40 years of experience in Medicare, Medicaid, private insurance policy in the U.S.
Available for strategic reimbursement consulting for start-ups during fund-raising, reimbursement launch planning, pricing research, coding applications, reimbursement sales training.
We offer panels of medical directors from private insurance plans who will consult on your strategy and pricing options.
We prepare reimbursement plans that address the key payers for a product, reimbursement codes (e.g., CPT, HCPCS, ICD-10) and pricing/reimbursement rates (including APCs, MS-DRGs, per diems, etc.)
We survey payers and assess government policy for Medicare and Medicaid.
We produce actionable blueprints for reimbursement coverage, coding, and payment.
We serve as strategic reimbursement advisors for Boards of Directors and outside investors.
We advise on the reimbursement implications of clinical trial design and choice of clinical indications.
We produce step-by-step reimbursement launch plans with timetables for payer outreach, coding applications, pricing and fee schedule planning, and technology assessments.
We provide customer and sales representative reimbursement training.
We prepare dossiers and manage payer coverage outreach.
We collaborate with other consultants to offer HUB services, including 1-800 hotlines, patient assistance programs, payer advocacy, cost-effectiveness modeling.
We submit and obtain new codes, including new technology Medicare APCs, MS-DRG new technology add-ons and HCPCS codes.
We can serve as your reimbursement staff or advise your in-house staff on reimbursement. Frequently, we help recruit and train staff, identify consultants to help with launches, and serve as strategic advisors to company executives.
Over time, we phase out our day-to-day operations role and provide strategic advice to in-house staff as reimbursement policies evolve and mature.
We work with Boards of Directors and Investors on reimbursement strategy.
MDA Consulting has a long history of proven reimbursement strategies.