FHW Consulting LLC
Who we are
At FHW Consulting LLC, we specialize in delivering high-impact, technically sound solutions for the healthcare payer industry. Founded by Ivy Woods, a seasoned Healthcare Business Consultant with over two decades of experience, our firm is dedicated to helping health plans, vendors, and consulting partners streamline benefit configuration, improve claims accuracy, and maintain regulatory compliance across Medicare, Medicaid, ACA, and Commercial products and programs.
With deep expertise in platforms such as FACETS, NetworX Pricer, and QNXT, we translate complex benefit and reimbursement requirements into scalable, auditable system logic. Our approach is rooted in precision, collaboration, and a commitment to operational excellence—ensuring that every implementation aligns with federal and state regulations while supporting business goals.
Whether you need support with benefit implementation, pricing model development, system testing, or documentation, FHW Consulting LLC offers the insight and technical rigor to deliver results.
What We Do
Core Services Offered
Design, configure, and validate medical benefit plans across platforms such as FACETS, NetworX Pricer, and QNXT. Translate complex regulatory and contractual requirements into scalable, auditable system logic.
- Claims Pricing & Reimbursement Modeling
Develop and maintain pricing methodologies including DRG, APC, and Medicaid-specific fee schedules. Ensure alignment with CMS, DHCS, and state-specific reimbursement policies.
- Regulatory Compliance & Audit Readiness
Monitor and interpret Medicare, Medicaid, and ACA regulations. Create documentation, SOPs, and SLAs to support audit readiness and ensure benefit accuracy.
- Cross-Functional Collaboration & Testing Support
Liaise with product, policy, QA, and operations teams to support benefit testing, triage issues, and validate configuration outcomes. Lead UAT and regression testing efforts to ensure system integrity.
- Business Requirements & Process Optimization
Author business requirements and process flows to support benefit implementation, system enhancements, and operational efficiency. Identify reengineering opportunities to streamline workflows.
- Mentorship & Knowledge Transfer
Provide training, peer reviews, and documentation to support team development and ensure consistency in benefit configuration practices.
Customer reviews
Daniel K.
"I honestly received the best service I could have asked for. They were super professional to deal with; they met all my needs and helped me a lot."
Ron H.
"The entire experience was so easy and friendly, and the price was very reasonable. I don't know what I would have done without them."
James F.
"I can't say enough good things about the quality of this company. Highly, highly recommend using them!"
Special features
Best Quality
We guarantee your full satisfaction
Family business
A professional, personalized experience
24/7 Support
Our phone support is always available to you