Mc Gladrey Health Care Services Overview

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Mc Gladrey Health Care Services Overview

  1. 1. Experience a Healthier BusinessExperience the power of being understood.SM ExperienceOur objective is to provide you the highest-quality service while delivering Expert Advicemaximum return on your investment. Achieving that requires gaining yourtrust and confidence — first, by convincing you that we truly understandyour unique situation, then by demonstrating that we have the knowledge,technical expertise, creativity and passion to help you win. Because when youtrust the advice you’re getting, you can be confident that your next move isthe right move. Experience800.274.3978 Personalmcgladrey.com ServiceMcGladrey is the brand under which McGladrey & Pullen, LLP serves clients’ business needs.McGladrey & Pullen, LLP is the U.S. member of the RSM International (“RSMI”) network of independent accounting, tax and consultingfirms. The member firms of RSMI collaborate to provide services to global clients, but are separate and distinct legal entities which cannotobligate each other. Each member firm is responsible only for its own acts and omissions, and not those of any other party.McGladrey, the McGladrey signature, The McGladrey Classic logo, The Power of Being Understood, Power Comes from Being Understoodand Experience the Power of Being Understood are trademarks of McGladrey & Pullen, LLP. Assurance n Tax n Consulting© 2012 McGladrey & Pullen, LLP. All Rights Reserved. NT10-05280
  2. 2. Experience the power of being understood.We offer highly specialized assurance, tax and consulting services to a diverse range of health careorganizations, from small physician groups to global multifacility providers. Through our network ofinternational specialists, we deliver custom-tailored solutions that empower each of our health care “The audit team’s knowledge of accounting standards and issues ED JENKINSclients to operate healthier and more profitable businesses. in the health care industry is excellent. They worked with our Chair, UMC Audit and Compliance Committee University Medical Center management and Audit Compliance Committee in a manner Tucson, Arizona that was both understandable and nonconfrontational.” Navigate the complexities with advice you can trust. The rapid evolution of the health care field presents a variety of tough challenges. Improving patient care and safety while coping with ever-rising costs is difficult enough. But today’s health care leaders must also deal with complicated and fast- changing reimbursement systems, cumbersome tax codes and unpredictable revenue cycles — all while managing disparate risks and pursuing capital for investments in everything from information technology to advanced medical equipment. What’s more, industry executives must adapt to an array of complex changes mandated by recent health care reform legislation. With our depth of health care experience and breadth of resources, we are uniquely qualified to help. We’re here to address your distinct needs. We’re here to provide customized solutions to help you succeed, now and in the long term. And we’re here to earn your trust. Because when you trust the advice you’re getting, you’ll have greater confidence that your next move is the right move.
  3. 3. Experience the power of being understood.We offer highly specialized assurance, tax and consulting services to a diverse range of health careorganizations, from small physician groups to global multifacility providers. Through our network ofinternational specialists, we deliver custom-tailored solutions that empower each of our health care “The audit team’s knowledge of accounting standards and issues ED JENKINSclients to operate healthier and more profitable businesses. in the health care industry is excellent. They worked with our Chair, UMC Audit and Compliance Committee University Medical Center management and Audit Compliance Committee in a manner Tucson, Arizona that was both understandable and nonconfrontational.” Navigate the complexities with advice you can trust. The rapid evolution of the health care field presents a variety of tough challenges. Improving patient care and safety while coping with ever-rising costs is difficult enough. But today’s health care leaders must also deal with complicated and fast- changing reimbursement systems, cumbersome tax codes and unpredictable revenue cycles — all while managing disparate risks and pursuing capital for investments in everything from information technology to advanced medical equipment. What’s more, industry executives must adapt to an array of complex changes mandated by recent health care reform legislation. With our depth of health care experience and breadth of resources, we are uniquely qualified to help. We’re here to address your distinct needs. We’re here to provide customized solutions to help you succeed, now and in the long term. And we’re here to earn your trust. Because when you trust the advice you’re getting, you’ll have greater confidence that your next move is the right move.
