Nimitt partners with professional associations and other stakeholders that 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 Medicare inpatient and outpatient payment system improvements over the past 25 years.

  • Code application development: ICD-10-CM, ICD-10-PCS, HCPCS Level I CPT®, HCPCS Level II, including working with:
    • AMA/CPT®
    • RUC
    • CMS
    • NCHS
    • NUBC
  • Claims data analysis to support Medicare IPPS and OPPS payment system advocacy initiatives 
  • Coverage policy analysis and advocacy
    • Medicare National Coverage Analyses (NCA)
    • Medicare National Coverage Determinations (NCDs)
    • Local Coverage Determinations (LCDs)
  • Education and advocacy on Medicare annual rules and regulations (IPPS, OPPS, MPFS and other rules as needed):
    • Presentations on proposed and final rules
    • Policy analysis
    • CMS engagement
    • Stakeholder mobilization
    • Comment letter preparation
  • Represent provider viewpoints to federal agencies 
  • Payment system subject matter expertise provided to non-profit and government committees focused on expanding access to cell and gene therapies
  • Technical assistance on developing case-mix methodologies to domestic and foreign government policymakers 
  • Provider roundtable (PRT) advocacy initiative