Pediatric Healthcare Advisory Services

PYA knows pediatrics. Pediatric physician groups and children’s hospitals need to consider workforce capacity, reimbursement, compensation, and operations together. PYA helps leadership evaluate those connected needs through planning, financial analysis, and implementation support.

Our work addresses the business and administrative needs of pediatric care, including managed care, compliance, technology, accounting, and tax. The PYA Knows Pediatrics overview describes our experience and the services available to support pediatric organizations.

Services & Helpful Resources for Pediatrics

Performance Transformation

Practice establishment
Operational assessments
Outsourced practice management assistance
Physician-hospital alignment assessment
Management services organization establishment
Policy and procedure development

Managed Care

Contract negotiations and rate analysis
Revenue cycle assessments and improvement
Pay-for-performance programs
Alternative payment models participation

Audit & Accounting

Financial statement audits, reviews, and compilations
Forensic accounting and dispute resolution
Accounting policies and procedures establishment
Internal audit support
Accounting support and advisory services

Strategy

Strategic and succession planning
Provider needs assessments
Business valuation
Quality of Earnings
Shareholder buy-ins

Provider Compensation

Valuation, planning, and design
Income distribution modeling and assessment
Compensation plan document preparation
Financial impact assessment of work relative value unit and reimbursement changes
Provider compensation calculations and risk assessment

Tax Services

Federal, state, and local income tax returns
Representation during IRS, state, and local examinations

Compliance

Coding, documentation, and medical necessity reviews
Compliance risk assessments
Compliance program development
Regulatory updates and education
Open payments review and dashboarding

Data & Technology

Cybersecurity oversight
Risk management and compliance
Electronic medical record selection and transition oversight

Litigation Support

Contract Disputes
Valuation
Fraud Investigations
Personal Goodwill Calculations
Damages Calculations & Lost Profits Analysis
Business Intelligence
Civil Investigative Demand
Forensic Accounting & Investigations
Government Investigations

Pediatric Advisory for Workforce, Reimbursement, and Compensation Decisions

Plan Capacity Around the Communities Served

Provider needs assessment compares available physician and advanced practice provider capacity with community demand. For a pediatric organization, that analysis can inform recruitment, succession, and alignment discussions. The service area and specialties involved should shape the planning question.

Examine Contracts Alongside Revenue Cycle Performance

Managed care and reimbursement review can examine contract terms, rates, and revenue cycle processes together. Pediatric leaders can use that analysis to distinguish payment questions from internal process concerns and determine where negotiation or operational follow-up is needed.

Connect Compensation Terms with Their Financial Effects

Provider compensation planning can bring together valuation, income distribution, written plan terms, and calculations. Analysis of work relative value unit and reimbursement changes helps a pediatric organization understand how model assumptions affect the proposed arrangement before making adjustments.

Pediatric Healthcare Advisory Services Frequently Asked Questions

How can a pediatric organization evaluate workforce needs?

Compare provider supply with community demand and consider recruitment, succession, and alignment needs together. A provider needs assessment can help clarify where additional capacity or a different practice structure warrants consideration.

What should a pediatric provider examine in managed care and revenue cycle performance?

Review contract terms, rates, and revenue cycle processes together. The analysis can identify questions for payer discussions and internal follow-up, including considerations associated with pay-for-performance or other payment arrangements.

What belongs in a pediatric provider compensation review?

Consider valuation, income distribution, written plan terms, calculations, and the financial effects of work relative value unit or reimbursement changes. Reviewing those elements together helps connect the documented plan with its modeled effects.

How can compliance and technology reviews support pediatric operations?

Review documentation, coding, medical necessity, and compliance risks alongside cybersecurity and electronic medical record needs. Education and policy work can address identified concerns within the organization’s actual services and responsibilities.

When may a pediatric organization need operational assistance?

Operational assistance may be useful when establishing a practice, assessing workflows, revising policies, or evaluating physician-hospital alignment or a management services organization. The engagement should focus on the decisions and responsibilities that need support.

The PYA Difference

Over our 40-year history, PYA has consistently delivered high-value advisory services to our national client base. Our team is deployed to develop custom plans using proven approaches and work plans.

Independence

Private ownership means we answer only to our clients, not to third-party investors, giving us the freedom to be thorough and thoughtful in our work. We judge our success by our clients’ success.

Relationships

We value long-term relationships and work hard to maintain them. Our commitment to client relationships and the communities we serve remains constant.