Critical Access Hospital  While you focus on the health of your patients, we focus on your health.We get it.
It's all about you. | |
 chieving and maintaining Critical Access Hospital (CAH) status is a complex challenge in the financially competitive world of healthcare. From submitting a CAH application to running financial feasibility studies, our healthcare specialists assist every step of the way. A qualified CAH can potentially receive significant enhancements from the Medicare program, and possibly an increased Medicaid reimbursement, depending on the state of domicile. We help you qualify, and we get you there. Our advisors have the insight to enable you to reach peak operating performance as a CAH. We explain the regulations and implications of being designated as a CAH so that you can thrive in your community.
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| CAH Application- Preparation and Submission of CAH
Designation Application - Assistance with Rural Health Network Agreement
- Policy Development
- Community Assessment Report
- Compilation of Required Policies and Procedures
Operational Change Analyses- Cost Analysis of Operational Change
to Meet CAH Requirements - Revenue Analysis of Operational Change
to Meet CAH Requirements - Utilization Analysis of Operational Change
to Meet CAH Requirements - Operational Change Modeling
| Financial Feasibility Studies- Facility Cost Analysis
- Lab and Therapy Fee Schedule Analysis
- Swing Bed Reimbursement Analysis
- Business Valuation
- Merger and Acquisition Services
- Management Assistance
- Forecasted Financial Statements
- Financing Assistance
Medicare/Medicaid Reimbursement- Cost Report Preparation
- Reimbursement Review
- Audit and Appeal Services
- Interim Cost Reporting
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Purk & Associates, P.C. 1034 S. Brentwood Blvd. Suite 2000 St. Louis, MO. 63117 |
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Home Health Organizations Take care for your clients…while we take care of you.We get it.
It's all about you. | |
 o remain profitable, home health providers must meet a unique set of needs. We understand your needs inside out, and will meet them in a timely and efficient manner. We provide expert services to tax-exempt and taxable home health providers that are both freestanding and provider based. You perform the most personal and difficult of tasks - caring for your vulnerable clients. While you're worrying about them, we'll cover you.
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Let our team of professionals assist you with the following services: |
| Tax Planning- Tax Liability Reduction
- Cash Flow Analysis
- Balance Sheet Review
- Unique Tax Needs of Tax-Exempt Entities
Feasibility and Productivity Studies- Plan Reviews and Risk Assessment
- Market Assessment
- Forecasted Financial Statements
- Business Valuation
- Organization Structure Evaluation
- Revenue Cycle Analyses
- Merger and Acquisition Consulting
| Reimbursement- Medicare/Medicaid Reimbursement Review
- Certificate of Need Analysis
- Licensure and Accreditation Regulatory Consulting
- Cost Report Preparation
Audit and Compliance- Financial Statement Audit
- Employee Benefit Plan Audits
- Home Health Billing Compliance Assessment
- Business Office Procedure Compliance Review
- Corporate Compliance Plan Development/Review
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Purk & Associates, P.C. 1034 S. Brentwood Blvd. Suite 2000 St. Louis, MO. 63117 |
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Long Term Care Long-term care with long-term profitability.We get it.
It's all about you. | |
he only constant in healthcare is change. From new regulations to shifting compliance standards to declining reimbursement rates, long-term care facilities face new challenges daily. You have real concerns; we have real answers. We realize every organization is different and we never take a cookie-cutter approach. We bring together the right team for each engagement, giving you open access to top-notch experts. Let us position your facility for the future while helping you meet the immediate challenges of today's marketplace. |
| Healthcare Accounting- Accounts Receivable
- Accounts Payable, Payroll
and General Ledger - Clinical Application
- Medicare and Medicaid Billing
Clinical Operations- Clinical Performance Evaluation
- Patient Survey Analysis and
Recommendations - Revenue Cycle Analysis
- MDS Coding related to Medicaid
and Medicare Claims - In-services Training for Inter-
disciplinary Teams
Tax Planning- Accounting Method
- Tax Liability Reduction
- Cash Flow Improvement
- Balance Sheet Strategies
- Unique Non-Profit Tax Expertise
- Qualified Plan Maximization
for Key Persons - Depreciation Maximization
| Facility Expansion- Merger and Acquisition Consulting
- Reorganization Analysis
and Planning - Business Plan Development
- Business Valuation Services
- Forecasted Financial Statements
- Risk Assessment Reimbursement
- State and Federal Agency Knowledge
- Medicare and Medicaid Cost
Reports- Benchmarking
- Strategic Management Reports
Audit and Compliance Services- Regulatory Consulting
- Financial Statement Audits
- Employee Benefit Plan Audits
- Home Health Billing Compliance
Assessment - Business Office Procedure
Compliance Review - Corporate Compliance Plan
Development/Review
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Purk & Associates, P.C. 1034 S. Brentwood Blvd. Suite 2000 St. Louis, MO. 63117 |
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Physicians, Dentists and Medical Groups Medicine is both a business and an art.We get it.
