Securing provider reimbursement for your medical technology is critical to successful market entrance, and validation of your capital investment. Unfortunately, FDA approval is just the starting point.
That’s where MedTech comes in. We know how to achieve positive insurance coverage for medical technologies, devices and diagnostics. And we help providers get reimbursed for putting your technologies and procedures to use.
Our services focus on reimbursement hotline support that keeps providers up-to-date with the latest practices that facilitate reimbursement.
Our U.S. based hotline response team includes coders, clinicians and reimbursement professionals who are trained to overcome obstacles and avoid pitfalls that compromise coverage and reimbursement.
When insurance claims are denied - even if previously verified - the hotline staff knows what to do. We provide information, support and follow-up to ensure that an appeal has the best chance of approval upon medical review.
In addition, our reimbursement counselors are cross-trained to address all of a caller’s complex reimbursement needs through a single representative.
Naturally, you’re interested in results, and we would love to tell you about specific coverage results and case studies.
Please give us a call at (800) 648-4405.
For more specific information about our services, please keep reading or click the links below:
Insurance Approval Support
Hotline Reimbursement Support
Appeals
Correspondence Tracking
Reports
Active Industry Involvement
Insurance Approval Support
Reimbursement begins with patient qualification. MedTech handles each case individually, assisting providers to explore every opportunity to qualify the patient. We routinely check for:
- Eligibility/Enrollment
- Network Status
- Pre Determination vs. Prior Authorization
- Payor protocols requiring a customized approach
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Hotline Reimbursement Support
Our dedicated reimbursement hotline service is a vital part of what MedTech can bring to your customers. And we can structure the hotline to best meet all of your needs.
- Reimbursement counselors are cross-trained to handle a variety of needs.
- Counselors know how to avoid the pitfalls that can compromise coverage and reimbursement.
- When insurance claims are denied, the hotline staff knows what to do.
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Appeals
Appeals are a necessary evil in the reimbursement process, but we can make them relatively painless. Not only do we help with the development of appeal letters, but we also work with providers and patients to help them customize their appeals to best meet case-specific requirements. We know when to incorporate outcome studies, clinical trials, and other literature to help providers and patients get a positive coverage determination.
We can assist with appeals on multiple levels including:
- Peer to peer
- Department of Insurance or other state regulatory agency
- External / Independent Medical Review
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Correspondence Tracking
Documentation is critical to the reimbursement process. MedTech’s HIPAA compliant proprietary database tracks all case correspondence to help us identify key factors for attaining positive reimbursement decisions.
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Reports
We know it’s important for you to stay up-to-date with all of your cases. That’s why MedTech provides clients with reports including:
- Case Activities
- Positive insurance payment policy tracking
- Approvals/denials tracking
- Monitoring insurer payment updates
We also offer customized reports to meet client-specific needs.
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Active Industry Involvement
Sometimes, all it takes to cut through red tape is a friendly conversation. In over 30 years in reimbursement, MedTech management has forged solid working relationships and open lines of communication with insurers and regulators.
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