PYA Webinar Recast

Physician arrangements require more than a signed agreement or fair market value opinion. Organizations also need to evaluate commercial reasonableness, regulatory requirements, supporting documentation, operational compliance, payments, governance, and ongoing monitoring. PYA Principal Tynan Kugler and Manager Erin Walker discuss Stark Law, the Anti-Kickback Statute, fair market value, commercial reasonableness, medical directorships, call coverage, professional services agreements, co-management, recruitment, centralized arrangement inventories, and practical auditing and monitoring procedures. Webinar page: https://www.pyapc.com/insights/hcrr-120-webinar-physician-arrangements-under-the-microscope-regulatory-risk-and-compliance/

Beginning in 2027, maternity care coding is scheduled to move away from the historical global billing framework toward separate reporting across phases of care. In this Healthcare Regulatory Roundup webinar, PYA's Angie Caldwell and Deuce Lukemeyer examine how the transition may affect wRVU attribution, reimbursement, physician compensation, laborist and hospitalist programs, APP and midwife utilization, productivity benchmarks, contracts, and operational workflows. The presenters walk through multiple care models, including same-TIN and cross-TIN scenarios, and explain why prenatal visit patterns, labor complexity, length of stay, and provider mix can change the modeled impact. They also discuss compensation planning, coverage pay, benchmark noise, physician education, shadow modeling, and a potential stabilization approach during implementation. Webinar page: https://www.pyapc.com/insights/hcrr-119-webinar-2027-maternity-care-coding-changes-reimbursement-productivity-and-compensation/ Short Episode Summary: Angie Caldwell and Deuce Lukemeyer examine how 2027 maternity coding changes may affect wRVUs, compensation, laborist economics, APP attribution, benchmarks, contracts, and implementation planning.

Occupational fraud can affect organizations of any size and may involve employees who understand where controls are weak or can be overridden. In this episode of PYA's The Bottom Line, Jessica Scouten and Michelle Smith explain the fraud triangle, common forms of occupational fraud, behavioral and organizational red flags, and practical controls that can help reduce risk. The discussion includes three case studies, the role of reporting channels and forensic accountants, and emerging artificial-intelligence risks. The presenters also explain how AI can support fraud detection while still requiring human evaluation of facts, documentation, and business context. Webinar presented September 24, 2026. AI-related fraud risks and detection methods discussed in the session may continue to evolve. Webinar page, key takeaways, FAQ, presentation slides, and transcript: https://www.pyapc.com/insights/cpe-webinar-the-bottom-line-2-occupational-fraud-a-risk-every-organization-faces/

PYA's Katie Croswell and Erin Walker discuss healthcare third-party risk management, including vendor inventories, risk tiering, due diligence, ongoing monitoring, offboarding, governance, and board oversight. Healthcare organizations rely on third parties across clinical, operational, financial, technology, and administrative functions. In this episode of PYA's Healthcare Regulatory Roundup, Katie Croswell and Erin Walker discuss how organizations can build a risk-based third-party risk management program that extends from vendor inventory and due diligence through ongoing monitoring, offboarding, governance, and board oversight. The discussion covers vendor risk classification, cybersecurity and compliance diligence, operational and financial considerations, offshoring, cross-functional governance, incident-response testing, and the information leadership and boards should receive to evaluate whether TPRM is functioning effectively. Webinar presented September 16, 2026. Regulatory guidance, cybersecurity threats, and compliance expectations discussed in the session may change over time. Webinar page, key takeaways, action items, FAQ, slides, and transcript: https://www.pyapc.com/insights/hcrr-118-webinar-managing-third-party-risk-compliance-and-cybersecurity.

The FY 2027 Medicare final rules include payment, coding, quality reporting, and operational changes across multiple provider settings. In this episode of PYA's Healthcare Regulatory Roundup, Kathy Reep and Carine Leslie review inpatient payment and outlier changes, low-volume and Medicare-dependent hospitals, MS-DRG revisions, new technology add-on payments, CJRX, hospital quality measures, provider-based status, TEAM, LTAC, skilled nursing, inpatient psychiatric facilities, inpatient rehabilitation, and hospice. The presenters highlight both immediate implementation issues and future reporting or payment changes that healthcare organizations should incorporate into operational planning. Most provisions discussed are tied to the federal fiscal year and were described as effective October 1, 2026, unless a later date applies. Recorded August 26, 2026. The webinar also identifies items dependent on later congressional action and provisions with later effective dates. Webinar page, key takeaways, FAQ, slides, and transcript: https://www.pyapc.com/insights/hcrr-117-webinar-fy-2027-medicare-final-rules-inpatient-snf-rehab-psych-hospice-updates/ 

