Ambulatory Care Services

Ambulatory care services represent a growing portion of healthcare revenues, competition, development efforts, and transactions. To compete effectively, hospitals, health systems, and integrated networks require a geographically distributed set of low-cost, convenient access points. Physician groups and other specialty providers seek growth opportunities, affiliation options, and exit strategies. Success in the ambulatory care arena involves a comprehensive understanding of operations, finance, strategy, and compliance to deliver high-quality care that is both effective and sustainable.

Services

PYA’s team of healthcare experts partners with clients to provide the following services:

STRATEGY

  • Ambulatory Growth and Service Distribution Planning
  • Clinical Service Line Planning
  • Consumer Engagement
  • Physician Needs Assessment, Development, and Alignment
  • Provider Network Strategy & Design
  • Continuum Partnership Planning and Facilitation
  • Addressing Social Determinants of Health
  • Alternative Payment Model (APM) Assistance
  • Financial Forecasting and Feasibility Studies
  • Regulatory Guidance

TRANSACTIONAL ADVISORY

  • Strategy – Mergers & Acquisitions Approach
  • Due Diligence
  • Quality of Earnings
  • Transaction Integration
  • Divestitures
  • Joint Ventures & Alliances

BUSINESS SOLUTIONS & IMPROVEMENT

  • Practice Establishment Services
  • Operational Assessments
  • Performance Improvement Services
  • Revenue Cycle Improvement

BUSINESS VALUATION

  • Transaction Business Valuations
  • Minority Interest Buy-Ins & Buy-Outs
  • Purchase Price Allocation
  • Hospital Outpatient Department (HOPD) to Freestanding Ambulatory Surgery Center (ASC) Valuations

CLINICAL & COMPLIANCE ADVISORY

  • “Black-Box” Analyses
  • HOPD to ASC & Reverse Conversions
  • Coding & Documentation Reviews – Professional Fee, Facility, ASC, HOPD
  • Provider-Based Billing Compliance
  • Medical Necessity & Care Management
  • Provider Shadowing
  • Clinical Documentation Improvement (CDI)
  • Physician Analytics

FAIR MARKET VALUE

  • Management Fees
  • Bundled Payment Services
  • Block Lease Arrangements
  • Physician Compensation
  • Professional Service Arrangements
  • Clinical Advisory Services

IT ADVISORY

  • IT Risk Management & Compliance
  • IT Audit
  • IT Executive Management

Experience

Our dedicated team of healthcare professionals has extensive experience assisting a variety of healthcare organizations with ambulatory care needs.  PYA has helped clients in these sites of service:

  • ASCs
  • Cancer Centers
  • Employer/Occupational Health Clinics
  • Federally Qualified Health Centers (FQHCs)
  • Freestanding Emergency Departments
  • Hospital Campus Outpatient Services
  • Imaging Centers
  • Multipurpose Ambulatory Care Centers
  • Multispecialty Medical Office Buildings
  • Primary Care Networks
  • Retail Clinics
  • Telemedicine
  • Urgent Care Centers