Kelly Simonelli

Not Conducting Exclusion Checks – Is it Worth the Risk?

Is your organization conducting regular exclusion checks for your vendors and employees? With the repercussions of contracting or employing an excluded individual or vendor, exclusion checks should be an important part of any organization’s compliance program. Organizations can receive a penalty of up to $20,000 for each billable service conducted after February 9, 2018, and up to $10,000 for any billed services before that date. Those fines can be costly for any organization employing or…

What is the Value of an External Chart Audit?

A key component of any compliance program is an effective audit process. Many outpatient practices consider selling or merging with larger entities. Your compliance program will be reviewed as part of any acquisition process. An audit is typically performed to uncover potential liability and risk. LW Consulting, Inc. (LWCI) strongly emphasizes the importance of conducting an external chart audit before diving into any acquisition preliminary work to enhance the value and smoothness of the negotiation…

Are You Aware of Upcoming Skilled Nursing Facility Quality Reporting Program Changes?

The Skilled Nursing Facility Quality Reporting Program (SNF QRP) is a critical part of how the Centers for Medicare & Medicaid Services (CMS) evaluates the quality of care in nursing homes across the United States. The program helps ensure that skilled nursing facilities (SNFs) meet specific standards of care and report accurate data on the services they provide. This information is then used to assess performance, drive improvements, and ensure transparency for residents and families.…