Coding and Classification

EBG Advisors has a team of national experts who are very familiar with reimbursement, coding, coverage, and payment issues. Our firm serves as a lifeline to many health care and life sciences organizations, enabling them to better understand, and respond to, an often complex and confusing regulatory landscape. And through our network of trusted advisors, we have access to many professionals with decades of experience representing health care clients in third-party coverage, coding, and payment/reimbursement issues arising under federal or state health care programs.

We give our clients a continuous platform for evaluating the reimbursement environment. Our work ranges from strategy and public policy to discrete technical issues. We navigate these interconnected areas to help medical device manufacturers and others understand and assess the impact of Medicare and other third-party coverage and reimbursement decisions. This includes identifying significant developments and defining structured opportunities for engagement.

We offer dynamic reimbursement, coverage, and payment strategies involving:

  • Coverage and evidence—national/local coverage, health economic models, clinical trials, field support
  • Coding and classification—CPT, APC, HCPCS Level II, ICD-9-CM
  • Payment systems—fee-for-service, capitation, global fees, Medicare Part D, MS-DRGs, APCs, RV-RVS, and other fee schedules

We also offer business development and market launch strategies.