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.
At Nimitt, we strive to be a different type of consultant. 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, engage and educate dynamically, and problem-solve in novel ways.
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.
- Provider reviews: a financial and operational review of stem cell transplant (SCT), CAR-T, and other novel cell and gene therapies
- 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 advocacy initiative
PROFESSIONAL ASSOCIATIONS & ADVOCACY
We engage and educate stakeholders to advocate for changes to regulations and coding and payment systems that will improve access to care.
- Coding applications development: diagnosis, procedure, and product coding
- Claims data analysis for advocacy opportunities
- Coverage decision and policy analysis and advocacy
- Medicare policy analysis, and comment letter preparation
- Payment system subject matter experts on non-profit and government committees
- Provider resource publication development on coding, billing and reimbursement
- Representing provider insights to Congress and federal agencies
- Technical assistance to domestic and foreign government policy makers
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 submission and support: 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
Please contact us for more information about our services and/or client references, especially if you have a need that you do not see addressed here.