Today’s compliance and risk management challenges require innovative solutions.

LWCI has the expertise and experience to achieve them.

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.


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.


LW Consulting, Inc. is proud to partner with:

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.

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Latest Posts

If your practice has ever received a claim denial, a request for repayment, or found itself under a payer audit, thereโ€™s a good chance National Correct Coding Initiative (NCCI) edits were somewhere in the mix. Understanding how they work isnโ€™t just a back-office detail, itโ€™s one of the most practical things you can do to protect your revenue and your compliance standing. So, What Exactly Is NCCI? The NCCI was launched by the Centers for
Two patients walk into your practice with the same diagnosis. They receive the same treatment. One recovers well. The other keeps coming back, struggles with adherence, and experiences complication after complication. Whatโ€™s different? Often, the answer has nothing to do with their clinical care โ€” and everything to do with the world they go home to. What Are the Social Determinants of Health? The Social Determinants of Health (SDOH) are the non-medical, socio-political conditions that
The Centers for Medicare & Medicaid Services (CMS) recently announced significant updates to survey timing requirements and clarified expectations around the minimum length of both standard and complaint surveys. These changes are designed to strengthen consistency and thoroughness in oversight and investigations of alleged noncompliance nationwide. A key update requires survey teams to remain onsite for a minimum of five consecutive hours on the first day of any survey. This applies to all standard health

What Our Clients Are Saying

Gwinnett Christian Terrace

“The manner in which LW Consulting conducted our organizationโ€™s board retreat this past January, was both professional and personal. All participants were energized and inspired. As a result, during the board meeting that followed in March, every member was empowered to speak on the issues at hand. For the first time, we had generative discussions that moved the ball forward with action steps assigned to individuals or groups. Absolutely ground-breaking for our organization and we continue to reap the benefits.”

Dana Chandler

Ensign Services

“As we began the process of selecting our IRO, we wanted to engage a company that had an auditing team with real world experience. We wanted accurate and trustworthy results that could add value to our rehabilitation, nursing and MDS programs. We have found that with LW Consulting. The LW team is professional, seasoned, and experienced. The therapists and nurses evaluating our teams and documentation understand the skilled nursing and therapy world. Many of them continue to work as on-call therapists. Their guidance and evaluation skills are founded in the real world of caring for our senior population. Our staff find the LW team to be genuine, knowledgeable, respectable and approachable. Once our IRO relationship ends with LW Consulting, we hope that we will be able to continue to utilize them in a consulting capacity for many years to come.”

Deborah M. Miller RN, JD Chief Compliance & Privacy Officer

Urology Care Alliance

“We have used the services of LW Consulting for the last three years for chart review audits and follow-up training of our 25 physicians. We are extremely pleased with thoroughness and quality of the work that they have done. They have provided both individual feed-back sessions with some of our physicians as well as webinar review and training sessions that all of our physicians attended.”

Alan Plotkin, CEO


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