The Regulatory & Clinical Research Institute, Inc. (RCRI) offers comprehensive reimbursement services. RCRI focuses on providing research, education, strategy, and implementation to support appropriate reimbursement for your product in both the pre- and post-approval stages. Our menu of reimbursement services includes:
Coverage, Coding, and Payment Assessments
A Coverage, Coding, and Payment (CCP) Assessment provides your company with the basic information required to establish your reimbursement strategy. National Medicare (and a sample of local) coverage guidelines are reviewed, applicable ICD-9, CPT-4® and HCPCS codes are identified, and payment levels are estimated. A CCP assessment is used to determine reimbursement strategy and implementation and is particularly helpful to synchronize your clinical trial timeline with required reimbursement activities.
Local Coverage Decision Review
RCRI researches the various local Medicare coverage decisions and provides an analysis that outlines similarities and differences between these policies. This assessment can be used to forecast market acceptance and plan for reimbursement field support.
Reimbursement Support Packets
RCRI provides current reimbursement information to your sales team by including geographic-specific Medicare coverage decisions, Medicare payment information for physician and facility reimbursement.
Reimbursement Hotline
RCRI’s toll-free reimbursement hotline supports you in fielding reimbursement questions from your sales force and customers pertaining to codes, denials, and appeals. RCRI will work with you to track data from incoming calls to allow your marketing and sales team to better understand what issues arise in specific geographic areas.
Reimbursement Database Development
RCRI develops a database to store reimbursement information provided by your customers and your sales representatives to track impact of appeal efforts on local coverage decisions.
Sales Training
RCRI offers individualized sales training pertaining to the area of reimbursement. The training program is tailored to your sales force needs, and includes an overview of the current reimbursement environment for your product and legal considerations.
Publication Strategy
RCRI partners with you and your investigators to work through the details and intricacies of preparing a paper for publication including reviewing author’s guidelines, providing checklists of information to include, analyzing data, proofing the document, and helping respond to reviewers’ comments. RCRI synchronizes publication efforts with the regulatory, clinical, and reimbursement strategy timelines to provide peer-reviewed evidence for marketing, sales, and reimbursement efforts.
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Reimbursement Services
