Insights

Day 1 – Wednesday, July 27

“Summer 2022 Audit & Assurance Updates”

Matt Stuart, PYA Principal

Matt provided an overview of the newest changes in accounting and auditing guidance from the FASB, GASB, and AICPA.

View Slides. View On-Demand Session.

“Medicare Margin & Reimbursement Drivers”

Mike Nichols, PYA Principal

In this session, Mike addressed cost reporting margins for Medicare, as well as reimbursement drivers. He covered:

• Medicare cost report margin calculation.
• Key Medicare inpatient PPS reimbursement drivers.
• Opportunities for improving margin.
• The influence of key drivers on cost report settlement.

View Slides. View On-Demand Session.

“Single Audits Part 1: The Basics, Preparation, and More”

Kathryn Good, PYA Senior Manager | View Slides. View On-Demand Session.

“Single Audits Part 2: The Basics, Preparation, and More + COVID-19”

Trevor Brown, PYA Senior Manager | View Slides. View On-Demand Session.

With the substantial influx of federal funds sent to healthcare entities over the past few years, it is likely that your organization is undergoing, or will undergo, a Single Audit under Uniform Guidance. In these sessions, Trevor and Kathryn provided insight on a variety of topics related to this type of audit, including:

• Uniform Guidance audit basics.
• Preparation for a Uniform Guidance audit.
• Internal controls and the Uniform Guidance.
• Schedule of Expenditures of Federal Awards elements.
• Provider Relief Funding and the Uniform Guidance.
• Alternative for for-profit entities.

 Day 2 – Thursday, July 28

“Pricing Transparency: Using the Data”

Jason Hardin, PYA Director of Business Intelligence & Analytics
Kathy Reep, PYA Senior Manager

There has been considerable focus on hospital pricing over the last few years. Hospitals are required to comply with price transparency requirements issued by the Centers for Medicare & Medicaid Services (CMS). In addition, the No Surprises Act limits the ability of facilities and providers to balance bill patients for out-of-network services and requires the provision of a good faith estimate of expected patient liability for self-pay patients. In this session, Jason and Kathy provided an overview of both laws and shared:

• Insights on the variation in pricing for similar healthcare services across the country.
• The way these two laws are creating greater transparency for both prices and negotiated payment rates.

View Slides. View On-Demand Session.

“Total Costs of IT” 

Barry Mathis, PYA Principal

As IT-related resources and the demands upon them continue to grow, it is necessary to understand the factors influencing the costs of these resources. Barry discussed:

• Common hidden costs associated with hospital and provider information systems.
• Tips and techniques for negotiating IT vendor contracts.
• Ways to avoid cost overruns on IT implementation projects.
• Leading EMR systems’ costs for IT support staffing and IT expenditures.

View Slides. View On-Demand Session.

“Understanding the Business Case for Using Value-Based Exceptions”

Angie Caldwell, PYA Principal
John Kirsner, Jones Day Partner

John and Angie provided an in-depth look at the business case for using value-based exceptions. Key discussion items included:

• The applicability and usage of value-based exceptions.
• The business case for using value-based exceptions.
• Relevant example case studies and analysis.

View Slides. View On-Demand Session.

“Clinical Trials Program as a New or Expanded Service Line”

Tynan Kugler, PYA Principal
Rhonda Paz, Clinical Trial Administrators Managing Principal

A robust and well-run clinical trials service line not only provides patients with access to new drugs and devices but also affords an opportunity for differentiation and positive financial contribution. In this presentation, Tynan and Rhonda discussed:

• The current clinical trial financial landscape.
• The clinical trials “value proposition.”
• Foundational elements of service line success.
• Feasibility considerations specific to implementation and expansion.

View Slides. View On-Demand Session.