Nimitt partners with professional associations and other stakeholders to advocate for improved payment system policies to support patient access. Our expertise in provider operations and the use of a data-driven advocacy approach has resulted in significant payment system improvements over the past 25 years.
- Coding applications development and support for diagnosis, procedure, product and revenue coding
- Claims data analysis to identify payment system improvement and advocacy opportunities, with a focus on Medicare IPPS and OPPS rate-setting
- Coverage decision/policy analysis and advocacy including Medicare National and Local Coverage Determinations (NCDs / LCDs)
- Medicare annual rule cycles policy analysis, education and comment letter preparation: IPPS, OPPS, MPFS regulatory cycles and other rules as needed
- Publication of independent provider resources on key health policies affecting coding, billing, and reimbursement – see Nimitt Perspectives for the current resource list
- Representation of provider viewpoints to federal agencies through events, policy briefs, and comment letters
- Payment system subject matter experts on non-profit and government committees focused on expanding access to cell and gene therapies
- Technical assistance to domestic and foreign government policymakers on developing case-mix methodologies for hospital payment