FELIX3 CONSULTING, LLC

At FELIX3 Consulting, LLC, we provide specialized consulting services, working both independently and as a strategic subcontractor. We collaborate with stakeholders and enterprises, particularly those in the international medical device, durable medical equipment, prosthetics, and medical supplies sectors. Our mission is to help these companies navigate the complex processes of FDA clearance, product development, and PDAC coding to optimize reimbursement outcomes and fee schedules. Additionally, we offer expertise in the development of institutional policies for healthcare-driven entities. Our services include: ● DMEPOS and Clinical Policy Leadership: Demonstrated expertise in developing and refining clinical policies, ensuring compliance with regulatory requirements, and managing DMEPOS, HCPCS Level II coding, and reimbursement processes. ● Medicare and Medicaid Audit Proficiency: Experienced in overseeing and directing teams through Medicare and Medicaid audits, as well as handling audits from commercial insurers and other private payers. ● PDAC Verification and Product Development Insight: Expertise in guiding PDAC verification requests, selecting appropriate HCPCS codes, and offering strategic consultation during product development to anticipate and mitigate potential coding challenges. ● Compliance Program and Policy Enhancement: Proficient in assessing and advancing compliance programs, designing policies and procedures that fulfill program requirements, and ensuring their seamless implementation within healthcare operations. ● Utilization Management and Process Optimization: Skilled in optimizing utilization management, billing, and documentation processes to enhance operational efficiency, accuracy, and regulatory adherence in healthcare services. ● Product and Institutional Policy Development: Offering deep insights and strategic advice throughout the product development lifecycle, particularly in foreseeing and resolving coding-related obstacles to ensure