PYA Webinar Recast

On August 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the 2025 Medicare Hospital Inpatient Prospective Payment System (IPPS) final rule. PYA's  Martie Ross ,  Kathy Reep , and  Carine Leslie  hosted a discussion of the final rule's key provisions: Rate increases and wage index changes Mandatory Transforming Episode Accountability Model (TEAM)   New quality measure reporting...

In 2024, PYA has sought to understand the toughest, timeliest, and trickiest topics in fair market value (FMV) and physician compensation in our Timely, Tough, or Tricky (TTT) webinar series. We started with a survey of more than 100 physician compensation experts and other healthcare professionals and have continued to collect questions during  the 2024 TTT season  with the goal of tackling those...

Many providers have significantly improved their revenue by participating in value-based contracts. Most providers, however, remain reluctant to enter into such arrangements because they do not believe they are prepared to manage downside risk. Presented on August 22, 2024. During this webinar, we examined many aspects of value-based care and how it impacts your revenue. PYA Principals  Jane Jerza...

PYA executives  Sarah Bowman ,  Katie Croswell ,  Lori Foley , and  Martie Ross  will wrap up the four-part series, focusing on the following topics: Quality Payment Program (MIPS) Medicare Shared Savings Program SDOH-related services Clinical Laboratory Fee Schedule payment reductions Presented August 21, 2024. On July 17, PYA presented the first part of its webinar series on the proposed Medicar...

On July 17, PYA presented the first part of its webinar series on the proposed Medicare payment rules for 2025. In parts  2 ,  3 , and  4  of the series, on  July 31 ,  August 14 , and  August 21 , we will address the  2025 Medicare Physician Fee Schedule (MPFS) proposed rule , taking a deep dive into the rule's most impactful provisions. 2025 Proposed Rules Part 3 – MPFS Presented August 14, 2024...

Lowering the overall cost of healthcare is a constant struggle for both providers and consumers. Patients, payers, and providers seek to find the operational inflection point that affords financial success while simultaneously improving quality and value.  During this webinar on August 13, 2024, PYA Principal  Deuce Lukemeyer  led a robust panel discussion with industry leaders sitting in the key...

On July 17, PYA presented the first part of its webinar series on the proposed Medicare payment rules for 2025. In parts  2 ,  3 , and  4  of the series, on  July 31 ,  August 14 , and  August 21 , we will address the  2025 Medicare Physician Fee Schedule (MPFS) proposed rule , taking a deep dive into the rule's most impactful provisions. PYA executives Miriam Murray ,  Valerie Rock , and  Martie...

Throughout 2024, PYA has sought to understand the toughest, timeliest, and trickiest topics in fair market value (FMV) and physician compensation in our Timely, Tough, or Tricky (TTT) webinar series. We started with a survey of more than 100 physician compensation experts and other healthcare professionals and have continued to collect questions during  the 2024 TTT season  to tackle those questio...

Whether you're looking to activate a clinical trial or you need help streamlining the management of your clinical trials program, PYA's webinar, "Optimizing Clinical Trial Administration," can help. Learn about some common challenges to clinical trial administration and ways you can address them in your organization. The webinar took place on July 18, 2024. During this webinar, PYA Principal  Debo...

Part 1: CMS CY 2025 Proposed Rules Presented July 17, 2024 The Centers for Medicare & Medicaid Services (CMS) have released the Calendar Year (CY) 2025 proposed rules. In Part 1 of our two-part series, PYA's Martie Ross and Kathy Reep covered the following proposed rules: CY25 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and...

In an era marked by evolving healthcare policies and regulations, the dynamics between payers and hospitals play a crucial role in shaping financial outcomes and patient care quality. Understanding and managing payment disputes is essential for both parties to maintain financial stability while ensuring patient access to quality care remains uncompromised. This webinar delved into the intricate la...

In early 2024, PYA surveyed more than 100 physician compensation experts and other healthcare professionals to understand their timeliest, toughest, or trickiest (TTT) topics in fair market value (FMV) and physician compensation. Based on this survey, PYA has covered many of the items so far in our  Timely, Tough, or Tricky webinar series 2024 season . PYA Principal  Lyle Oelrich  and Manager  Eri...