  4. 4. Experience strength in numbers.Over 6,500 professionals at more than 70 offices with approximate annual revenues of $1.5 billionmake us the fifth-largest provider of assurance, tax and business consulting in the U.S. “The depth of talent at McGladrey has far exceeded T H O M A S J . F I T Z PAT R I C K our expectations. I can honestly say that we learn more from Chief Financial Officer — Medical Center Campus University of Miami them each year than they learn from us — a first in my Coral Gables, Florida 30-plus years’ experience!” World-class capabilities. Personal relationships. McGladrey is uniquely positioned to provide the expertise, resources and guidance you need to overcome the challenges you’re facing and to achieve your strategic objectives. McGladrey & Pullen, LLP ranks as the fifth-largest provider of assurance, tax and business consulting in the United States. Regardless of the client or the engagement, we are committed to having senior-level professionals provide reliable, responsive and highly personal service. Seeing things from your point of view is our point of difference. Our professionals are passionate about the health care for Medicare and Medicaid services. They combine field. In fact, we have teams of specialists exclusively in-depth industry knowledge and technical expertise devoted to the industry, many of whom joined us after with the creativity needed to deliver innovative, gaining invaluable experience working with insurers, practical and cost-effective solutions for even the most provider organizations and regulatory agencies ranging formidable challenges. from Blue Cross affiliates and Ascension Health to centers
  5. 5. Experience strength in numbers.Over 6,500 professionals at more than 70 offices with approximate annual revenues of $1.5 billionmake us the fifth-largest provider of assurance, tax and business consulting in the U.S. “The depth of talent at McGladrey has far exceeded T H O M A S J . F I T Z PAT R I C K our expectations. I can honestly say that we learn more from Chief Financial Officer — Medical Center Campus University of Miami them each year than they learn from us — a first in my Coral Gables, Florida 30-plus years’ experience!” World-class capabilities. Personal relationships. McGladrey is uniquely positioned to provide the expertise, resources and guidance you need to overcome the challenges you’re facing and to achieve your strategic objectives. McGladrey & Pullen, LLP ranks as the fifth-largest provider of assurance, tax and business consulting in the United States. Regardless of the client or the engagement, we are committed to having senior-level professionals provide reliable, responsive and highly personal service. Seeing things from your point of view is our point of difference. Our professionals are passionate about the health care for Medicare and Medicaid services. They combine field. In fact, we have teams of specialists exclusively in-depth industry knowledge and technical expertise devoted to the industry, many of whom joined us after with the creativity needed to deliver innovative, gaining invaluable experience working with insurers, practical and cost-effective solutions for even the most provider organizations and regulatory agencies ranging formidable challenges. from Blue Cross affiliates and Ascension Health to centers
  6. 6. Experience dedicated service. “If you’re looking for results, McGladrey is the top health careWe’re so committed to understanding the needs of businesses like yours, we have teams of expert advisor, bar none. Unlike other firms we’ve worked with, McGladreyadvisors devoted solely to the health care industry. was able to identify millions in additional Medicare funding — and PAT K E E L they’re not even done yet. What’s more, they understand us and Executive Vice President and Chief Financial Officer Good Shepherd Health System openly share methodology so the results can be sustained over Longview, Texas time.” Understanding the value of forward thinking. In such a fast-moving field, it’s not enough to know what’s worked in the past. You also need to anticipate change. By maintaining long-standing relationships with local, state and federal regulatory agencies and remaining intimately involved with key industry associations (including AHA, NRHA, AAHAM, HIMSS and ACHE), we’re able to keep up to the minute on trends, issues, rules and regulations that may affect our health care clients. In addition, we regularly conduct industry surveys and benchmarking studies, oftentimes partnering with national organizations like HFMA and AMGA. These thought-leadership initiatives enable us to remain fully abreast of best practices and emerging concerns. “One-size-fits-all” doesn’t fit you. We believe each of our clients deserves a carefully tailored, single specialty. When circumstances warrant, we’ll team custom-fit approach. So we work diligently to gain a up with professionals from other practice areas to offer thorough understanding of your unique situation — your fresh, imaginative perspectives. We’ll even partner with challenges, opportunities and resources. Only then will we experts outside our organization — if that’s what it takes to recommend a course of action, one specifically developed meet your needs. to address your particular needs. You may turn to us for an integrated mix of services that are seamlessly coordinated to achieve a variety of goals. Other times you may choose to retain us for our expertise in a
