For More Information

Contact our physician practices specialists.

Harriett Wall
Chief Operations Officer
207-613-2992
HWall@lw-consult.com

Rob Senska
General Counsel/Director
609-249-3819
RSenska@lw-consult.com

Long-Term Care Hospitals (LTCHs), Inpatient Psychiatric Facilities (IPFs), and Inpatient Rehabilitation Facilities (IRFs) are all impacted by the challenges of the Medicare Prospective Payment System (PPS). LW Consulting provides hands-on experience and exceptional knowledge in reimbursement, finance, clinical, operational, billing and information technology to help your facility succeed in a demanding and constantly changing healthcare environment.

Long-Term Care Hospitals (LTCHs)

Whether you are considering acquisition, divestiture or simply challenged by the CMS regulations governing medical necessity, restrictive admissions, and average length of stay criteria, LW Consulting is a single source to meet your needs. Our services to LTCH’s include:

  • Medical Necessity Auditing
  • DRG Validation
  • Coding and Billing Audits (Professional and Facility)
  • Post-Audit Education
  • Charge Description Master Review and Pricing Strategy
  • Operational Assessment
  • Merger and Acquisition Support
  • Strategic Planning
  • Marketing/Census Enhancement

Inpatient Psychiatric Facilities

The Medicare PPS, coding requirements and medical necessity guidelines create challenges for IPFs and LW Consulting helps you find solutions to achieve compliance. Our services include:

  • Medical Necessity Audits
  • DRG Validation
  • Coding and Billing Audits
  • Post-Audit Education
  • DSM-5 Training/Education
  • Strategic Planning
  • Marketing / Census Enhancement
  • Medication Management Assessment

Inpatient Rehabilitation Facilities

The Centers for Medicare and Medicaid Services’ regulations for IRFs mandate that the IRF Patient Assessment Instrument (PAI) be utilized to assess the functional status of all Medicare Part A fee-for-service patients. This patient assessment and resulting IRF PAl documentation are the primary determinant of Medicare reimbursement for acute rehabilitation services. Our solutions for inpatient rehabilitation include:

  • IRF PAI Analysis For Accurate Coding, Accurate FIM Scores And Accurate Medicare Reimbursement
  • Medical Necessity Audits
  • Operational Assessments
  • Claim Denial Management And Recovery
  • Market And Financial Feasibility
  • Mock CARF Surveys
  • Benchmarking Studies
  • Strategic Planning
  • Marketing/Census Enhancement
  • Physician Coding And Billing Audits
  • Charge Description Master Review and Pricing Strategy
  • Compliance With 60% Rule
  • Post-Audit Education

For More Information

Contact our physician practices specialists.

Harriett Wall
Chief Operations Officer
207-613-2992
HWall@lw-consult.com

Rob Senska
General Counsel/Director
609-249-3819
RSenska@lw-consult.com