Nimitt serves as a strategic resource to innovators that are bringing novel therapies to the market. We work with companies to build their understanding of different payer systems, policies, and processes that affect providers. We enable our clients to have educated conversations with their customers and build resources that support adoption of their products by providers.

  • Advisory Board strategy and facilitation – identifying the right roles, questions and scenarios to get the information your team needs
  • Coding and billing guide development, along with other customer facing materials, such as prior authorization check-lists, FAQs, and education resources
  • Coding and reimbursement roadmaps to identify and plan for achieving milestones during product launch
  • Coding applications and coding gap analysis:
    • ICD-10-CM
    • ICD-10-PCS
    • HCPCS Level I CPT®
    • HCPCS Level II product (i.e., J-code applications)
    • Revenue codes, condition and value codes, and claims billing elements
  • Investor and board communications support, including talking points for payer coverage and product reimbursement assumptions
  • Market access team training on payer systems and provider operations, with a focus on provider reimbursement scenarios and potential roadblocks
  • Medicare coverage, coding, and payment policy support:
    • Education, advocacy, and strategy
    • MS-DRG mapping requests
    • Medicare New Technology Add-on Payment (NTAP) application support
    • Drug/biological and device passthrough payment application support
  • Strategic planning and education at all phases of launch preparation
    • White board sessions
    • Executive education
    • Payer perspectives
    • Reimbursement scenario analysis