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Check out what's going on at Ryun, Givens & Company

2016 LeadingAge Iowa Fall Conference

Come see Ryun, Givens and Company at LeadingAge Iowa's Fall Conference in Cedar Rapids!


We will have a booth in the exhibitor's section on Wednesday, September 21st.


The conference runs from September 21 to22nd.

Preparing for Managed Medicaid: A Round Table Discussion

January 29, 2016


Date: Session 1: January 29, 2016

Session 2: February 12, 2016
Time: Registration: 8:30am

Start Time: 9:00am
Location:  Ryun, Givens and Company Office

2900 100th St, Suite 301

 Urbandale, IA 50322


Space is limited. Please contact us to reserve your spot immediately. Both session 1 and 2 cover the same material.


Join our hosts Steve Givens, CPA of Ryun, Givens and Company, P.L.C. and Gary Jones, attorney with Midwest Compliance Associates in a round table discussion about what matters for nursing homes participating in Iowa’s Managed Medicaid.

Health care reform, including Iowa’s Managed Medicaid, is heavily principled on providing the best value in relation to the associated cost.

We will be discussing what information is now publicly available regarding the “value” nursing homes provide. The problem to date is that there is no one single indication of “value” that everyone agrees upon.

However, interesting things begin to surface when you line up several value indicators together. Similar to “the whole is greater than the sum or the parts,” Steve will present a never before examined framework that brings several key performance indicators together in one comparison to view the “value” organizations provide.

Each participant will receive a confidential report that has been specifically customized for their organization that brings their information together in comparison to other organizations in their county as well as surrounding counties.

We expect this information will generate quite a bit of discussion regarding how different participants view the relevance of the information and the degree to which it matters.
At a minimum, participants can expect to learn a lot more about the information that is publicly available regarding their organization and others in their surrounding market place.

During the second portion of our round table discussion, attorney Gary Jones will be discussing the key elements of an effective compliance program and how and why they matter under Managed Medicaid. Gary will also be discussing current governmental monitoring activities including the use of “data mining.”

2015 Fall LeadingAge Iowa Fall Conference

Come see Ryun, Givens and Company at LeadingAge Iowa's Fall Conference in Coralville!


We will have a booth in the exhibitor's section on Wednesday, September 16th.


The conference runs from September 16 to 17th.

New Medicaid Cost Report Seminar

June 2-3, 2015


By: Steve Givens, CPA, Managing Partner, Ryun, Givens & Company PLC and Gary Jones, JD, CHC, CHPC, Midwest Compliance Associates


Location: Hilton Garden Inn

1325 Dickinson Ave., Ames, IA  50014


Are you ready for changes to the Iowa Medicaid cost reports? The cost reports are set to change on July 1, 2015, and the changes are massive. There is a new certification statement with implications

for broad discretion in assessing criminal, civil or administrative penalties. Providers will need to have a very good understanding of the rules and regulations and have good systems and processes for

accounting for costs, accounting for employee compensation and related compensation costs, accounting for vendor costs, and improving documentation and record keeping to withstand scrutiny

at very high levels. One thing is certain, the new cost report will likely double the efforts of internal accountants and will dramatically increase the efforts of outside preparers. The better your

organization’s understanding of the rules and regulations AND the better an organization’s systems and processes, the less overall work for internal accountants and external cost report preparers.

This two-day, interactive seminar is designed to address all of these issues and provide the most up-to-date information needed to succeed with this change.

15 Best Practices to Ensure Compliance with Medicaid Cost Reporting

May 7, 2015



Steve Givens will be speaking at the LeadingAge Iowa Spring 2015 Conference on May 7th. His presentation is from 12:30 am - 1:30 pm. He will give a quick overview of the best practices to ensure compliance with Medicaid Cost Reporting.

LeadingAge Iowa Spring 2015 Conference

May 6, 2015


Come say hi! Ryun, Givens & Company will be at the LeadingAge Iowa Spring Conference on Wednesday, May 6th at Prarie Meadows. Our exhibitor booth is right across from the general session ballroom. Make sure to enter for a chance to win $100 or $50 cash!

New Medicaid Cost Report Seminar


April 24th, 2015

9 a.m. - 4 p.m.


April 17th - Full



Ryun, Givens & Company

2900 100th Street

Suite 301

Urbandale, IA 50322


There Is a Solution 

The better your systems, processes, and knowledge of the changes and requirements, the less overall work will be required of both internal and external resources, keeping your costs down and risks lower.


Knowledge Is Power

Steve Givens, a certified public accountant and expert in working with the long-term care industry, wants you to be educated. He provides auditing, tax, consulting, and Medicaid/Medicare cost reporting services to nursing facilities, intermediate care facilities, and continuing care retirement communities. He is a regionally recognized expert at helping Directors understand their facilities’ Iowa Medicaid reimbursement rates, and most importantly, teaching them understand the process. He will present an overview of the new cost report on Friday, April 17 & 24th, in order to help you understand the changes, learn what is being required, and prepare your organization.


Need Answers Sooner?

To determine if your organization is at risk, call Steve Givens at (515) 225-3141 for a complimentary, no-obligation discussion.


Please click the button below to register for the seminar. Registration is required.

Adding Medicare Certified Home Health Care: Is It Worth It? A Round table Discussion with Patti Paar RN, BSN of TrendLinks Home Health Care

October 17, 2014


Ryun, Givens & Company is excited to host Patti Paar RN, BSN of TrendLinks© Home Health Care for her round table presentation on Friday, October 17th!


Is your organization ready for Home Health Care? Consultant Patti Paar of TrendLinks Home Health Care will discuss the pros and cons of adding HHC and what your organization needs to do to succeed.


Registration is required. 



October 17th

Registration: 8:30 am

​Presentation: 9:00 am - 11:30 am

Lunch on your own

Presentation resumes: 1:00 - 4:00 pm



Ryun, Givens & Company

2900 100th Street

Suite 301

Urbandale, IA 50322



Patti Paar, RN, BSN

TrendLinks Home Health Care




Corporate Compliance: A Survey of Why, What and How

With Gary Jones of Midwest Compliance Associates



May 16th, 2014



At Ryun, Givens & Company

2900 100th Street

Suite #301

Urbandale, IA 50322


If there was a way to reduce your health care organization's exposure to civil penalties, criminal and administrative sanctions - would you? With increased governmental regulations on senior communities, it is more important now than ever to be compliant. In our round table discussion on May 16th, featuring guest speaker Gary Jones of Midwest Compliance Associates, we will highlight why you need a compliance program, its benefits, obstacles, the developmental process, and more!


Positioning Your Senior Community for the Future

With Dave Baker, Consultant at Lockard Health Care



April 4, 2014



At Ryun, Givens & Company

2900 100th Street

Suite #301

Urbandale, IA 50322



· The impact of the Affordable Care Act on Senior Communities

​· What are Accountable Care Organizations looking for when selecting Senior Communities? What are they looking to avoid?

· ACO Payer sources

· Health and wellness programs as a patient capture and monitor in an ACO or Community

· Branding active wellness center memberships for health system capture

· How properly designed and located facilities can effect and support healthcare services and their impact on revenues

· What is going on in other parts of the country?

· How to position your Senior Community in terms of

o Facility characteristics

o Operations

o Other providers



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