The PYA Overwatch Suite

Compliance Overwatch

Meeting hundreds of healthcare compliance requirements can be a stressful job. Yet many compliance professionals do just that, in addition to serving as privacy officer, risk manager, or serving in a variety of clinical and operational areas. PYA’s Compliance Overwatch serves as a guide and a resource to helping you accomplish your compliance program objectives.

• Compliance Program Effectiveness and Risk Assessments
• Compliance Program Design, Development, and Implementation Assistance
• Compliance Committee Facilitation
• Corporate Integrity Agreement Project Management
• Compliance Dashboard Design and Development though PYA’s Data Insights
• Policies and Procedure Development
• Compliance Work Plan Support through Auditing and Monitoring in a variety of risk areas
• Compliance Training/Bootcamps for Governance, Senior Leadership and Compliance Departments
• New Compliance Officer training and ongoing support
• Ad hoc advisory hours to utilize as needed

IT Overwatch

Managing your Information Technology (IT) risks have never been more important. With expertise in healthcare, financial, legal, and technology industries, PYA’s IT Overwatch is your first line of defense with a customized suite of tools, continuous IT risk management, and IT compliance advisory.

• Enterprise-Wide IT Assessments
• Privacy and Security Risk Analysis: HIPAA, AICPA, NIST, and the SANS Institute
• Network Vulnerability and Penetration Testing
• Risk Management Plan Advisory and Assistance
• IT Compliance Training and Education
• Vendor Selection, Contract Negotiations and Oversight
• Compliance Tracking Web Portal
• IT Operation Policies and Procedures Advisory
• Strategic Planning and IT Enterprise Budgeting

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Revenue Management Overwatch

Managing your net revenue is a daily challenge, and the life blood of your provider organization. Every nickel matters to your mission. Our experts in payer contracting, reimbursement modeling, revenue cycle optimization, and government reimbursement help you meet the challenge.

• Revenue Cycle Assessments and Contract Realization Improvement
• Managed Care Contract Assessments, Payer Negotiations and Strategy, Litigation  and Independent Dispute Resolution (IDR) Support
• Reimbursement Cost Report Preparation, Appeals, Planning, and Assessments
• Revenue Integrity Coding and Documentation Reviews/Education, Medical Necessity and Care Management
• Healthcare Transparency and Regulatory Oversight Education

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Healthcare Internal Audit Overwatch

Healthcare 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.

• 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.

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Healthcare Real Estate Compliance Overwatch

Healthcare real estate is too often treated as a cost of doing business rather than a strategic asset. PYA and our affiliate firm Realty Trust Group, serve as an extension of healthcare leadership teams, with a comprehensive approach to healthcare compliance.

• Revenue Cycle Assessments and Contract Realization Improvement
• Managed Care Contract Assessments, Payer Negotiations and Strategy, Litigation  and Independent Dispute Resolution (IDR) Support
• Reimbursement Cost Report Preparation, Appeals, Planning, and Assessments
• Revenue Integrity Coding and Documentation Reviews/Education, Medical Necessity and Care Management
• Healthcare Transparency and Regulatory Oversight Education

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