CMS's CY 2027 Medicare Physician Fee Schedule (MPFS) proposed rule could affect payment, physician compensation, coding workflows, practice expenses, longitudinal E/M services, global surgery, remot monitoring, telehealth, accoutable care, MIPS, future care models, and compliance across services billed under the fee schedule. In this episode of PYA's Healthcare Regulatory Roundup, Lori Foley and Valerie Rock review proposed conversion factor changes, practice expense reform, the G2211 redesign, same-day E/M and global procedure payment, telehealth, RPM and RTM, MSSP and ACO incentives, MIPS Value Pathways, and CMS requests for information. The presenters also discuss why organizations should model the proposals at the provider and code level and assess downstream effects on revenue, physician compensation, documentation, operations, and compliance. Recorded August 12, 2026. Proposed-rule information reflects the status discussed during the webinar and may have changed since recording. Webinar page, key takeaways, FAQ, slides, and transcript: https://www.pyapc.com/insights/hcrr-116-webinar-ccy-2027-mpfs-proposed-rule-key-changes-and-strategic-implications/ 

State implementation of the $50 billion Rural Health Transformation Program is moving quickly, but funding models, eligible organizations, application processes, and reporting expectations vary by state. In this episode of PYA's Let's Get Rural series, Jane Jerzak, Kathy Reep, and Tracy Purcell explain direct-to-provider, aggregator, and hybrid RHTP models and review examples from North Dakota, Oklahoma, Tennessee, Kansas, and Arkansas. The presenters discuss practical considerations for reviewing funding opportunities, budgeting allowable costs, aligning project outcomes with state goals, planning for sustainability, and building audit-ready documentation. They also address single audit and subrecipient considerations for organizations receiving or administering federal awards. The episode also covers provider-based department requirements, the proposed CJR-X bundled payment model, proposed 340B payment changes, 2027 obstetrical billing revisions, Rural Health Clinic telehealth coding, and federal legislation related to hospital transparency and rural facility support. The discussion was recorded July 30, 2026, and regulatory or legislative status may have changed since recording. Webinar page, key takeaways, FAQ, slides, and transcript: https://www.pyapc.com/insights/lgr-5-cpe-webinar-lets-get-rural-rural-health-transformation-and-federal-policy-updates/ Short Episode Summary PYA's Jane Jerzak, Tracy Purcell, and Kathy Reep discuss RHTP implementation, audit readiness, provider-based requirements, CJR-X, 340B, 2027 obstetrical billing, RHC telehealth, and federal rural healthcare policy developments.  

  CMS has released Calendar Year 2027 proposed rules affecting hospital outpatient departments, ambulatory surgical centers, home health agencies, end-stage renal disease facilities, off-campus provider-based departments, and Medicare providers and suppliers more broadly. In this episode of PYA's Healthcare Regulatory Roundup, Kathy Reep and Carine Leslie review the proposed payment, quality, enrollment, and operational changes that warrant closer attention. The discussion covers the OPPS payment update, the proposed phaseout of the inpatient-only list, possible additions to the ASC covered procedures list, 340B drug payment changes, expanded site-neutral payments, off-campus department attestations and NPIs, price transparency, ESRD payment and quality measures, home health PDGM and budget-neutrality adjustments, faster quality reporting timelines, and proposed Medicare enrollment and revocation policies. The presenters emphasize the importance of modeling organization-specific impacts and submitting comments before the applicable deadlines. Webinar page: https://www.pyapc.com/insights/hcrr-115-webinar-cy-2027-proposed-rules-opps-home-health-and-esrd-updates/ Short Episode Summary: Kathy Reep and Carine Leslie review CY 2027 OPPS, Home Health, and ESRD proposed-rule changes involving payment rates, 340B, site neutrality, quality reporting, provider-based departments, and Medicare enrollment.

Accounting and finance teams continue to manage post-adoption issues under major accounting standards while auditors place greater emphasis on risk assessment, controls, IT dependencies, and documentation. In the first episode of PYA's The Bottom Line, Kathryn Good and Tim Partridge review ASC 842 lease accounting, SAS 145, CECL, controls over estimates, ASC 606 revenue recognition, selected SECURE 2.0 provisions, and practical uses of AI in accounting. The discussion focuses on common implementation challenges, control considerations, documentation practices, and ways AI may assist with contract review, data analysis, modeling, and process documentation while preserving confidentiality and human judgment. Webinar page: https://www.pyapc.com/insights/cpe-webinar-the-bottom-line-standards-updates-estimates-and-the-growing-impact-of-ai/ Short Episode Summary: Kathryn Good and Tim Partridge review ASC 842, SAS 145, CECL, accounting estimates, ASC 606, SECURE 2.0, and practical AI considerations for accounting and finance teams.

In this PYA Summer CPE Symposium session, Matt Warren discusses why physician practice value varies by specialty and why no two practices should be evaluated as interchangeable. The session reviews key valuation terms, fair market value, and the asset, income, and market approaches. The discussion covers practice-specific value drivers, including ancillary services, equipment, payer mix, billing practices, market dynamics, advanced practice provider leverage, related party transactions, physician compensation, buyer motivations, and transaction structure.