June 30 marks an important milestone in healthcare transparency: The Centers for Medicare & Medicaid Services (CMS) releases updates to the Open Payments™ Database. The Open Payments™ Database houses information on payments made to physicians and teaching hospitals by drug, device, biological, and medical supply manufacturers—known as Reporting Entities. This is important because it fosters transparency of financial relationships by disclosing payments made by pharmaceutical and medical device companies to physicians. It is a backstop
LW Consulting, Inc. (LWCI) is a recognized leader in providing compliance, reimbursement, operational, and clinical consulting solutions across the full continuum of healthcare delivery.
We are an Independent Review Organization (IRO), performing audits under Corporate Integrity Agreements (CIA), and an expert resource to providers, attorneys, and government agencies in ensuring organizations meet the myriad of guidelines, requirements, and statutes that regulate the delivery of healthcare services. We also provide interim staffing for post-acute care providers.
Today’s compliance and risk management challenges require innovative solutions.
LWCI has the expertise and experience to achieve them.
Suite of Services
Our team includes compliance professionals, reimbursement experts, RNs, therapists, auditor-coders, and consulting physicians. Many team members possess numerous industry certifications.
Our clients receive peace of mind knowing that they have received reliable advice and guidance that improves their business.
Independent Review Organization (IRO)
We often work with attorneys for providers in negotiating with the MACs, the OIG, federal prosecutors, US Attorneys and State Agencies in evaluating medical necessity, coding and billing procedures, and negotiating the adjudication of potential overpayment, denials, and disputed claims.
LW Consulting, Inc. uniquely blends its comprehensive knowledge of the healthcare industry with a proven ability to work as a partner with healthcare attorneys. We understand the ebb and flow of the legal process. We are flexible, responsive, and complete our work when and where it is needed.
Latest Posts
In today’s fast-paced and high-pressure world, leaders are expected to drive results, manage complex teams, and navigate constant change—all while maintaining a clear vision and inspiring others. Even the most seasoned executives can find these demands overwhelming. That’s where executive coaching is a powerful catalyst for growth. What Is Executive Coaching? Executive coaching is a personalized, one-on-one development process designed to enhance a leader’s performance, self-awareness, and impact. It’s not about fixing problems—it’s about unlocking
In clinical settings, proper documentation of prescription drug management is essential for ensuring patient safety, compliance with regulatory standards, and accurate billing. Additionally, understanding the differences between prescription and over-the-counter (OTC) medications is crucial for effective medication management. Here we outline the documentation requirements for prescription drug management and highlight the key differences between prescription and OTC medications. Documentation Requirements for Prescription Drug Management According to the AMA, appropriate documentation of prescription drug management involves
