The Centers for Medicare & Medicaid Services’ (CMS) 2025 Targeted Probe and Educate (TPE) audits continue to reveal the same issues—missing medical necessity details and incomplete plans of care. These gaps put therapy practices at risk of denials and penalties. Therefore, internal auditing is essential to ensure compliance and audit readiness. As payers and regulators increase scrutiny, documentation and billing are no longer just administrative tasks; they are crucial to reimbursement and long-term sustainability.

Internal auditing is more than a best practice; it’s a safeguard. LW Consulting, Inc. (LWCI) recommends routine audits for the following key reasons:

  1. Gap Detection – Audits reveal missing assessments, plans, or interventions before payers or regulators do.
  2. Electronic Health Record (EHR) usability – Poor templates or interfaces often lead to incomplete records. Audits highlight misused tools.
  3. Training & Feedback – Identifying gaps creates opportunities for targeted education and peer review.
  4. Financial Protection – Documentation and billing mismatches cause denials – audits can reduce that risk.
  5. Compliance & Standards – Regular reviews ensure clinicians follow guidelines and use validated tools.
  6. Continuous Improvement – Ongoing audits track progress, update practices, and adapt to changing rules.

How LWCI Can Help

LWCI offers ChartVerify®, a web-based, user friendly, audit platform that simplifies therapy documentation reviews. Audits can be performed by internal staff or LWCI auditors.

Key Features

  • Role-based security and multi-user access
  • Customizable audit templates
  • Instant downloadable reports (Word format)
  • Trend tracking across facilities and disciplines

Key Benefits

  1. Better compliance – Spot deficiencies before they trigger denials or penalties.
  2. Efficiency – Replaces paper or spreadsheet audits with faster, easier web-based reviews.
  3. Actionable reports – Immediate results highlight recurring non-compliance and training needs.
  4. Trend analysis – Track documentation quality over time to guide staff education.
  5. Standardization – Custom templates ensure all clinicians meet consistent standards.
  6. Scalability – Multi-user access supports large organizations with secure permissions.
  7. Audit readiness – Strong documentation supports quality care and defensibility in audits or disputes.

Don’t wait for CMS to find the gaps—stay ahead with proactive internal auditing. ChartVerify® gives therapy practices the tools to simplify audits, strengthen compliance, and reduce risk. Reach out to LWCI today to learn more and see a demo of how ChartVerify® can protect your practice.

LW Consulting, Inc. (LWCI) offers a comprehensive range of services to assist your organization in maintaining compliance, identifying trends, providing education and training,  or conducting documentation and coding audits. For more information, contact LWCI to connect with one of our experts!