Reimbursement Policy and Government Affairs

We have a track record of obtaining positive coverage policies from public and commercial payers; researching, obtaining, and creating new codes; developing policy proposals for new coding mechanisms; and establishing favorable payment for new technologies. We have a tremendous depth of experience with engaging CMS and obtaining policy changes on behalf of our clients. Drawing on our expertise in policy, as well as our relationships with physician societies and KOLs, we uniquely set up our client requests for success.

What we deliver.

Coding

  • CPT Coding Assessments
  • CPT and HCPCS Code Applications
  • ICD-9 to ICD-10 Crosswalk Coding
  • ICD-10 Code Creation
  • Specialty Society Engagement

Coverage

  • Payer Communication
  • Policy Analyses and Advocacy
  • Healthcare Policy Monitoring
  • Dossier Development
  • Presentations to Payer Medical Directors

Payment

  • Physician Payment Assessments
  • Payment Increase Advocacy
  • NTAP (New Technology Add on Payments) Applications
  • APC and DRG Changes
  • Monitoring and Analysis of CMS Proposed and Final Rules

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