Strategic Reimbursement Planning

We will provide a strategic reimbursement plan and timeline for your technology based on the findings of your Reimbursement Assessment. Your reimbursement plan will include:

• Strategies for gaining new product/procedure codes
• Public and private payer advocacy
• Reimbursement education
• Practice management tools
• Ongoing reimbursement support

Third Party Payer Support

The JGS Group will:

• Interview the decision makers of Medicare, Medicaid and Private Payers to determine the best strategy for the successful launch of your product
• Determine the necessary steps to ensure appropriate coding, coverage and payment for your product
• Prepare mailings for specific payers and lobby to get your product on their formularies

Specialty Society Support

Specialty Society support is critical to acceptance of new technologies in the medical community as well as success in obtaining new CPT codes. We will contact relevant Specialty Society representatives and gain support for your technology. If a new CPT code application is planned, we will contact CPT Coding Advisory Committee representatives from relevant Specialty Societies to offer information about the technology and gain support for the application.

Sales Force Training

A solid reimbursement plan can be a very effective sales and marketing tool. We will provide reimbursement training and support to your sales team so that they may relay the most accurate information to their accounts. Our support of your sales team may include:

• Face-to-Face training sessions with the sales team
• Development of reimbursement references for the sales team
• Development of billing guides that sales team can provide to potential and existing accounts
• Reimbursement Assistance Call Center support for the sales team

Billing Guides

We will develop billing guides specific to your product to assist with coding, coverage and payment issues. Our billing guides will include information regarding possible CPT, HCPCS, and ICD-9 codes, as well as documentation tips and relevant Medicare rules and coverage policies. Billing guides are a valuable sales tool in today’s competitive market.