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.
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.
In late December 2024, the American Relief Act, 2025 became law to help continue telehealth services under Medicare. This Act includes a Continuing Resolution that keeps important federal programs and funding going until March 31, 2025. One key feature is a short-term extension of telehealth waivers that started during the COVID-19 Public Health Emergency (PHE). These waivers were set to end on December 31, 2024, but they will now be extended for another three months.
Harrisburg, PA – LW Consulting, Inc. (LWCI) is thrilled to announce that our President and CEO, Harriett Wall, has been recognized in “The Top 50 Women Leaders of Maine for 2024” by Women We Admire. This prestigious list honors women who have made significant contributions to their fields and communities, showcasing their leadership skills and commitment to excellence. Harriett has led LWCI with vision and integrity. Under her leadership, the firm has expanded its services,
The Centers for Medicare & Medicaid Services (CMS) recently released the Final Rule for the Physician Fee Schedule (PFS), or Medicare Part B Rule, which will take effect on January 1, 2025. This comprehensive blog series outlines significant changes impacting therapy professionals, including Physical Therapists (PTs), Occupational Therapists (OTs), and Speech-Language Pathologists (SLPs). If you missed Part 1, click here! New Rules for Therapy Practice Supervision of Assistants in Private Practice Settings The significant change
“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.”