According to the American Hospital Association, many patients who are treated in inpatient hospital settings transition to post-acute care settings for further assistance afterward. This specialized follow-up care, or post-acute care, might consist of rehabilitation for an acute injury or home care for patients living out their last days with dignity and quality. Government payers are focused on reducing the costs of post-acute services while requiring organizations to maintain compliance with state and federal requirements. Keeping pace and maintaining compliance with evolving new governmental regulations requires a new level of responsiveness and preparedness.


Our dedicated team of healthcare accountants and consultants engages post-acute organizations in process improvements to help organize, develop, implement, analyze, and objectively report in the following areas:

Audit & Accounting

  • Audits, Reviews & Compilations of Financial Statements
  • Employee Benefit Plan Audits
  • Forensic Accounting & Dispute Resolution
  • Outsourcing of Internal Audit Functions
  • Accounting Policy & Procedure Manual Development
  • Internal Controls Assessment
  • Risk Assessment

Business and Financial Advisory

  • Market Research
  • Merger and Acquisition Assistance
  • Financial Analysis of Operating Expenses and Statistics and Fixed Asset Studies
  • Financing Assistance
  • Revenue Validation and Review
  • Fair Market Value and Opinions
  • Strategic Capital Planning and Financial Modeling
  • Litigation Support

Clinical & Compliance Advisory

  • Documentation Assessment for Billing Compliance
  • Antibiotic Stewardship
  • Billing Coding and Documentation Reviews
  • Medical Record and Procedure Code Reviews
  • Resource Utilization Group (RUG) Review
  • MDS 3.0 Quality Measures Review and Performance Improvement
  • Appeal Assistance
  • Expert Witness Testimony

Reimbursement Advisory

  • Preparation of Interim and Annual Medicare and Medicaid Cost Reports
  • PPS Analysis and MDS Assessments
  • Medicare/Medicaid Management Training
  • Representation Before State Agencies, Fiscal Arbitrators, Review Boards, and Regulators
  • Recovery Audit Contractors Readiness

Strategic Development Planning & Organizational Repositioning

  • Planning Retreats
  • Organizational Structuring and Plan Implementation
  • Benchmarking Analysis
  • Demand Analysis and Modeling
  • Transaction Support

Tax Planning & Preparation

  • Federal, State & Local Income Tax Returns
  • Federal, State & Local Tax Compliance
  • Representation During IRS, State & Local Examinations
  • Preparation of Applications for Recognition of Tax Exempt Status
  • Comprehensive Tax Planning & Consulting for Non-Profit & For-Profit Entities
  • Research of Complex Federal & State Tax Issues
  • Real Estate Transactional Planning


PYA has extensive experience in providing superior services to post-acute organizations and providers including:

  • Inpatient Rehabilitation Facilities (IRF)
    • IRF Facilities Reviews
  • Home Health Organizations
    • Outcome and Assessment Information Set Reviews
  • Hospice Providers
  • Long-Term Acute Care Hospitals
  • Skilled Nursing Facilities
    • Resource Utilization Group Reviews and Training
    • Medicare Compliance and MDS 3.0 Accuracy Review and Training
  • Behavioral Health Facilities
  • Assisted Living Facilities