Post-Acute Care Frequently Asked Questions
Which reimbursement functions should a post-acute provider review regularly?
PYA’s post-acute reimbursement services include interim and annual Medicare and Medicaid cost reports, prospective payment system analysis, minimum data set assessments, and Medicare and Medicaid management training. These areas connect reimbursement reporting, assessment data, and management understanding of payment requirements.
What compliance areas are especially relevant to post-acute care operations?
Documentation, coding, medical necessity, MDS 3.0 quality measures, performance improvement, and compliance program assessments are key post-acute compliance areas. A review can focus on whether documentation and operational practices support the organization’s reimbursement and compliance responsibilities.
What should a post-acute provider evaluate before pursuing a new service, market, or affiliation?
PYA’s strategy services include market analyses, feasibility studies, business plan development and execution, participation in episodic payment and shared savings models, and affiliations. These analyses can be used to evaluate the opportunity, operating model, and path to implementation.
How can a post-acute organization address information technology risk?
PYA’s post-acute services include cybersecurity, risk management, and compliance. These areas can be evaluated alongside the organization’s operational, reimbursement, accounting, and compliance priorities rather than as a separate technology exercise.
Which accounting and tax needs may arise for a post-acute provider?
PYA provides audits, reviews, and compilations of financial statements; forensic accounting and dispute resolution; accounting policy, procedure, and internal control support; tax planning for nonprofit and for-profit entities; federal, state, and local returns; and representation during tax examinations.
