PYA Webinar Recast

PYA, P.C.
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Recasts of PYA's Healthcare webinars.

  1. 1D AGO

    How to Mitigate Risk While Auditing for Revenue Integrity: Sample Design, Interpreting Results, & Navigating Compliance Next Steps

    This episode examines how healthcare organizations can mitigate compliance and financial risk while conducting revenue integrity audits. PYA Principal Valerie Rock and Manager Kimberly Campbell walk through the auditing and monitoring cycle, with a focus on defensible sampling, documentation, and interpretation of results. The discussion covers: Probe audits versus statistically valid random samples Use of data analytics Understanding claims and financial error rates Navigating the Medicare 60-day rule when overpayments are identified Corrective actions Root cause analysis Internal controls needed to support sustainable compliance after an audit

    59 min

  2. 1D AGO

    Happy New Year: New Proposed Rules, New Payment Models, New Guidance

    This episode reviews new proposed rules, payment models, and regulatory guidance affecting healthcare organizations in early 2026. PYA Principals Martie Ross and Kathy Reep break down recent legislative activity, Medicare and Medicaid policy updates, and regulatory changes providers should be tracking as the year begins. Topics include: Medicare telehealth extensions Healthcare extenders Medicaid work requirements Medicare Advantage oversight 340B drug program developments Price transparency rules Interoperability initiatives Emerging alternative payment models The discussion highlights how these changes may affect reimbursement, compliance, and operational planning.

    1 hr

  3. 2D AGO

    Let's Get Rural: Key Policy, Payment, & Program Changes Shaping Rural Care in 2026

    This episode examines key policy, payment, and program changes shaping rural healthcare in 2026. PYA Principals Martie Ross and Kathy Reep discuss major federal initiatives affecting rural providers, including the Rural Health Transformation Program, Medicare telehealth policy, and Medicaid developments. The session also addresses Medicare Advantage oversight, 340B drug program compliance, price transparency requirements, and emerging alternative payment models. Throughout the discussion, the presenters highlight practical implications for rural hospitals and health systems as they plan for regulatory and reimbursement changes in the year ahead. Presented by Martie Ross and Kathy Reep on January 15, 2026. Key topics include: The Rural Health Transformation Program Medicare telehealth updates Medicare Advantage reforms 340B drug program requirements Hospital price transparency Evolving alternative payment models The session provides context and planning considerations for rural organizations navigating a complex regulatory environment.

    1h 24m

  4. 12/15/2025

    2026 MPFS Final Rule Part 2: Telehealth, Global Payments, and Skin Substitutes

    This episode of PYA's Healthcare Regulatory Roundup continues a two-part discussion on the 2026 Medicare Physician Fee Schedule Final Rule, with a focus on telehealth, global payment reforms, and skin substitutes. The conversation walks through what stays in place for telehealth, including face-to-face visit requirements, and highlights new codes related to telebehavioral health and global surgery indicators. The episode also examines changes to global payment methodologies and post-operative care valuation, along with a major shift in how skin substitutes will be paid under Medicare. Additional updates include new care management codes for behavioral health integration and remote monitoring, as well as the extension of the Medicare Diabetes Prevention Program's virtual option through 2029. Presented by Valerie Rock and Martie Ross on December 10, 2025. Topics Covered: Telehealth Global Payments Skin Substitutes Care Management Prevention and Wellness

    1h 1m

  5. 12/12/2025

    2026 MPFS Final Rule Part 1: Payment, MIPS, and New Models Explained

    This episode of PYA's Healthcare Regulatory Roundup examines the 2026 Medicare Physician Fee Schedule Final Rule and its impact on physician reimbursement, payment calculations, and quality reporting. The discussion covers updates to the conversion factor under MACRA, budget neutrality adjustments, new efficiency adjustments affecting work RVUs, and revisions to the practice expense methodology.The presenters also review finalized changes to MIPS quality, cost, and interoperability requirements, along with the introduction of the mandatory Ambulatory Specialty Model beginning in 2027. The episode concludes with considerations for physician practices and healthcare organizations as they evaluate compliance obligations and reimbursement impacts under the final rule. Presented by Martie Ross, Sarah Bowman, and Lori Foley on December 3, 2025. Topics Covered: 2026 Payment Rate/Conversion Factor Efficiency Adjustment Practice Expense Methodology Ambulatory Specialty Model (new mandatory alternative payment model) Merit-Based Incentive Payment System (MIPS) Medicare Shared Savings Program (MSSP)

    1 hr

  6. 12/08/2025

    2026 Hospital Outpatient Prospective Payment System Final Rule

    The Centers for Medicare & Medicaid Services (CMS) published the 2026 Hospital Outpatient Prospective Payment System (OPPS) final rule. In this webinar, Martie Ross and Kathy Reep discussed key provisions of the 2026 Hospital OPPS final rule and related developments. Attendees will gain knowledge from these learning objectives:  Details of 2026 OPPS final rule Developments in care for end-stage renal disease Status update on home health final rules Information about payment updates Actions on site neutrality Changes to the 340B Drug Program Aspects of the inpatient-only list Updates about price transparency This webinar is part of PYA's twice-monthly Healthcare Regulatory Roundup, a popular series during which PYA experts provide practical insights on the latest industry regulatory developments. For more than 40 years, PYA has been committed to regulatory compliance and helping healthcare organizations create attainable compliance programs while mitigating risks.

    54 min

  7. 11/11/2025

    Compliance Risk Assessments: Building Blocks for Your Annual Plan

    A strong compliance program begins with a clear understanding of organizational risks. This webinar guides you through the purpose, process, and practical application of conducting a compliance risk assessment—and how to transform the findings into a robust annual framework. During this webinar, PYA Principals Shannon Sumner and Rhonda Buckholtz explained the importance of effective risk assessments and how to incorporate them into your annual plan. Shannon and Rhonda addressed the following objectives: Defining the role of risk assessments. Identifying common risk areas. Applying a structured methodology. Demonstrating documentation practices for key stakeholders. Incorporating ongoing monitoring and feedback loops to update risk assessments. RELATED LINKS: U.S. Department of Justice Criminal Division Evaluation of Corporate Compliance Programs OIG General Compliance Program Guidance COSO ERM Framework   *This recording was updated on February 11, 2026 to fix an audio issue. The edit is technical only and does not impact the content of the webinar.

    1 hr

  8. 10/07/2025

    Washington Updates: FY2026 — First Day, Fresh Questions

    On October 1 — the first day of the new federal fiscal year — PYA's Martie Ross and Kathy Reep provided a timely update on federal policy developments shaping healthcare. They reviewed the latest actions from Congress and federal agencies, focusing on issues that have a direct impact on providers and healthcare organizations. Key topics for discussion included: Federal FY 2026 discretionary spending and government shutdown risk Calendar Year 2026 Medicare sequestration status Rural Health Transformation Program funding opportunity and deadlines Congressional hearings on tax-exempt hospitals New visa application fees and implications for healthcare

    59 min
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About

Recasts of PYA's Healthcare webinars.

Information

  • Creator
    PYA, P.C.
  • Years Active
    2023 - 2026
  • Episodes
    100
  • Rating
    Clean
  • Copyright
    © Copyright 2023 PYA
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    PYA Webinar Recast