Regardless of your speciality, LWCI has experts to assist.
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.
Thought Leadership
from LWCI
Preparing for Unwelcome Scrutiny in Behavioral Health Settings
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 Rehabilitation Facilities (IRFs)
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 PAI 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
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 for Inpatient Psychiatric Facilities 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
Need more info? We can help.
