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Health Economics - Optimal Reimbursement and Coverages Decisions

HEALTH ECONOMICS

Assessment and Implementation
The Regulatory & Clinical Research Institute (RCRI®) starts each reimbursement project with a coverage, coding, and payment (CCP) assessment.

The CCP assessment will provide an overview of pertinent:
  • Coverage policies
  • Billing codes
  • Code terminology
  • Estimated payment levels
  • Overview of Category A & B reimbursement
In addition, the assessment will include recommended action items for developing a reimbursement strategy.

Implementation

After performing a reimbursement assessment, RCRI will work with you to develop and implement a plan to achieve optimal reimbursement levels.

The plan will:
  • Assess the viability of reimbursement for your product from a payer perspective
  • Recommend methods of answering reimbursement questions of concern to both regulatory and payer audiences through clinical trial designs
  • Provide estimates of costs for studies and contracts with research centers
  • Develop materials to help hospitals and physicians obtain reimbursement
  • The plan will also provide a method of estimating resource requirements; identifying contingency measures; and tracking progress
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