Coding, Coverage and Payment are the cornerstones of reimbursement strategies for medical technology products!
Key Coding Services:
Coding is the numerical or alpha numerical representation of diseases and their corresponding medical treatments.
Why are billing codes important to confirm for new medical technologies?
It is important for manufacturers to confirm the coding strategy for their products to ensure that appropriate codes are available to customers for accurate billing for use of medical technologies and associated procedures after market launch. This will allow Medicare and other health insurance programs to process claims for treatments and services in an orderly and consistent manner and to reimburse accounts and patients appropriately. It may take 1-3 years of effort to obtain a new billing code.
What we can do for you
Our reimbursement team includes certified coders and reimbursement specialists who have several years of experience in:
- Developing coding strategies for breakthrough medical technologies including drugs, devices, biologics, diagnostics, surgical supplies, and procedures. We can identify whether there is an appropriate existing code representing the relevant medical technology and procedures. Based on our research, we also can develop recommendations on whether there is a need to update an existing code.
- Drafting and supporting the application for new billing codes. If a new billing code is necessary, the GIRS team has maintained an almost perfect record for successful coding applications.
- Conducting coding verifications to confirm that existing codes are appropriate for our clients' products.
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Notice: CPT® is a trademark of the AMA.
Other services:
Coverage and Payment Services
Outcomes research
Market positioning
Health economics
International reimbursement
Reimbursement team
Areas of expertise/Key technologies