Kelly Simonelli

Take Aways from the LeadingAge PA Fall Finance Conference

LW Consulting, Inc. (LWCI) had the pleasure of attending the LeadingAge PA Fall Finance Conference a couple of weeks ago. The conference had many presentations on topics that ranged from using Key Performance Indicators (KPIs) and Metrics to improve your organization’s financials to compliance and risk management. Many of the presentations appeared to have some common themes. A few of the presentations covered the use of data and other information that organizations have readily available…

Launch of Whistleblower Pilot Program Should Prompt Review of Compliance Program

Many, if not most, healthcare provider compliance programs identify overpayment from Federal Payers – particularly Medicare and Medicaid – as a key risk. Whistleblowers frequently initiate government scrutiny related to Federal payors. As a result, many compliance programs focus on the Federal piece of their payor mix. Providers that do not enroll with Federal payors or for whom Federal payors are a small portion of their payer mix may have chosen to commit fewer resources…

The Importance of Reviewing the Open Payment Database

Does your organization have an annual process to review the Open PaymentTM Database? The Open PaymentTM Database was created to promote transparency and accountability in the healthcare system and is managed by the Centers for Medicare & Medicaid Services (CMS). The database houses physician payments reported by Reported Entities such as drug and medical companies. These payments are reported annually and are broken down by “Nature of Payments” including food and drink, education, and consulting…