PYA Webinar Recast

01:20:44

2027 Maternity Care Coding Changes: wRVUs,...

PYA Webinar Recast ·

2026/10/02

Beginning in 2027, maternity care coding is scheduled to move away from the historical global billing framework toward separate reporting across phases of care. In this Healthcare Regulatory Roundup webinar, PYA's Angie Caldwell and Deuce Lukemeyer examine how the transition may affect wRVU attribution, reimbursement, physician compensation, laborist and hospitalist programs, APP and midwife utilization, productivity benchmarks, contracts, and operational workflows. The presenters walk through

en-us

59:46

Occupational Fraud: Warning Signs, Prevention &...

PYA Webinar Recast ·

2026/10/01

Occupational fraud can affect organizations of any size and may involve employees who understand where controls are weak or can be overridden. In this episode of PYA's The Bottom Line, Jessica Scouten and Michelle Smith explain the fraud triangle, common forms of occupational fraud, behavioral and organizational red flags, and practical controls that can help reduce risk. The discussion includes three case studies, the role of reporting channels and forensic accountants, and emerging

en-us

57:47

Healthcare Third-Party Risk Management: Compliance &...

PYA Webinar Recast ·

2026/09/18

PYA's Katie Croswell and Erin Walker discuss healthcare third-party risk management, including vendor inventories, risk tiering, due diligence, ongoing monitoring, offboarding, governance, and board oversight. Healthcare organizations rely on third parties across clinical, operational, financial, technology, and administrative functions. In this episode of PYA's Healthcare Regulatory Roundup, Katie Croswell and Erin Walker discuss how organizations can build a risk-based third-party risk management

en-us

01:05:13

FY 2027 Medicare Final Rules: IPPS, SNF, Rehab,...

PYA Webinar Recast ·

2026/09/03

The FY 2027 Medicare final rules include payment, coding, quality reporting, and operational changes across multiple provider settings. In this episode of PYA's Healthcare Regulatory Roundup, Kathy Reep and Carine Leslie review inpatient payment and outlier changes, low-volume and Medicare-dependent hospitals, MS-DRG revisions, new technology add-on payments, CJRX, hospital quality measures, provider-based status, TEAM, LTAC, skilled nursing, inpatient psychiatric facilities, inpatient

en-us

01:07:04

CY 2027 Medicare Physician Fee Schedule Proposed...

PYA Webinar Recast ·

2026/09/03

CMS's CY 2027 Medicare Physician Fee Schedule (MPFS) proposed rule could affect payment, physician compensation, coding workflows, and compliance across services billed under the fee schedule. In this episode of PYA's Healthcare Regulatory Roundup, Lori Foley and Valerie Rock review proposed conversion factor changes, practice expense reform, the G2211 redesign, same-day E/M and global procedure payment, telehealth, RPM and RTM, MSSP and ACO incentives, MIPS Value Pathways, and CMS requests for

en-us

01:27:39

Rural Health Transformation and Federal Policy Updates

PYA Webinar Recast ·

2026/08/20

State implementation of the $50 billion Rural Health Transformation Program is moving quickly, but funding models, eligible organizations, application processes, and reporting expectations vary by state. In this episode of PYA's Let's Get Rural series, Jane Jerzak, Kathy Reep, and Tracy Purcell explain direct-to-provider, aggregator, and hybrid RHTP models and review examples from North Dakota, Oklahoma, Tennessee, Kansas, and Arkansas. The presenters discuss practical considerations for reviewing

en-us

01:02:19

CY 2027 Proposed Rules: OPPS, Home Health, and ESRD...

PYA Webinar Recast ·

2026/08/19

CMS has released Calendar Year 2027 proposed rules affecting hospital outpatient departments, ambulatory surgical centers, home health agencies, end-stage renal disease facilities, off-campus provider-based departments, and Medicare providers and suppliers more broadly. In this episode of PYA's Healthcare Regulatory Roundup, Kathy Reep and Carine Leslie review the proposed payment, quality, enrollment, and operational changes that warrant closer attention. The discussion covers the OPPS payment

en-us

01:05:22

Accounting and Audit Updates: Standards, Estimates,...

