PYA Webinar Recast

In this PYA Summer CPE Symposium session, Ramzi Fadayel and Patrick Birmingham discuss Medicaid and state tax implications associated with the One Big Beautiful Bill Act, referred to in the presentation as OB3. The Medicaid portion covers provider taxes, state-directed payments, community engagement requirements, Medicare DSH, 340B, retroactive coverage, cost sharing, and other related provisions....

In this PYA Summer CPE Symposium session, Andrew Sizemore discusses the aligned assurance model and how it can help organizations coordinate assurance activities across the three lines of defense. The discussion covers the roles of finance, accounting, compliance, enterprise risk management, and internal audit in creating a more unified view of organizational risk. Topics include assurance fatigue...

AI tools are increasingly embedded in healthcare operations, from EHR functionality and clinical documentation to coding, compliance research, revenue cycle, HR, and vendor platforms. In this episode of PYA's Healthcare Regulatory Roundup, Valerie Rock, Miriam Murray, and Erin Walker discuss how healthcare organizations can use AI while building governance, oversight, and risk management processes...

CMS FY 2027 proposed rule changes could significantly affect reimbursement, quality reporting, and operational planning across hospitals and post-acute care settings. In this episode of Healthcare Regulatory Roundup, PYA's Kathy Reep and Carine Leslie break down the most important payment updates, quality program revisions, and compliance considerations providers should evaluate now. The discussio...

This episode covers CMS enforcement activity and the downstream impact of Risk Adjustment Data Validation (RADV) audits on healthcare providers participating in Medicare Advantage. PYA experts explain how Medicare Advantage payments flow from CMS to health plans and providers, how risk adjustment drives reimbursement, and why provider documentation plays a critical role in compliance. The discussi...

This episode covers the impact of the One Big Beautiful Bill Act (OBBBA) on Medicare DSH and the 340B drug pricing program. PYA presenters explain how new Medicaid eligibility requirements may affect hospital reimbursement, patient mix, and program eligibility, and outline strategies for accurately capturing Medicaid eligible days. The discussion also reviews recent 340B developments, including le...

How hospitals can prepare for financial risk under the CMS TEAM model by turning claims data into actionable performance insights. This session explains how to quantify downside exposure, identify variation across episodes, and use dashboards and governance structures to drive measurable improvement.

This episode outlines the top 10 healthcare compliance risk areas managers need to know in 2026. PYA compliance leaders, Shannon Sumner, Miriam Murray, and Katie Croswell, discuss vendor oversight, cybersecurity and data breaches, artificial intelligence governance, digital transformation, healthcare real estate, EMTALA compliance, exclusion screenings, and reimbursement pressures. The session emp...

This episode examines how healthcare organizations can mitigate compliance and financial risk while conducting revenue integrity audits. PYA Principal Valerie Rock and Manager Kimberly Campbell walk through the auditing and monitoring cycle, with a focus on defensible sampling, documentation, and interpretation of results. The discussion covers: Probe audits versus statistically valid random sampl...

This episode reviews new proposed rules, payment models, and regulatory guidance affecting healthcare organizations in early 2026. PYA Principals Martie Ross and Kathy Reep break down recent legislative activity, Medicare and Medicaid policy updates, and regulatory changes providers should be tracking as the year begins. Topics include: Medicare telehealth extensions Healthcare extenders Medicaid...

This episode examines key policy, payment, and program changes shaping rural healthcare in 2026. PYA Principals Martie Ross and Kathy Reep discuss major federal initiatives affecting rural providers, including the Rural Health Transformation Program, Medicare telehealth policy, and Medicaid developments. The session also addresses Medicare Advantage oversight, 340B drug program compliance, price t...

This episode of PYA's Healthcare Regulatory Roundup continues a two-part discussion on the 2026 Medicare Physician Fee Schedule Final Rule, with a focus on telehealth, global payment reforms, and skin substitutes. The conversation walks through what stays in place for telehealth, including face-to-face visit requirements, and highlights new codes related to telebehavioral health and global surgery...

This episode of PYA's Healthcare Regulatory Roundup examines the 2026 Medicare Physician Fee Schedule Final Rule and its impact on physician reimbursement, payment calculations, and quality reporting. The discussion covers updates to the conversion factor under MACRA, budget neutrality adjustments, new efficiency adjustments affecting work RVUs, and revisions to the practice expense methodology. T...

