments. Watch for more HCRR webinars coming soon, and for updates about all of our webinars, check the PYA website and PYA's LinkedIn page.

If you would like assistance with legislative or regulatory impacts or any matter involving compliance, valuation, or strategy and transactions, one of our executive contacts would be happy to assist. You may email them below or call (800) 270-9629.

It's not just Washington we have to monitor. State legislatures throughout the country also are grappling with a wide range of healthcare-related issues. Action taken in one state tends to influence how other states address these matters.

The webinar, "Healthcare Regulatory Roundup: Coming to a Statehouse Near You", held on January 24, 2024, addressed state-level influence on healthcare.

PYA's Martie Ross and Kathy Reep delved into hot topics in state capitols, including

• Medicaid coverage
• Provider taxes and supplemental payments
• Quality standards and staffing levels
• Price Transparency
• Surprise Billing
• Tax-exempt hospitals/community benefit
• State health plan provider networks and fee schedules
• Licensure

PYA's Lori Foley and Martie Ross offered a last look at the 2024 Medicare Physician Fee Schedule Final Rule by providing a detailed examination of 2024 changes to the Merit-Based Incentive Payment System (MIPS) and the Medicare Shared Savings Program (MSSP) as well as new Medicare reimbursement to address social determinants of health (SDOH).

The webinar took place on January 10, 2024.

During our webinar on November 29, PYA leaders Valerie Rock, Carine Leslie, Katie Croswell, and Miriam Murray took a deep dive into key regulations finalized in the MPFS for 2024. Webinar attendees learned about updates related to these topics and service areas:

• Conversion Factor
• Office/Outpatient Evaluation & Management (E/M) Visit Complexity Add On Code G2211
• Split/Shared Visits
• Telehealth
• Virtual Supervision
• Remote Patient Monitoring
• Diabetes Programs
• Health-Related Social Needs
• Behavioral Health

Watch the November 8 HCRR webinar to hear a higher-level discussion about the 2024 final rules.

This webinar was part of PYA's twice-monthly Healthcare Regulatory Roundup, a popular series during which PYA experts provide practical insights on the latest industry regulatory developments.

If you would like assistance with anything related to the Medicare Physician Fee Schedule, the CY24 final rules, regulatory impacts, or any matter involving compliance, valuation, or strategy and transactions, our executive contacts would be happy to assist. You may email them below or call (800) 270-9629.

On October 27, CMS published the 2024 ESRD 2024 Final Rule. On November 1, the agency published the 2024 Home Health PPS Final Rule. On November 2, CMS published three final rules: the 2024 Medicare Physician Fee Schedule Final Rule, the 2024 OPPS Final Rule, and the OPPS Remedy for 340B-Acquired Drug Payment Policy for CYs 2018-2022 Final Rule.

PYA Principal Martie Ross and Senior Manager Kathy Reep examined and discussed these rules. The webinar was held on November 8, 2023.

This webinar was part of PYA's twice-monthly Healthcare Regulatory Roundup, a popular series during which PYA experts provide practical insights on the latest industry regulatory developments.

If you would like assistance with anything related to the CY24 final rules, regulatory impacts, or any matter involving compliance, valuation, or strategy and transactions, one of our executive contacts would be happy to assist. You may email them below or call (800) 270-9629.

PYA was pleased to host the second complimentary webinar in its new series, Healthcare Dealbreakers: What You Don't Know Can Hurt You.

Healthcare dealbreakers are rarely obvious; they lurk under the surface waiting to expose investors who fail to exercise appropriate caution. Each quarter, PYA executives share practical insights into some of the most complex dealbreakers in healthcare, helping investors and providers recognize the warning signs that signal trouble for a potential deal.

Healthcare Dealbreakers: Avoiding Post-Acquisition Compliance Surprises

How deep of a diligence review is necessary to mitigate future risk? What processes should you implement to identify and address risk quickly after acquisition?

PYA Principals Valerie Rock and Kristen Davidson shared their experience with post-acquisition compliance surprises. They examined options for establishing auditing, monitoring, and internal controls to mitigate compliance and regulatory risks after closing a deal.

Valerie and Kristen led webinar attendees through these objectives:

• Learning common compliance issues found during and after due diligence on physician practices and other healthcare providers
• Hearing lessons learned from post-acquisition compliance surprises
• Discussing best practices for auditing, monitoring, and internal controls after diligence, including how to incorporate pre-closing diligence findings

The webinar took place on October 31, 2023.

PYA Principal Martie Ross and Senior Manager Kathy Reep addressed new proposed rules for the No Surprises Act, including changes to the rules around administrative fees. They also took a deep dive into new guidance that has been published by the agencies with regard to the No Surprises Act. ​​​​​​​

The webinar took place on October 25, 2023.

This webinar is part of PYA's twice-monthly "Healthcare Regulatory Roundup" series in which experts from across the firm provide practical insights on the latest regulatory developments.

If you would like assistance with anything related to the No Surprises Act, regulatory impacts, or any matter involving compliance, valuation, or strategy and transactions, one of our executive contacts would be happy to assist. You may email them below or call (800) 270-9629.