Clinical Advisory Services

Reduce risk while increasing value. The diverse team at PYA can help you face the complexities of healthcare compliance and reimbursement challenges with clarity and confidence. We support a wide range of healthcare organizations including acute care hospitals, physician practices, long-term and rehabilitation facilities and behavioral health organizations.

Services

• Hospital Coding & Documentation Review and Education
• Physician Coding and Compliance
• RAC Audit and Appeals Assistance
• Independent Review Organization
• Medical Necessity Analysis
• Chargemaster Review
• Charge Capture and Billing Accuracy Review
• ICD-10 Gap Analysis

Team

Our Clinical Advisory Services (CAS) group consists of seasoned professionals who well understand the many challenges facing the healthcare industry today. CAS professionals have the expertise and background required to provide a diverse range of services. Our experience is reflected in the various certifications held by members of our team, which include:

• Registered Health Information Administrator (RHIA)
• Evaluation & Management Medical Coding Certification (CPC-E/M)
• Certified Healthcare Quality Professional (CPHQ)
• Certified Healthcare Compliance (CHC)
• Bachelor of Science Registered Nurse (BSRN)
• Certified Coding Specialist (CCS)
• Certified Professional Coder (CPC)
• Certified Case Manager (CCM)

For nearly 30 years, healthcare organizations have turned to PYA as leaders in clinical advisory services. Our knowledgeable and experienced professionals have earned clients’ trust by providing exceptional service.