Why Clinical Laboratories Can’t Afford to Ignore the 2025 OIG iCPG

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The Office of Inspector General (OIG) is set to release new General Compliance Program Guidance (iCPG) for clinical laboratories in 2025—and it’s a game changer. For more than 25 years, labs have operated under the same compliance framework. But with the rise of genetic testing, electronic order sets, and complex payer rules, the OIG is updating its expectations. The new iCPG will strengthen oversight, expand data monitoring requirements, and tie laboratory stewardship directly to compliance…

What Organizations Should Expect Regarding TPE Audits for Medicare Part A

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The Centers for Medicare & Medicaid Services (CMS) launched the SNF 5-Claim Probe and Educate (SPE) in 2023 in response to a 15.1% improper payment rate under the Patient-Driven Payment Model (PDPM), identified in 2022 (2023). The probe was meant to audit five PDPM claims per skilled nursing facility (SNF) and offer education based on the findings. At the time of the roll out, CMS projected that providers with error rates under 20% could request…

Navigating Uncertainty: Key Takeaways from LeadingAge Rhode Island’s 2025 Aging Services Policy Conference

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LW Consulting, Inc. (LWCI) had the pleasure of attending this year’s LeadingAge Rhode Island Aging Services Policy Conference, which underscored one resounding theme: UNCERTAINTY. As new federal policies unfold, providers across the aging services continuum are preparing for significant shifts—many of which remain undefined. From sweeping federal budget reforms to evolving state-level requirements, the road ahead demands vigilance, flexibility, and collaboration. Federal Policy UpdatesA major topic of discussion was H.R. 1, the “One Big Beautiful…