Pediatric Healthcare Advisory Services Frequently Asked Questions
How can a pediatric organization evaluate provider workforce needs?
PYA’s pediatric services include provider needs assessments, strategic and succession planning, practice establishment, and physician-hospital alignment assessments. These services can help the organization connect provider supply, future leadership needs, practice structure, and access goals.
What should a pediatric provider examine in managed care and revenue cycle performance?
PYA identifies contract negotiations, rate analysis, revenue cycle assessments and improvement, pay-for-performance programs, and alternative payment model participation. Compensation analysis can also assess the financial effect of work relative value unit and reimbursement changes.
What should be included when reviewing a pediatric provider compensation plan?
PYA’s pediatric compensation services include valuation, planning, design, income distribution modeling, plan document preparation, financial impact assessment, compensation calculations, and risk assessment. Reviewing these elements together can connect the written plan with its modeled and actual financial effects.
Which compliance and technology areas should pediatric providers monitor?
PYA’s pediatric services include coding, documentation, medical necessity reviews, compliance risk assessments, compliance program development, regulatory education, Open Payments review and dashboarding, cybersecurity oversight, risk management, and electronic medical record selection and transition oversight.
When can outside operational support help a pediatric practice or program?
PYA provides operational assessments, outsourced practice management assistance, management services organization establishment, policy and procedure development, and physician-hospital alignment assessment. These services may be useful when a pediatric organization is establishing, restructuring, or improving practice operations.
