Know before you go
The Cell Therapy Master Class on Access & Reimbursement
Your guide to the two days in Washington, D.C: What to bring, how to get in, and what happens when.
555 13th St NW
1Before you go
Your pre-trip checklist
A few things to take care of before you leave home.
- Required
Pack a government-issued photo ID
A passport or driver’s license. Building security will not let you in without it.
Plan for business casual
Bring layers. Meeting rooms vary in temperature and the rooftop can be cool in the evening. Check the Washington, D.C. forecast before you pack.
Finish the pre-event survey
It helps us tailor the sessions. If your reception plans have changed since you answered, email events@nimitt.com.
Save the agenda to your phone
The full program with updated session times, for offline reading on the plane.
2Getting there & check-in
From the street to your seat
Getting into the building takes a few steps, so plan to arrive between 7:30 and 7:45 AM on both days. Security opens at 7:30 AM, and arriving earlier only means waiting in the lobby.
Venue
Hogan Lovells Cadwalader · 555 13th Street NW, Washington, D.C. 20004
Steps from the Metro Center station. Enter from either 13th Street or F Street NW.
Google Maps
Apple MapsFlying in or taking the train? Airports, rail & Metro
- Reagan National (DCA): the closest airport, about 15–20 minutes by taxi or rideshare. Or take the Metro Blue Line straight to Metro Center.
- Dulles (IAD): about 45–60 minutes by car, or take the Metro Silver Line directly to Metro Center.
- BWI: about an hour by car, or take MARC or Amtrak to Union Station.
- Union Station (Amtrak): take the Metro Red Line three stops to Metro Center, or a short taxi ride.
- Metro Center is served by the Red, Orange, Blue and Silver lines and is a short walk from the venue. No Metro card needed: just tap your contactless credit or debit card (or your phone’s mobile wallet) at the fare gate and go. How Tap. Ride. Go. works
Driving? Parking instructions Valet on P1, $16/day
- Set your GPS to 510 12th Street NW, Washington, D.C. 20004.
- The garage entrance is on the left side of 12th Street, so stay in the left lane. Look for the “Columbia Square Parking” sign.
- Take the first right into P1 (Valet Parking), take a ticket, and drive forward to the attendants. Parking is $16 per day and is not validated for the Master Class.
- Take the elevator to level 1 (Lobby), turn right, and check in at the security desk.
Several other garages nearby are fine, too.
When you arrive
- 7:30 – 7:45 AMLobby securityShow your photo ID at the Hogan Lovells Cadwalader desk.
- EscortUp to the 13th floorHogan Lovells Cadwalader staff will walk you to our meeting space.
- RegistrationCheck in with usPick up your name badge at the Nimitt table.
- 8:00 AMBreakfast & a seatSettle in before we begin at 8:30 AM.
3Agenda
Two days, one patient journey
You’ll follow three patients at a fictional hospital from referral to payment. Green rows are hands-on activities, and each one sends you home with a practical tool. All times Eastern.
What you’ll take home
Add to your calendar
Both days, with the address, the 7:30 AM arrival time and a link back to this guide.
Google Calendar: Day 1Day 1 · Wednesday, October 28
Coverage, clearance, contracting and claimsBreakfast & Registration
Opening: Cell and Gene Therapy Today & the Master Class
Meet the room and the three patients you’ll follow for two days.
Jugna Shah & Kristen Muncy
Understanding the Rules: The CAR-T Coverage Landscape
Coverage across Commercial, Medicaid, and Medicare plans.
Claire White
In the Door, Down the Hall: Navigation and Financial Clearance
From referral to treatment, including prior authorization.
Claire White
Break
Can This Patient Move Forward?
Take home: Financial Clearance Checklist.
The Realities of Managed Care Contracting, Part 1
SCA urgency, episode-of-care definitions, financial modeling, and product reimbursement.
Kristen Muncy
Lunch
The Realities of Managed Care Contracting, Part 2
Five advanced challenges, from full-episode reimbursement to negotiation tradeoffs.
