Nimitt Consulting helps clients succeed in the constantly changing regulatory arena and deliver health care in an effective, cost-efficient, and compliant manner.
We enable clients to address the clinical, operational, financial, and reimbursement implications associated with payment systems, particularly around emerging medical technologies like novel cell and gene therapies. We bring insights from our deep experience with Medicare claims data and rate-setting to inform various research and reimbursement questions.
Services include regulatory and compliance reviews, Medicare inpatient and outpatient service delivery financial impact analyses, coding and reimbursement roadmaps for market access teams, strategic planning, advocacy consultation, and ongoing education and training sessions on a wide range of topics and for a wide range of audiences.
Nimitt analyzes the changing regulatory and reimbursement environment and helps clients not only understand current and forthcoming rules but also implement processes that maximize compliance and minimize reimbursement leaks. We help providers ensure that their daily operations meet all coding, billing, and coverage rules. We spearhead data-driven advocacy efforts for stakeholders that include hospitals, non-profit organizations, industry associations, and drug and device manufacturers. We engage in dialogue with staff and contractors of the Centers for Medicare and Medicaid Services (CMS) to advocate for needed changes to improve coverage, payment, and reimbursement policies.
Nimitt leads large, international technical assistance projects focused on implementing case-mix financing. We educate senior government officials, policy-makers, and local experts on all aspects of the development and implementation of case-mix based financing systems. Our team of experts is uniquely skilled at coordinating, local teams as they establish new coding and costing systems; analyze hospital and post-acute care financing policies; collect demographic, clinical, and cost data; develop legislation and regulations to support these new mechanisms; and communicate with providers and patients.
KNOWLEDGE & SKILLS-BUILDING
Nimitt offers a variety of services that help our clients build their expertise and capacity around coding, billing, and reimbursement. Our dynamic and no-nonsense style captures the audience’s attention and leaves no doubt about what the rules and requirements are. Our interactive skills-building sessions and reference materials help staff fully understand and effectively implement compliant coding, billing, and reimbursement-related changes. Popular educational offerings include comprehensive analyses of Medicare Proposed and Final Rules, and tailored programs that address clients’ needs. Our SCT/CAR-T reviews enable provider staff to understand and implement compliant coding, billing, and reimbursement requirements and policies that address these complex service lines.