Psychedelic Treatments, Telehealth, and Compliance: What Providers Need to Know

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Health providers are facing a period of rapid change. From the rise of psychedelic-assisted therapies to evolving telehealth policies and heightened regulatory scrutiny, organizations must balance innovation with compliance. Proper documentation, coding, and audit preparedness are no longer optional; they are essential for protecting patients, practices, and reimbursement. This article summarizes key takeaways from LW Consulting’s Senior Consultant, Christine Pilarski’s recent workshop on Coding, Billing, Payment, Audit, and Enforcement at the ASKP3 2025 Mastering the…

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…