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Today’s healthcare industry is in a constant state of motion. Providers face a multitude of complex regulatory and operational challenges. Taking flight requires both a wide perspective of the industry and sharp-eyed vigilance within the organization. A robust internal audit program is no longer an option – it’s a necessity.


PYA is among the nations's Top 100 Healthcare Audit FirmsAs one of the largest auditors of multi-hospital health systems in the nation, PYA can help. More than 85% of our audit clients are in healthcare. With clients in all 50 states, we have expertise in every business function across the health system enterprise.

PYA’s Internal Audit Overwatch program takes a long view. We help you identify risks early, mitigate them, and build a culture of effective controls and compliance over time at a predictable, stable cost. No surprises, because we know: internal audit is not a transaction, it’s a process, and you can’t afford to blink.

“PYA’s experience with healthcare providers is such that the demands on our personnel are reduced and the audit is both effective and efficient. Our long-term relationship with PYA is evidence of their focus on timely, committed client service.”

Marvin Eichorn, Chief Operating Officer, Ballad Health


Audit Overwatch gives you only what you need, when you need it, with our experts by your side at every step.


Fine-tune our vision of the elements in your organization that present the most risk.


Gain an understanding of the design of processes and controls and test for operating effectiveness.


Provide regular reporting, consistent follow-up, and corrective action implementation.

The Internal Audit Cycle


Healthcare Internal Audit Cycle



  • Improved processes
  • Risk mitigation
  • Culture of compliance

Information Technology

  • Effective cybersecurity
  • Strengthened IT governance
  • Ensured business continuity

Revenue Cycle

  • Reliable patient access
  • Improved charge capture
  • Efficient payment processing


  • Reduced fraud risk
  • Precise measurement and recordkeeping
  • Appropriate accounting policies
  • Accurate reporting
  • Enhanced financial vision


  • Improved quality of care
  • Satisfied patients
  • Proper use of healthcare staff


  • Successful physician contracting
  • Accurate medical coding
  • Adherence to HIPAA guidelines
  • Program development


A Tiered Approach

PYA’s Internal Audit Overwatch is an affordable, subscription-based, tiered program with varying levels of support and guidance based on your specific needs. Please contact any of the PYA executives listed for a no-obligation conversation about your organization and how we can help.

Download our Internal Audit Overwatch Brochure to learn more.