PYA Webinar Recast

Hosted by PYA, P.C.

Business Management

Website RSS feed

Episodes

100

Latest episode

Jul 2026

Language

EN-US

About the show

Recasts of PYA's Healthcare webinars.

Listen to episodes

60 recent

August 20, 2026Episode 51 hr 27 min

Rural Health Transformation and Federal Policy Updates

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.

August 19, 2026Episode 1151 hr 2 min

CY 2027 Proposed Rules: OPPS, Home Health, and ESRD Updates

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.

August 7, 2026Episode 11 hr 5 min

Accounting and Audit Updates: Standards, Estimates, AI Impact

Accounting and finance teams continue to manage evolving accounting standards, audit expectations, documentation requirements, employee benefit plan rules, and new AI use cases. In this episode of The Bottom Line, PYA's Kathryn Good and Tim Partridge discuss practical considerations related to lease accounting, auditor risk assessment, credit loss estimates, revenue recognition, controls over accounting estimates, Secure 2.0 provisions, and the responsible use of AI in accounting workflows. The discussion covers ASC 842 lease accounting, SAS 145 risk assessment and IT general controls, ASC 326 current expected credit losses, ASC 606 revenue recognition, internal controls over estimates, and selected Secure 2.0 implementation considerations. The presenters also explain how AI can support contract review, general ledger analysis, model documentation, and data review while emphasizing the need for human validation, data privacy, and appropriate IT controls.

July 17, 2026Episode 359 min

Why Physician Practice Value Varies by Specialty

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.

July 15, 2026Episode 21 hr 1 min

OBBBA Medicaid Cuts and State Tax Implications

In this PYA Summer CPE Symposium session, Ramzi Fadayel and Patrick Birmingham discuss Medicaid and state tax implications associated with the One Big Beautiful Bill Act, referred to in the presentation as OB3. The Medicaid portion covers provider taxes, state-directed payments, community engagement requirements, Medicare DSH, 340B, retroactive coverage, cost sharing, and other related provisions. The state tax portion addresses how states may respond to federal Medicaid funding pressure, including spending cuts, tax increases, reserves, decoupling from federal tax provisions, and selected state tax case studies.

July 13, 2026Episode 41 hr 7 min

AI Cybersecurity Risks and Compliance for Healthcare Organizations

In this PYA Summer CPE Symposium session, John Cross discusses how AI is changing healthcare cybersecurity risk, compliance, and governance. The session covers the healthcare threat landscape, AI intrusion methods, AI defense tools, deepfakes, phishing, agentic AI, model drift, AI inventory, and vendor risk. The presentation also addresses governance frameworks, HIPAA Security Rule considerations, AI risk assessments, incident response, MFA, tabletop exercises, and practical questions healthcare leaders should ask about AI cybersecurity readiness.

July 10, 2026Episode 157 min

Aligned Assurance Model for Healthcare Risk and Compliance

In this PYA Summer CPE Symposium session, Andrew Sizemore discusses the aligned assurance model and how it can help organizations coordinate assurance activities across the three lines of defense. The discussion covers the roles of finance, accounting, compliance, enterprise risk management, and internal audit in creating a more unified view of organizational risk. Topics include assurance fatigue, duplicate testing, inconsistent risk assessments, siloed reporting, shared risk language, coordinated work plans, maturity planning, aligned assurance committees, and emerging risk response.

June 29, 2026Episode 1121 hr 3 min

Managing AI Tools: Oversight, Risk, and Compliance in Practice

AI tools are increasingly embedded in healthcare operations, from EHR functionality and clinical documentation to coding, compliance research, revenue cycle, HR, and vendor platforms. In this episode of PYA's Healthcare Regulatory Roundup, Valerie Rock, Miriam Murray, and Erin Walker discuss how healthcare organizations can use AI while building governance, oversight, and risk management processes around it. The conversation covers AI inventories, shadow AI, data privacy and security, minimum necessary data standards, human-in-the-loop review, compliance program integration, frontline reporting channels, vendor due diligence, contract protections, and ongoing monitoring. The presenters emphasize that AI can support efficiency, but organizations remain responsible for knowing where AI is used, how outputs are reviewed, and how risks are documented and addressed.

May 8, 2026Episode 11358 min

Spring into 2027: CMS Proposed Rules and Payment Policy Updates for Providers

CMS FY 2027 proposed rule changes could significantly affect reimbursement, quality reporting, and operational planning across hospitals and post-acute care settings. In this episode of Healthcare Regulatory Roundup, PYA's Kathy Reep and Carine Leslie break down the most important payment updates, quality program revisions, and compliance considerations providers should evaluate now. The discussion covers inpatient payment updates, Medicare Advantage integration into quality programs, revised reporting timelines, mandatory and proposed quality measures, and operational impacts across skilled nursing, inpatient rehabilitation, psychiatric, long-term acute care, and hospice settings. The presenters also explain where CMS is actively requesting industry feedback and why providers should closely evaluate the financial and staffing implications before final rules are issued. Healthcare executives, finance leaders, reimbursement professionals, compliance officers, and operational teams will gain a clear understanding of the proposed changes and the areas most likely to affect provider organizations in FY 2027.

April 30, 2026Episode 1121 hr 5 min

CMS Enforcement to Provider Risk: The Downstream Impact of RADV Audits

This episode covers CMS enforcement activity and the downstream impact of Risk Adjustment Data Validation (RADV) audits on healthcare providers participating in Medicare Advantage. PYA experts explain how Medicare Advantage payments flow from CMS to health plans and providers, how risk adjustment drives reimbursement, and why provider documentation plays a critical role in compliance. The discussion also outlines current audit trends, documentation requirements, and practical strategies providers can use to reduce risk and respond to increasing regulatory scrutiny.