Strengthening Medical Director Roles in Skilled Nursing: A Timely Look Ahead

Medical directors are central to the clinical integrity of skilled nursing facilities—but how involved are they, really? While federal regulations outline specific responsibilities, there’s growing concern that the roles of medical directors are inconsistently defined, poorly documented, or limited in practice. In response, the U.S. Department of Health and Human Services (HHS), through its Office of Evaluation and Inspections (OEI), has launched a federal review to assess how medical directors are engaged—and how that engagement…

A Review of Medicare Part B Therapy Maintenance Programs and the Use of the KX Modifier

As the months of 2025 pass, the importance of thorough documentation and adherence to regulatory standards has never been greater, particularly for those providing services under Medicare Part B. Recently, there has been an increasing focus on therapy services, especially regarding the application of the KX modifier and the implementation of maintenance therapy programs. These components are vital in ensuring that patients receive the skilled care they need, even when that care extends beyond the…

Executive Coaching in the Nonprofit and Government Sectors

Leadership in nonprofit and government sectors continues to be demanding and challenging. Executive coaching can assist leaders in developing the necessary skills to improve professional performance. This white paper explores the role of executive coaching in supporting leaders in nonprofit organizations and government agencies. It examines benefits, evidence, and best practices while offering sector-specific recommendations for effective implementation. To learn more or schedule a discovery session, contact Nikki Oliver at NOliver@LW-Consult.com or call (207) 508-2988.