The Centers for Medicare & Medicaid Services (CMS) published the 2026 Hospital Outpatient Prospective Payment System (OPPS) final rule. In this webinar,  Martie Ross  and  Kathy Reep  discussed key provisions of the 2026 Hospital OPPS final rule and related developments. Attendees will gain knowledge from these learning objectives:   Details of 2026 OPPS final rule Developments in care for end-sta...

A strong compliance program begins with a clear understanding of organizational risks. This webinar guides you through the purpose, process, and practical application of conducting a compliance risk assessment—and how to transform the findings into a robust annual framework. During this webinar, PYA Principals  Shannon Sumner  and  Rhonda Buckholtz  explained the importance of effective risk asses...

On  October 1  — the first day of the new federal fiscal year — PYA's  Martie Ross  and  Kathy Reep  provided a timely update on federal policy developments shaping healthcare. They reviewed the latest actions from Congress and federal agencies, focusing on issues that have a direct impact on providers and healthcare organizations. Key topics for discussion included: Federal FY 2026 discretionary...

The Food and Drug Administration (FDA) has issued draft guidance to establish a comprehensive regulatory framework for artificial intelligence and machine learning (AI/ML) in medical devices. As AI becomes embedded in connected health technologies, the cybersecurity risks associated with such devices are growing exponentially. This webinar explores how the FDA's lifecycle-based approach to AI regu...

On July 31, the Centers for Medicare & Medicaid Services (CMS) issued both the 2026 Medicare Inpatient Prospective Payment System (PPS) and the Skilled Nursing Facility (SNF) PPS final rules. PYA's Martie Ross and Kathy Reep discussed several key provisions, including: Payment rate  increases  for inpatient acute facilities, long-term care hospitals, and skilled nursing facilities Revisions to the...

On July 14, CMS released the  2026 Medicare Physician Fee Schedule Proposed Rule (MPFS) . The proposed rule includes several significant policy changes that could impact physicians for years to come. During this two-part webinar series, PYA experts went deep into these changes to help you understand and prepare for what's coming next. Presented August 13, 2025, by  Valerie Rock  and  Martie Ross T...

On July 14, CMS released the  2026 Medicare Physician Fee Schedule Proposed Rule (MPFS) . The proposed rule includes several significant policy changes that could impact physicians for years to come. During this two-part webinar series, PYA experts will go deep into these changes to help you understand and prepare for what's coming next. Presented July 30, 2025, by  Martie Ross, Sarah Bowman,  and...

Compensation is no longer just a financial tool—it's a powerful strategy to shape behavior, align priorities, and drive performance. Thoughtful compensation design can foster a culture of quality, boost collaboration and accountability, and enhance patient and provider satisfaction. During this webinar, PYA Principal  Angie Caldwell  and Manager  Ericka Dickinson  discussed why strategically align...

The One Big Beautiful Bill Act (OBBBA) is now law, and healthcare providers must quickly assess its implications. In this session, PYA's  Martie Ross  and  Kathy Reep  examined OBBBA's sweeping changes to Medicare, Medicaid, and the ACA Marketplace. Martie and Kathy also addressed new proposed rules from the Centers for Medicare & Medicaid Services (CMS), including the 2026 hospital outpatient, ho...

Twice each year,  PYA's Center for Rural Health Advancement  presents a deep dive into the most challenging regulatory and reimbursement issues facing rural health providers and the communities they serve. During this 90-minute webinar, PYA's  Martie Ross  and  Kathy Reep  provided practical insights and advice for rural health leaders on the following topics: Impact of  One Big Beautiful Bill on...

During this webinar, PYA's  Barry Mathis  explored the critical aspects of healthcare data breaches, focusing on understanding the immediate impacts, effective incident response steps, legal and regulatory requirements, communication strategies, long-term mitigation measures, and lessons learned from real-world case studies. The session aims to equip healthcare professionals with the tools and tak...

As we near our nation's 249 th  birthday, issues continue to heat up in Washington, D.C. During this one-hour webinar, PYA's  Martie Ross  and  Kathy Reep  addressed the most recent legislative, regulatory, and enforcement activities at the federal level: Updates on the One Big Beautiful Bill Act President's FY 2026 Budget Proposal Medicaid Provider Taxes and State-Directed Payments CMS Guidance: ...