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.
The Minimum Data Set (MDS) is a federally mandated assessment used in Medicare or Medicaid-certified nursing homes to evaluate a resident’s functional abilities and healthcare needs. The MDS incorporates standardized elements, coding categories, and vital health indicators. Validating the MDS is an essential step for skilled nursing facilities (SNFs) that is sometimes bypassed. The validation process ensures the accuracy of the data submitted to the Centers for Medicare & Medicaid Services (CMS). The MDS coordinator,
Whether your organization relies on an in-house team or enlists the help of an outside consultant, conducting a mock survey is an essential strategy to assess your organization’s current performance against the standards set by the Centers for Medicare & Medicaid Services (CMS), improving your chances of securing a higher star rating. In 2025, healthcare providers are still navigating the long-term impacts of the COVID-19 pandemic, alongside new challenges like workforce instability, ongoing staffing shortages,
LW Consulting, Inc. (LWCI) was thrilled to participate in LeadingAge Rhode Island’s 2025 Annual Conference on April 3. It was a fantastic opportunity to connect, learn, and share knowledge with industry professionals who are equally passionate about enhancing care in senior living communities. The conference offered a valuable space for networking with like-minded individuals and organizations. It provided not only insights into the latest trends and regulations in the senior care industry, but also a
“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.”
