Kelly Simonelli

LW Consulting, Inc.’s LWEnSCheck® Continues to Offer a Solution for Streamlining the Exclusion Process

LW Consulting, Inc. (LWCI)’s LWEnSCheck® Exclusions Software was designed to help providers—participating in federal-funded healthcare programs—satisfy their exclusion check requirement. The online solution provides a means for employers to verify that staff and other business relationships are not Medicare or state excluded sanctioned individuals or entities. The federal and state excluded provider programs affect every organization that receives federal or state dollars for medical and health services rendered, social service funds, and grant programs. Organizations…

The Basics: 7 Elements of a Compliance Program: Part 2

With the General Compliance Program Guidance updates released in November 2023, we wanted to take the 7 elements of a compliance program and break it down. What are the 7 elements? Why are they important and how can these elements be implemented? Recap elements 1-4 on Part 1 & elements 5-7 will be reviewed below. 5. Enforcing Standards: Consequences and Incentives Part of a compliance program includes creating and applying uniform disciplinary actions for non-compliance…

What Can You Do if You Are Targeted as a Special Focused Facility?

It is challenging being a Skilled Nursing Facility (SNF) in 2024! Not that it has ever been easy, but there are so many regulations, and the increased challenges of staffing and infection control since COVID and the PHE have really raised the bar. The Centers for Medicare & Medicaid Services (CMS) monitors quality issues and has devised a terminology for those facilities deemed high risk with a history of serious quality issues. These facilities are…