1. 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

2. Technology • Sales and use tax
We help health care organizations align their people, processes • Intermediate sanctions
and technology to enhance performance and reduce costs. Our • Tax research and analysis for strategic tax planning
professionals have significant operational, technical and clinical • IRS examination and appeals representation
experience — delivering technology solutions that help manage • Special needs planning
information 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 advisory
Health care organizations face a host of potential risks as they McGladrey is one of the nation’s top providers of assurance
seek to meet the often incompatible demands of diverse and assurance-related services to health care organizations
constituencies, including employees, patients, payers, investors, and providers. Our assurance services include:
regulators and legislators. We can help anticipate, evaluate and
• Financial statement audits
manage 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 investigation
Tax
Strategic tax planning and accurate, timely compliance are
critical issues for all organizations. Our tax advisors have the
specialized expertise needed to address the complex issues
facing health care organizations. Locally-based specialists
draw on our national resources and experience to help
manage federal, state and local obligations while bringing
innovative 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.