Nimitt Consulting educates and advocates on coverage, coding, billing, and reimbursement issues so our clients can understand and implement optimal strategies amid changing health care regulations.
We strive to be a different type of consultant – one that not only identifies the problems, but also provides actionable solutions and explains the why behind both. Our team’s deep knowledge of Medicare payment systems, provider operations, and the payer marketplace enables us to work successfully and practically with a wide range of clients. Our clients know that Nimitt’s team will listen intensely, educate passionately, and problem-solve dynamically.
HOSPITALS, HEALTH SYSTEMS, & OTHER PROVIDERS
We work hand-in-hand with providers to ensure their operations are robust, adhere to best practices, and are appropriately reimbursed.
- A provider review: detailed financial and operational assessment of SCT, CAR-T, and other novel cell and gene therapies (our flagship provider service)
- Charge Description Master (CDM) review and support
- Claims data analysis
- Cost report preparation support
- Education on coding, billing, and reimbursement
- Managed care contracting guidance and support
- Medical record, claim, and remittance reviews
- On-call advisory services
- Provider Roundtable (PRT) advocacy initiative
PROFESSIONAL ASSOCIATIONS & ADVOCACY ORGANIZATIONS
We engage and educate stakeholders to advocate for changes to regulations and coding and payment systems that will improve access to care.
- Coding application development: ICD-10-CM, ICD-10-PCS, HCPCS Level I CPT®, HCPCS Level II
- Claims data analysis for advocacy opportunities
- Coverage decision and policy analysis and advocacy
- Expertise on payment systems to non-profit and government regulators
- Medicare policy analysis and comment letter preparation
- Provider resource publication development on coding, billing, and reimbursement
- Represent provider insights to Congress and federal agencies
- Technical assistance to domestic and foreign government policymakers
BIOTECHNOLOGY COMPANIES AND OTHER INNOVATORS
We enable our clients to understand – and drive – the factors that impact provider adoption of new products and technologies.
- Advisory board strategy and facilitation
- Content creation for coding and billing guides and customer-facing materials
- Coding and reimbursement roadmaps
- Coding application development: ICD-10-CM, ICD-10-PCS, HCPCS Level I CPT®, HCPCS Level II
- Investor and board-related communications support
- Market access training on payer systems and provider operations
- Medicare policy support
- Strategic planning and education at all phases of launch preparation