  7. 7. Experience dedicated service. “If you’re looking for results, McGladrey is the top health careWe’re so committed to understanding the needs of businesses like yours, we have teams of expert advisor, bar none. Unlike other firms we’ve worked with, McGladreyadvisors devoted solely to the health care industry. was able to identify millions in additional Medicare funding — and PAT K E E L they’re not even done yet. What’s more, they understand us and Executive Vice President and Chief Financial Officer Good Shepherd Health System openly share methodology so the results can be sustained over Longview, Texas time.” Understanding the value of forward thinking. In such a fast-moving field, it’s not enough to know what’s worked in the past. You also need to anticipate change. By maintaining long-standing relationships with local, state and federal regulatory agencies and remaining intimately involved with key industry associations (including AHA, NRHA, AAHAM, HIMSS and ACHE), we’re able to keep up to the minute on trends, issues, rules and regulations that may affect our health care clients. In addition, we regularly conduct industry surveys and benchmarking studies, oftentimes partnering with national organizations like HFMA and AMGA. These thought-leadership initiatives enable us to remain fully abreast of best practices and emerging concerns. “One-size-fits-all” doesn’t fit you. We believe each of our clients deserves a carefully tailored, single specialty. When circumstances warrant, we’ll team custom-fit approach. So we work diligently to gain a up with professionals from other practice areas to offer thorough understanding of your unique situation — your fresh, imaginative perspectives. We’ll even partner with challenges, opportunities and resources. Only then will we experts outside our organization — if that’s what it takes to recommend a course of action, one specifically developed meet your needs. to address your particular needs. You may turn to us for an integrated mix of services that are seamlessly coordinated to achieve a variety of goals. Other times you may choose to retain us for our expertise in a
  8. 8. Experience true integration.One piece isn’t the whole picture. So we take an integrated approach that enables us to bring “By far, the best service I have experienced in my 25 years in seniora diverse range of expertise to the table. health care financial management. The support level SHARON KELLEY of the partners has been exceptional. They are always a phone Chief Financial Officer MetroHealth System call away, and their professionalism and subject matter expertise Cleveland, Ohio are unmatched.” Health Care Industry Services. Our capabilities go beyond superb assurance and tax services to include an unparalleled array of specialized health care consulting services. Further, our integrated delivery model enables us to skillfully orchestrate a diverse range of complementary expertise. The result? Comprehensive, coordinated and cost-effective solutions. Following are some of the health care services offered by McGladrey. Enterprise Risk Management Internal Audit Regulatory Compliance Risk Advisory ICD-10 Readiness / Implementation ACO Advisory Services Performance Improvement EHR Meaningful Use Unified Communications & Mobility Technology Assessment, Planning & Selection Business Intelligence & Data Analytics Assurance Financial Advisory Network Design & Security McGLADREY McGLADREY Tax Planning & Preparation Community Benefit Reporting HEALTH CARE HEALTH CARE Sales & Use Tax Financial Statement Audit Forecast & Financial Feasibility Regulatory Reporting Tax Technology
  9. 9. Experience true integration.One piece isn’t the whole picture. So we take an integrated approach that enables us to bring “By far, the best service I have experienced in my 25 years in seniora diverse range of expertise to the table. health care financial management. The support level SHARON KELLEY of the partners has been exceptional. They are always a phone Chief Financial Officer MetroHealth System call away, and their professionalism and subject matter expertise Cleveland, Ohio are unmatched.” Health Care Industry Services. Our capabilities go beyond superb assurance and tax services to include an unparalleled array of specialized health care consulting services. Further, our integrated delivery model enables us to skillfully orchestrate a diverse range of complementary expertise. The result? Comprehensive, coordinated and cost-effective solutions. Following are some of the health care services offered by McGladrey. Enterprise Risk Management Internal Audit Regulatory Compliance Risk Advisory ICD-10 Readiness / Implementation ACO Advisory Services Performance Improvement EHR Meaningful Use Unified Communications & Mobility Technology Assessment, Planning & Selection Business Intelligence & Data Analytics Assurance Financial Advisory Network Design & Security McGLADREY McGLADREY Tax Planning & Preparation Community Benefit Reporting HEALTH CARE HEALTH CARE Sales & Use Tax Financial Statement Audit Forecast & Financial Feasibility Regulatory Reporting Tax Technology
  10. 10. Experience a Healthier BusinessExperience the power of being understood.SM ExperienceOur objective is to provide you the highest-quality service while delivering Expert Advicemaximum return on your investment. Achieving that requires gaining yourtrust and confidence — first, by convincing you that we truly understandyour unique situation, then by demonstrating that we have the knowledge,technical expertise, creativity and passion to help you win. Because when youtrust the advice you’re getting, you can be confident that your next move isthe right move. Experience800.274.3978 Personalmcgladrey.com ServiceMcGladrey is the brand under which McGladrey & Pullen, LLP serves clients’ business needs.McGladrey & Pullen, LLP is the U.S. member of the RSM International (“RSMI”) network of independent accounting, tax and consultingfirms. The member firms of RSMI collaborate to provide services to global clients, but are separate and distinct legal entities which cannotobligate each other. Each member firm is responsible only for its own acts and omissions, and not those of any other party.McGladrey, the McGladrey signature, The McGladrey Classic logo, The Power of Being Understood, Power Comes from Being Understoodand Experience the Power of Being Understood are trademarks of McGladrey & Pullen, LLP. Assurance n Tax n Consulting© 2012 McGladrey & Pullen, LLP. All Rights Reserved. NT10-05280