It's all about you. | |
 hysicians, dentists and medical groups face unique, 21st century challenges. As healthcare experts, we partner with you to address declining reimbursements, increasing overhead costs, regulatory issues and more. Patients look for doctors with experience. You should do the same when seeking financial and business services. Our team will provide you with a thorough financial checkup and the follow-up care needed to safeguard your organization's economic health. After meeting the needs of your patients, what could be more important?
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Let our team of professionals assist you with the following services: |
| Practice Analysis
and Benchmarking- Accounts Receivable
Analysis - Income and Expense
Analysis and Benchmarking - Physician Compensation
and Profitability Analysis - Practice Management
System Support - Budget Forecast
- Income Projections
- Fee Schedule and
Reimbursement Analysis - Contract Development
and Buy-Sell Agreements
Tax Planning- Lease vs. Buy
Considerations - Personal and Business
Tax Strategies - Property Acquisition
and Practice Expansion - Compensation Analysis
| Core Accounting Services- Payroll Tax Returns
- Property Tax Returns
- Financial Statement
Compilation - General Ledger Processing
- W-2 and 1099 Preparation
- Accounts Receivable
and Payable Analysis
Practice Operation Improvement- Billing and Collections
Process Analysis - Patient Workflow Analysis
- Space Planning and
Development - Job Process and Staffing
Analysis
| Regulatory ComplianceOur healthcare services team is experienced in understanding federal and state regulatory requirements and helping you meet government requirements: - Coding, Billing, and
Documentation Audits - Compliance Procedures
and Program Development - Physician Practice
Compliance Education - HIPAA Compliance
Planning
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Purk & Associates, P.C. 1034 S. Brentwood Blvd. Suite 2000 St. Louis, MO. 63117 |
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Senior Living Facilities Medicine is both a business and an art.We get it.
It's all about you. | |
he increase of Senior Living Facilities in the last decade has forced skilled care providers to become Real Estate Developers and Managers. The financial affairs and efficiencies of these entities have become the leading needs for expertise. Purk & Associates client base of continuing care retirement communities, assisted living facilities, residential care facilities, and independent living communities has given rise to the elite industry knowledge we provide. |
Let our team of professionals assist you with the following services: |
| Healthcare Accounting- Accounts Receivable Recovery
- Medicare/Medicaid Billing
- Business Office Analysis, Training and Research
- Financial Statement Compilation
- Bookkeeping
- Payroll, General Ledger, Accounts Receivable
Medicare/Medicaid Reimbursement- Cost Report Preparation
- Benchmarking Analysis
- Interim Analysis
- Profitability Review
- Long Range Planning
- Financial Projections
| Feasibility Studies- Forecasts and Projections
- Demographic Analysis and Saturation Ratios
- Financial Reviews
- Funding and Finance Evaluation
Strategic Planning- Facilitation of Strategic Vision
- Identification of Strengths and Opportunities
- Marketing Positioning
- Branding Assistance
- Organizational Structure Analysis
Audit and Compliance Services- Regulatory Consulting
- Financial Statement Audits
- Employee Benefit Plan Audits
- Collection Review
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Purk & Associates, P.C. 1034 S. Brentwood Blvd. Suite 2000 St. Louis, MO. 63117
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