Kristen Muncy
Deal or No Deal?
Take home: SCA Request Template.
Break
How a Patient’s Story Becomes a Correctly Paid Claim
Orders, documentation, charge capture, coding, billing, and payment.
Jugna Shah & Kristen Muncy
Can We Submit the Claim?
Take home: Pre-Billing Checklist.
Day 1 Wrap-Up
Rooftop Networking Reception
Complimentary cocktails and appetizers. Weather permitting, we’ll be outdoors with views of the monuments.
Day 2 · Thursday, October 29
How Medicare pays, and what comes nextNetworking Breakfast
Icebreaker & Day 1 Recap
Reconnect with the three patients and frame the day.
How Medicare Pays for Inpatient Cases
MS-DRGs, NTAP and outliers under IPPS, then What Payment Should We Expect? Take home: CCR-Based Charging Reference.
Jugna Shah & Kristen Muncy
Break
How Medicare Pays for Outpatient Cases
APCs, status indicators, drug payment, and pass-through status under OPPS.
Jugna Shah & Kristen Muncy
Lunch
How Medicare Pays for Physician Services
The Medicare Physician Fee Schedule applied to high-cost CGT cases.
Jugna Shah, Cary Gibson, & Kristen Muncy
What Message Needs to Go to Leadership?
See where the patients’ journeys led and brief leadership.
Break
The Ascent to Delivering Innovative Care
Preparing your program for new therapies. Take home: Therapy Worksheet.
Claire White & Kristen Muncy
Closing: Shaping What Comes Next Together
What programs can change on their own, and what takes broader advocacy.
Jugna Shah, Cary Gibson, & Kristen Muncy
Informal Closing Reception
One last chance to connect before you head home.
4Your presenters
The team leading the room
Decades of combined experience helping cell therapy programs navigate patient access and reimbursement.
The Reimbursement WhispererJugna Shah, MPH, CHRI
President & Founder
Founded Nimitt more than 25 years ago and translates complex Medicare payment policy into practical strategies for providers.
The Deal MakerKristen Muncy, MHA
Principal
Brings her expertise in clinical operations, revenue cycle, and Managed Care contracting to help improve providers’ bottom lines.
The Coverage DetectiveClaire White, MSN, RN
Senior Consultant, Health Policy and Patient Access
Specializes in payer coverage, prior authorization, and patient financial clearance for cellular therapies.
The Capitol ConnectorCary Gibson, MPA
Senior Consultant, Health Policy
Brings more than 25 years across Congress, trade associations, and consulting, and turns federal and state health policy into action.
5Around the venue
Steps from the door
Coffee before check-in, dinner after the reception, and the essentials. Walking times are from the venue. Tap a place for directions.
Coffee before check-in1–3 min walk
Dinner & drinksAfter the reception
- Mastro’s SteakhouseSteakhouse1 min
- The Oceanaire Seafood RoomSeafood1 min
- Ristorante ToscaItalian1 min
- Proper 21Bar3 min
- Central Michel RichardFrench-American5 min
- The HamiltonAmerican & live music6 min
- Vue RooftopRooftop bar6 min
- Old Ebbitt GrillA D.C. classic7 min
Downtown fills up after work, so book ahead for groups.
Pharmacy & urgent care1–4 min walk
In an emergency, call 911.
Morning walk or runMonuments & the Mall
Neighborhood picks courtesy of our hosts at Hogan Lovells Cadwalader.
6After the Master Class
What happens next
Share your feedback
On Friday, October 30, we’ll email you a short survey. It takes a few minutes and directly shapes future programs.
Certificate of completion
Your certificate of completion will arrive by email after the event.
Keep using your tools
The checklists, templates and worksheets from the activities are yours to take back to your program.
Need help?
We’re a call or text away
Running late, stuck at security, or have a question? For anything urgent during the event, call or text Susan using the buttons. Otherwise, email us and we’ll reply quickly.
We look forward to seeing you in Washington, D.C.!
The Nimitt Consulting Team · Empowering providers to deliver on the promise of innovation.