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

In healthcare, documentation is more than just paperwork; it serves as a record of care, a communication tool, and a legal requirement. Ensuring that providers sign, date, and accurately complete documents is essential for compliance. Neglecting this crucial step can lead to claim denials, increased audits, and financial challenges. This blog will explain the importance of Medicare signature requirements, the potential consequences of overlooking them, and how to protect against these risks. Why Your Signature
Streamline Your Monthly Exclusion Check Process to Better Align With Your Compliance Program  Performing monthly exclusion checks is essential for reducing the risk of penalties due to non-compliance but the process can also be taxing. Allow us to introduce you to LW Consulting, Inc.’s LWEnSCheck® Exclusions Software – designed to offer relief and support! Our software allows for easy and efficient screening to ensure your staff and business partners are not excluded from federally funded
The term locum tenens comes from Latin, meaning “to hold the place of.” In healthcare, it refers to temporary healthcare providers who fill the role of a regular provider who is unavailable for a short period. For Medicare beneficiaries, the locum tenens program offers a crucial solution. It allows a Medicare-enrolled regular Physical Therapist (PT) to use a substitute PT to provide treatment when the regular PT is temporarily unavailable under section 16006 of the

What Our Clients Are Saying

Gwinnett Christian Terrace

“The manner in which LW Consulting conducted our organization’s board retreat this past January, was both professional and personal. All participants were energized and inspired. As a result, during the board meeting that followed in March, every member was empowered to speak on the issues at hand. For the first time, we had generative discussions that moved the ball forward with action steps assigned to individuals or groups. Absolutely ground-breaking for our organization and we continue to reap the benefits.”

Dana Chandler

Ensign Services

“As we began the process of selecting our IRO, we wanted to engage a company that had an auditing team with real world experience. We wanted accurate and trustworthy results that could add value to our rehabilitation, nursing and MDS programs. We have found that with LW Consulting. The LW team is professional, seasoned, and experienced. The therapists and nurses evaluating our teams and documentation understand the skilled nursing and therapy world. Many of them continue to work as on-call therapists. Their guidance and evaluation skills are founded in the real world of caring for our senior population. Our staff find the LW team to be genuine, knowledgeable, respectable and approachable. Once our IRO relationship ends with LW Consulting, we hope that we will be able to continue to utilize them in a consulting capacity for many years to come.”

Deborah M. Miller RN, JD Chief Compliance & Privacy Officer

Urology Care Alliance

“We have used the services of LW Consulting for the last three years for chart review audits and follow-up training of our 25 physicians. We are extremely pleased with thoroughness and quality of the work that they have done. They have provided both individual feed-back sessions with some of our physicians as well as webinar review and training sessions that all of our physicians attended.”

Alan Plotkin, CEO