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Medical Technology Consulting

 

In the past three years, CMS has received 12 proposals for new technology ICD-9-CM codes used for reimbursements. They approved 7. Clarity Coding helped develop all 7 winning proposals. In that same time span, we've also contributed 52 new or revised codes to ICD-9-CM. No one else can match our success rate.

 

The Coding & Reimbursement Model

for New Medical Technology


Analysis

The first step in evaluating new medical technology is to determine whether it fits within the existing coding and reimbursement structure. Can the current ICD-9 and CPT codes track it adequately? Do the current reimbursement arrangements make sense? Or is the new technology so unique as to require new codes to measure it separately? We help medical device manufacturers answer these critical questions from a coding and reimbursement perspective built on years of experience.

Coding

If the Analysis Step determines that the existing coding and reimbursement structure is not adequate, we help our clients develop winning proposals, whether it’s for a new or revised
ICD-9-CM code needed from CMS or a new or revised CPT code needed from the AMA. Our record of success in this area is unsurpassed.

Reimbursement

Once a new code is established and enough coding data has been collected over time, a case can be made to establish a realistic reimbursement structure. We help our clients advocate for improved reimbursements from payors, including Medicare and third-party payors. Let Clarity Coding's experience make the difference.

Education

Successes in coding and reimbursement advances have little effect if our clients' customers, the healthcare providers, aren’t properly trained to take advantage of them. We consider hospital and physician education needs throughout the entire process, then deliver the training they'll need. Let Clarity Coding's leading edge professionals train your coders.

 

 

New Codes

In our work with medical device manufacturers, we are often called on to drive the development of new ICD-9-CM codes with CMS to support new medical technologies and/or procedures. For a look at some of the new codes we've developed, check here.

 

New DRG's

We are also called on to drive the development of new DRG codes with CMS to support new medical technologies and/or procedures. For a look at some of the DRG's we've developed, check here.

 

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