The latest Supreme Court term has been one of incredibly consequential decisions. Rulings regarding gun rights, immunity, and abortion access grabbed headlines for months. Yet, the most important ruling for the healthcare space writ large is the case of Loper Bright v. Raimondo, which involved regulations in the commercial fishing industry. What does a ruling about fishery regulation have to do with the Centers for Medicare and Medicaid Services (CMS)? In this situation, nearly everything.
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
July 22, 2024
Why Do Medicare Administrative Contractors Deny for “Skills of Therapist Not Supported”?
Maybe you have been involved in a Training, Probe and Educate (TPE) audit for your Medicare Part B claims this year. If so, you are not alone. The Medicare Administrative Contractors (MACs) have been focusing on Physical Therapy (PT), Occupational Therapy (OT) and Speech Language Pathology (SLP) documentation and the TPE is a common way to capture the attention of providers. The Centers for Medicare & Medicaid Services (CMS) TPE provides a full explanation of
The Review Choice Demonstration (RCD) project for Inpatient Rehabilitation Facilities (IRF) seemed like a pipe dream when the Centers for Medicare & Medicaid Services (CMS) started talking about it even before the Pandemic. But, now it is in full swing in Alabama and Pennsylvania. Texas and California are slated to be next in the roll out. If you are listed and bill as an Inpatient Rehabilitation Facility (IRF) or an Inpatient Rehabilitation Unit (IRU) in Pennsylvania,
