Horizon Reimbursement Consulting experts have worked with start-ups and mid-sized medical device companies on pre-launch strategy and post-launch reimbursement execution. We specialize on full life-cycle reimbursement solutions, implemented in collaboration with your in-house or external regulatory and commercialization teams.Services include:+ Coding Assessments+ Reimbursement Strategy Assessments+ HCPCS Applications+ PDAC Applications+ CPT Applications+ Payer Engagement Plans for Continued Coverage or Limited Coverage+ Clinical Trial Optimization/Evidence Generation to support Reimbursement Goals+ Reimbursement Tools: Reimbursement Toolkits, Reimbursement Guides, Appeal Templates, FAQ's, Webinars, and Training+ Hotlines for billing with unlisted codes, miscellaneous codes, CAT III codes+ MoreAsk about:+ Speaking Engagements+ Webinars+ Fractional Work Contracts+ Customized Reimbursement SolutionsExcluded Services: + Pharmaceutical Market Access and Reimbursement+ In Vitro Diagnostic (IVD) Reimbursement+ Limited capital equipment services: coding assessments available, but long-term strategy and ongoing monthly market access support is excluded.

Consulting Service Focus Areas:+ short and long term reimbursement strategy+ Physician Interviews and Payer Research+ Medicare Coverage for IDE Studies+ PDAC and HCPCS applications+ CPT questions, field inquiries, and Billing GuidesSpecialty work in following areas: cardiology, dialysis, remote monitoring (RTM/RPM), imaging, urology, wound, cellular regeneration, respiratory, nerve stimulators, and durable medical equipment

Upstream reimbursement strategy and product life-cycle development from concept to pre-launch. Interpreted evidence needs for long-term strategy. Led Medicare benefit category strategy for Peristeen Transanal Irrigation System. Successful PDAC & HCPCS code applications, including creation of new HCPCS code with support from United Ostomy Associates of America and coding re-verifications that resulted in categorization as a higher payment category.

Hired for upstream (pre-launch) reimbursement strategy and to develop downstream (post-launch) reimbursement education and sales training. Provided leadership as the team grew from 2 to 8 members. Known as a thought leader and team player, creating a firm department foundation.

Managed contracts, front end documentation processes, and document control department.

Managed a department of 10 billers, 3 cash posters, 1 supervisor, and 4 document control specialists (intake/authorizations). Department handled billing for 4 locations. Responsible for provider relations. Assisted Compliance Manager / Government Affairs Manager with MN Medicaid Advocacy.

Researched coding, coverage, and payer reimbursement topics for clients (Part A, B, and DME). Managed a team of 18 reimbursement coordinators on various intake processes.

Consulting project included reimbursement and coding strategy development for 3D printed upper extremity exoskeleton.

Provided expertise in coding, billing, documentation requirements, and appeal assistance for billing staff and healthcare professionals in DME, Orthotics, and Prosthetics. Partnered with sales, marketing, and clinical departments to identify and communicate common reimbursement topics and issues through newsletters and webinars. Collaborated in developing tools to solve common Durable Medical Equipment reimbursement needs.

Balanced unique blend of dual job duties in customer service and reimbursement assistance. Self-taught Medicare policy and researched peer reviewed clinical publications. Replaced outside reimbursement consultant, prior to role as Reimbursement Specialist. Developed 70 page reimbursement training manual on key products and frequently asked questions. Trained 4 customer services specialists in reimbursement trends.

Managed billing and paperwork for prosthetic repairs. Scheduled loaner devices and provided timely feedback on customer inquiries.

Managed and trained approximately 70 sales representatives. Assisted District Manager. Recruited team members resulting in $18,000 of new business. Career Sales $33,000.