Our team of audit and appeal experts can help you build your case.

Our experienced team provides comprehensive documentation audit review, legal nurse consulting, expert testimony, coding and billing accuracy, reimbursement analysis, extrapolation analysis, compliance assessments, and complementary services to turn the tide in your client’s direction. Our staff members have been accepted as experts in a variety of courts at the local, state, and federal levels.

LW Consulting, Inc. uniquely blends its comprehensive knowledge of the healthcare industry with a proven ability to work in partnership with healthcare attorneys. We understand the ebb and flow of the legal process and the nuances of attorney-client privilege. We are flexible, responsive, know when to communicate, and understand the need to respond timely to case deadlines.

Our Attorney Services include:

Litigation Support & Expert Services

Consultation On Litigation Discovery And Strategy
Documentation and Coding Audits
Appeal support
Expert Testimony
Expert Witness Analyses And Reports
Financial Evaluation Of Contract Disputes
Overpayment Analysis
Review And Critique Of Expert Reports
Statistical Auditing With Extrapolation
Legal Nurse Consulting

Organizational Support Services

Compliance Audits
Independent Review Organization
Medical Records & Clinical Reviews
Overpayment Analysis
Statistical Auditing with Extrapolation
Schedule Audits
Survey Readiness/Mock Surveys
Compliance Program Assessment
Due Diligence Transaction Support
Facility Closure Support

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.

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Choosing the Right Independent Review Organization

Understanding an IRO

Looking for more information about Independent Review Organizations? Find out how LWCI approaches this role in the video.

As a part of our IRO services, LW Consulting, Inc. conducts reviews of arrangements between provider organizations and their practitioners, vendors, and partners. The purpose of these reviews are to determine compliance with Anti-Kickback Statutes, the Stark Law, and other CIA mandated standards. Such reviews are under the direction of an LWCI expert consultant with advanced training and expertise in regulatory standards and transaction reviews.

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