Telehealth services continue to evolve, and here is an important update. On March 14, 2025, as part of a spending bill to prevent a government shutdown, Congress extended key Medicare telehealth waivers until September 30, 2025. This extension, originally set to expire on March 31, 2025, is a vital tool for expanding access to care and provides a sense of reassurance. While this extension is welcome news, it also raises questions about whether these flexibilities
LW Consulting, Inc. (LWCI) is a recognized leader in providing compliance, reimbursement, operational, and clinical consulting solutions across the full continuum of healthcare delivery.
We are an Independent Review Organization (IRO), performing audits under Corporate Integrity Agreements (CIA), and an expert resource to providers, attorneys, and government agencies in ensuring organizations meet the myriad of guidelines, requirements, and statutes that regulate the delivery of healthcare services. We also provide interim staffing for post-acute care providers.
Today’s compliance and risk management challenges require innovative solutions.
LWCI has the expertise and experience to achieve them.
Suite of Services
Our team includes compliance professionals, reimbursement experts, RNs, therapists, auditor-coders, and consulting physicians. Many team members possess numerous industry certifications.
Our clients receive peace of mind knowing that they have received reliable advice and guidance that improves their business.
Independent Review Organization (IRO)
We often work with attorneys for providers in negotiating with the MACs, the OIG, federal prosecutors, US Attorneys and State Agencies in evaluating medical necessity, coding and billing procedures, and negotiating the adjudication of potential overpayment, denials, and disputed claims.
LW Consulting, Inc. uniquely blends its comprehensive knowledge of the healthcare industry with a proven ability to work as a partner with healthcare attorneys. We understand the ebb and flow of the legal process. We are flexible, responsive, and complete our work when and where it is needed.
Latest Posts
The recent case of Hertel and Brown outpatient therapy (Hertel and Brown Blog) is an eye-opener that every practice, regardless of size or type, needs to be aware of the importance of ethics. Ethical Practice Ethics and moral principles should guide clinicians in every aspect of patient care. State licensing boards and national organizations outline expected ethical behavior and consequences for non-compliance. Clinicians, supervisors, and practice owners should be familiar with the applicable state’s ethical
March 13, 2025
Internal vs. External Audit Decisions
We all know that monitoring and auditing are part of an effective compliance program. There are two ways to do this; you can handle reviews internally, or you can outsource them to an external entity. This blog will discuss some considerations for the best choice for you. One of my favorite quotes is “You don’t know what you don’t know,” penned by Donald Rumsfeld in 2002. The underlying meaning of this quote can be applied