  11. 11. Health care Our capabilities go beyond superb assurance and tax services to include an unparalleled array of specialized health care consulting services.industry services Further, our integrated delivery model enables us to skillfully orchestrate a diverse range of complementary expertise. The result? Comprehensive, coordinated and cost-effective solutions. Following are some of the health care services offered by McGladrey. Consulting services -- Certificate of need preparation -- Provider enrollment Financial advisory • FQHC specialized services Health care organizations not only need to thoroughly understand -- FQHC clinic spin-off analysis the financing mechanisms supporting their operations, they also -- FQHC/FQHC look-alike designation must remain compliant with complex and continually changing -- Federal grants management regulatory requirements and reimbursement methodologies. -- Operational productivity/performance improvement We can assist with revenue performance, regulatory reporting -- Financial and operational training and compliance requirements to ensure proper reimbursement • Claims administration review services without compromising organizational integrity. Our services -- TPA/PBA claims processing accuracy include: -- Plan eligibility review services -- Contract compliance/performance guarantee • Revenue performance assessment -- Revenue cycle and cash acceleration • Performance improvement -- Revenue integrity (e.g., DRG, APC, RUG, & PFS – assurance -- Profitability analysis and cost accounting services) -- Service line performance analysis -- CDM review, charge capture, and medical coding -- Budgeting, modeling and financial projections (including ICD 10 education, readiness, and -- Cost and working capital optimization implementation, MDS and oasis) compliance -- Financial operations and controls -- RDS (rational, defensible, and strategic) pricing -- Project management and professional resources -- Contract performance analysis • Mergers and acquisitions • Regulatory reporting, compliance, and recovery -- Buy-side/sell-side due diligence -- Regulatory reporting (e.g., hospital, SNF, FQHC, RHC, OPO, -- Working capital assistance HHA); Medicare/Medicaid cost report preparation and -- Merger integration and optimization review services -- Divestures and carve-outs -- Regulatory recovery (e.g., GME/IME, DSH/SSI, 340B, organ • Valuation transplant, Medicare bad debts, transfer DRG, Medicare -- Fair value reporting cost-finding assessment) -- Tax and business succession -- Reimbursement strategy (e.g., including provider-based, -- Dispute advisory provider consolidation impact analysis, Medicare change -- Complex financial instrument of ownership (CHOW) - merger/acquisition regulatory • Forensics, litigation and dispute advisory analysis) -- Damage assessment -- Medicare compliance/OIG work plan risk assessment -- Arbitration and mediation -- Medicare appeals and reopenings/litigation support -- Expert testimony services -- Corporate recovery -- Wage index (and occupational mix) improvement services • IPO readiness
  12. 12. Technology • Sales and use taxWe help health care organizations align their people, processes • Intermediate sanctionsand technology to enhance performance and reduce costs. Our • Tax research and analysis for strategic tax planningprofessionals have significant operational, technical and clinical • IRS examination and appeals representationexperience — delivering technology solutions that help manage • Special needs planninginformation and achieve the organization’s strategic objectives.Our services include: Assurance • Clinical, financial and business application strategy Your stakeholders need to know they can trust the financial • Business intelligence and data analytics statement you deliver. Our industry knowledge, integrity and • Financial and practice systems selection and implementation thoroughness leads to independent and objective opinions • Data sourcing, mining and integration regarding your financial statements. We also go beyond the • Network design, implementation and security numbers, turning data into information and recommendations • Platform installation and management that can assist you in better decision making and improving future performance.Risk advisoryHealth care organizations face a host of potential risks as they McGladrey is one of the nation’s top providers of assuranceseek to meet the often incompatible demands of diverse and assurance-related services to health care organizationsconstituencies, including employees, patients, payers, investors, and providers. Our assurance services include:regulators and legislators. We can help anticipate, evaluate and • Financial statement auditsmanage such risks. Our services include: • Regulatory reporting services • Enterprise risk management (ERM) • Examined forecasts/financial feasibility • Governance and corporate compliance • SSAE 16 (formerly SAS 70) reports • Regulatory compliance (e.g., Medicare/Medicaid) • Employee benefit plan audits • HIPAA compliance • OMB circular A-133 audits • Technology risk assessment -- Information systems controls, policy and procedure review -- Business continuity and disaster recovery • Sarbanes-Oxley advisory and related implementation • Internal audit partnering and outsourcing • Model audit rule (MAR) assistance and implementation • Fraud prevention and investigationTaxStrategic tax planning and accurate, timely compliance arecritical issues for all organizations. Our tax advisors have thespecialized expertise needed to address the complex issuesfacing health care organizations. Locally-based specialistsdraw on our national resources and experience to helpmanage federal, state and local obligations while bringinginnovative tax planning ideas to your leadership team.Our tax services include: • Tax-exempt organization compliance • Community benefit reporting 800.274.3978 • Tax planning and return preparation www.mcgladrey.com/healthcare • Unrelated business income McGladrey is the brand under which McGladrey & Pullen, LLP serves clients’ business needs. Member of the RSM International network of independent accounting, tax and consulting firms. © 2012 McGladrey & Pullen, LLP. All Rights Reserved.

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