The recent cyber attack on Change Healthcare was more than a  cyber security event . It was a  business continuity wake-up call . In today's digital healthcare world, information systems serve as the backbone of clinical and business operations. As providers increasingly depend on complex information technology (IT) systems, identifying critical pathways and preparing for cyber disasters becomes i...

During this session, Trevor Brown and Mimi Grachek discussed recently issued or effective authoritative literature along with current accounting and auditing issues impacting organizations today. They explained changes to date made by the Financial Accounting Standards Board, Auditing Standards Board, and Governmental Accounting Standards Board. In particular, Brown and Grachek discussed changes r...

The U.S. Department of Justice (DOJ) released a playbook that its healthcare fraud prosecutors will use to evaluate an entity's compliance program in February 2017 and revised in June 2020 and again in March 2023. Accordingly, management should be well versed in the factors fraud prosecutors will use to evaluate the effectiveness of an entity's compliance programs, which, in turn, influence the se...

Understanding a hospital's Medicare reimbursement is becoming more complex each year. A significant aspect of the reimbursement is tied to the annual hospital Medicare cost report. With additional scrutiny of the annual reports by Medicare Administrative Contractors (MACs), hospitals must file accurate reports and supporting documentation for smooth cost report audits. Settlement impacts tied to t...

The winds of healthcare privacy continue to shift, most recently with the release of a new rule supporting reproductive healthcare privacy under HIPAA, the Federal Trade Commission's (FTC) new rule on breach notification for healthcare applications, and the Centers for Medicare & Medicaid Services' (CMS) revisions and clarifications regarding informed consent.  Webinar attendees learned about thes...

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.  Attendees learned more about the unique issues facing rural health providers during PYA's webinar, "Let's Get Rural: Managing Regulatory and Reimbursement Challenges," presented on June 13, 202...

During Episode 4 of  PYA's Revenue Recharge series , Principal  Bob Paskowski  and Senior Manager  Kathy Reep  discussed many aspects of Medicare Advantage. Specifically, they covered the following key points: Monitoring MA contract yields Knowing your MA payer policies that may impact reimbursement Seeking value-based arrangements as a supplemental revenue so The webinar took place on June 13, 20...

Medicare now reimburses providers for services addressing patients' social determinants of health (SDOH), such as housing instability, transportation challenges, and food insecurity. PYA's  Martie Ross ,  Miriam Murray , and  Katie Croswell  addressed technical and practical issues relating to payment for SDOH risk assessments, community health integration (CHI), and principal illness navigation (...

In 2024, PYA surveyed more than 100 physician compensation experts and other healthcare professionals to understand their toughest, timeliest, and trickiest topics in fair market value (FMV) and physician compensation. Additionally, we collected questions submitted during our recent webinar,  "Top 10 High-Demand Physician Specialties,"  to learn what is most meaningful to you, and we began to answ...

Although we are almost nine years into the Merit-based Incentive Payment System (MIPS), the program is new to many who came into healthcare and/or physician practice management since its initial rollout.  PYA's  Lori Foley  and  Martie Ross  oriented webinar attendees on the MIPS program through deeper dives into these topics: Traditional MIPS participation, including a discussion of each quadrant...

Federal rule makers have been extremely busy this spring, releasing the fiscal year (FY) 2025 proposed payment rules as well as new final rules on nursing home staffing requirements, state Medicaid program operations, non-compete agreements, and compensation thresholds for overtime pay. PYA's  Kathy Reep  and  Martie Ross  discussed key provisions of the following proposed and final rules impactin...

The  2024   Hospital Outpatient Prospective Payment System Final Rule  included significant changes to the requirements for hospitals to post standard charges and other pricing information. Hospitals must comply with the most substantive changes by July 1, 2024. PYA's  Martie Ross  and  Kathy Reep  provided guidance to hospitals working to meet this deadline. Specifically, Martie and Kathy address...

This webinar was Episode 3 of  PYA's new Revenue Recharge series . In the series, PYA shares ways 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 webinar took place May 2, 2024. During this w...