PYA Webinar Recast ·

2026/08/07

Accounting and finance teams continue to manage evolving accounting standards, audit expectations, documentation requirements, employee benefit plan rules, and new AI use cases. In this episode of The Bottom Line, PYA's Kathryn Good and Tim Partridge discuss practical considerations related to lease accounting, auditor risk assessment, credit loss estimates, revenue recognition, controls over accounting estimates, Secure 2.0 provisions, and the responsible use of AI in accounting workflows. The

en-us

59:09

Why Physician Practice Value Varies by Specialty

PYA Webinar Recast ·

2026/07/17

In this PYA Summer CPE Symposium session, Matt Warren discusses why physician practice value varies by specialty and why no two practices should be evaluated as interchangeable. The session reviews key valuation terms, fair market value, and the asset, income, and market approaches. The discussion covers practice-specific value drivers, including ancillary services, equipment, payer mix, billing practices, market dynamics, advanced practice provider leverage, related party transactions, physician

en-us

01:01:04

OBBBA Medicaid Cuts and State Tax Implications

PYA Webinar Recast ·

2026/07/15

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. The state tax portion addresses how states may respond to federal Medicaid funding pressure, including

en-us

01:07:10

AI Cybersecurity Risks and Compliance for Healthcare...

PYA Webinar Recast ·

2026/07/13

In this PYA Summer CPE Symposium session, John Cross discusses how AI is changing healthcare cybersecurity risk, compliance, and governance. The session covers the healthcare threat landscape, AI intrusion methods, AI defense tools, deepfakes, phishing, agentic AI, model drift, AI inventory, and vendor risk. The presentation also addresses governance frameworks, HIPAA Security Rule considerations, AI risk assessments, incident response, MFA, tabletop exercises, and practical questions healthcare

en-us

57:08

Aligned Assurance Model for Healthcare Risk and...

PYA Webinar Recast ·

2026/07/10

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, duplicate testing, inconsistent risk assessments, siloed reporting, shared risk language, coordinated

en-us

01:03:48

Managing AI Tools: Oversight, Risk, and Compliance in...

PYA Webinar Recast ·

2026/06/29

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 around it. The conversation covers AI inventories, shadow AI, data privacy and security, minimum

en-us

58:44

Spring into 2027: CMS Proposed Rules and Payment...

PYA Webinar Recast ·

2026/05/08

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 discussion covers inpatient payment updates, Medicare Advantage integration into quality programs, revised

en-us

01:05:43

CMS Enforcement to Provider Risk: The Downstream...

PYA Webinar Recast ·

2026/04/30

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 discussion also outlines current audit trends, documentation requirements, and practical strategies providers

en-us

49:55

Preparing for OBBBA Impacts: Medicare DSH and 340B...

PYA Webinar Recast ·

2026/04/01

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 legal rulings, the status of the rebate model, CMS drug pricing surveys, and growing state-level

en-us

38:48

TEAM Ready: Turning Claims Data into Financial...

PYA Webinar Recast ·

2026/03/20

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.

en-us

54:54

Top 10 Healthcare Compliance Risk Areas Managers Need...

PYA Webinar Recast ·

2026/03/03

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 emphasizes practical risk mitigation strategies, including third-party risk management life cycles, AI

en-us

58:32

How to Mitigate Risk While Auditing for Revenue...

PYA Webinar Recast ·

2026/02/12

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 samples Use of data analytics Understanding claims and financial error rates Navigating the Medicare

en-us

59:58

Happy New Year: New Proposed Rules, New Payment...

PYA Webinar Recast ·

2026/02/12

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 work requirements Medicare Advantage oversight 340B drug program developments Price transparency rules

en-us

All Episodes

Similar Podcasts

TaxTalent.com The Golden Rule Podcast

Adam Golden

TaxTalent.com Podcast

Tony Santiago

SoldiOnline

Mondadori Digital

Economia dia a dia

Juliana Simões

The Smashi Business Show

Augustus Media