Summer is here and it is a good time to assess if your reimbursement teams are tracking 2021 payer market[…]
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Author: Sajini Thomas
Perform these Five Key Steps to Assess if the Clinical Outcome Strategies of Your Company Supports Market Access?
The medical policy teams of insurers in the U.S. are busy in the first two quarters of the year conducting[…]
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Contemplate Both Traditional Medicare & Medicare Advantage for your MedTech Medicare Strategies!
In 2020, GIRS spotlighted upcoming Medicare Advantage (MA) growth for 2021. In our recent updates, GIRS continues to track payer growth, specifically[…]
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What Does the Medicare Part D and its New Second Specialty Tier for High-Cost Drugs Mean for your Drug?
CMS has announced a final ruling that will revise regulations for the Medicare Advantage (MA or Part C) program and[…]
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Arkansas is Poised for Medicaid Managed Care Expansion in 2022? How will this Impact Market Access for your Product?
For over 19 years, GIRS has tracked payer trends to develop and implement market access strategies for our clients’ Products. […]
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What is the Impact of the Federal Marketplace Expansion for your Medtech Products?
GIRS has been tracking payer trends for the past 19 years to assist with the market uptake of client Products.[…]
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What’s on the Reimbursement Horizon, May 2021
Want to know what we have been up to recently? Want to add to your payer coverage and payment success[…]
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Case Study: The GIRS Payer Advocacy Team works with Payer to Obtain Appropriate Reimbursement
The Issue: In November 2019, our client was not receiving coverage for a complex medical supply in a key Medicaid[…]
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Case Study: How the GIRS PAC Team Overcame Billing Hurdles
The GIRS Payer Advocacy Compass® (PAC) created a reimbursement strategy for a client’s account when they reported that they were[…]
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What is the Implication of the CMS’ Comprehensive Error Rate Testing (CERT) for Your Accounts?
CMS resumed the Comprehensive Error Rate Testing (CERT) program that establishes whether claims paid by Part A/B Medicare Administrative Contractors[…]
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