Government Agencies

External Monitoring

LTCI has been an external quality monitor for 39 quality of care Corporate Integrity Agreements (CIAs) implemented by the Office of Inspector General (OIG) for the Department of Health and Human Services and individual state governments. LTCI and its staff have monitored large national organizations, small regional organizations and individual health care facilities/centers. LTCI and its staff understand the requirements of CIAs and the role of an external monitor. LTCI’s dedicated staff has years of experience working as external monitors, a deep understanding of corporate compliance programs, and decades of experience in the delivery and management of care and external quality assurance.

External Regulatory Surveys

LTCI and its staff work with multiple government agencies conducting external regulatory surveys using the traditional CMS and hybrid survey processes. LTCI and it staff have conducted over 750 external regulatory surveys and are experienced with the Centers for Medicare and Medicaid Services (CMS) survey processes including:

  • Nursing facilities and skilled nursing facilities (NFs/SNFs);
  • Home health agencies,; and
  • Hospice providers.

LTCI and its staff are also experienced with the Joint Commission standards, life safety code (LSC), and the CMS Quality Indicator Survey (QIS) process. Many LTCI staff members previously worked as Federal or state surveyors.